Avalon Place Kirbyville
700 N Herndon Ave, Kirbyville, TX 75956 · Jasper County · 114 certified beds · avg 49 residents/day · certified since Sep 28, 1993
Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Sep 10, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 5, 2025 (Past Non-Compliance)
All citations in the current public record (17)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not have a policy covering how food brought in by family and visitors is used and stored safely. |
| Dec 3, 2025 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 3, 2025 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Sep 10, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Sep 11, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Sep 11, 2024 | F · Potential for harm, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Sep 11, 2024 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Aug 23, 2023 | E · Potential for harm, repeated | The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. |
| Aug 23, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Aug 23, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Aug 23, 2023 | D · Potential for harm, one-off | When a resident had a planned discharge, the facility did not make sure the necessary information was communicated to the resident and to the doctors or facility taking over their care. |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Aug 23, 2023 | D · Potential for harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | E |
| 2024 | 3 | 0 | F |
| 2025 | 6 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $9,113.
| Date | Type | Amount / length |
|---|---|---|
| Sep 10, 2025 | Fine | $9,113 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.82 | 3.46 | 3.95 | top 20% in Texas; top 47% in the U.S. |
| Registered Nurse hours | 0.48 | 0.44 | 0.69 | top 29% in Texas; bottom 35% in the U.S. |
| Weekend total nurse staffing | 3.32 | 3.04 | 3.50 | top 22% in Texas; bottom 48% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.34 | 0.48 | bottom 36% in Texas; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 97.8 | 55.3 | 45.8 | bottom 2% in Texas; bottom 1% in the U.S. |
| RN turnover (%) | 100.0 | 54.6 | 42.9 | bottom 8% in Texas; bottom 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.42, RN 0.43, weekend 2.97. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Liberty County Hospital District No 1 | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/2017 |
| Blake, Gary | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/09/2024 |
| Blake, Gary | Individual | ADP of the SNF | NOT APPLICABLE | 07/09/2024 |
| Blake, Malisa | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/09/2024 |
| Blake, Malisa | Individual | ADP of the SNF | NOT APPLICABLE | 07/09/2024 |
| Burkhalter, Sheila | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2025 |
| Eamiguel, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 07/09/2024 |
| Fregia, Milton | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/07/2022 |
| Gardner, Shannon | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/22/2022 |
| Gardzina, Margaret | Individual | Managing Control - Governing Body | NOT APPLICABLE | 02/26/2024 |
| Henry, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/09/2009 |
| Huggins, Linda | Individual | Corporate Director | NOT APPLICABLE | 07/09/2024 |
| Kirbyville I Enterprises, L.L.C. | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/09/2024 |
| Kirbyville I Enterprises, L.L.C. | Organization | ADP of the SNF | NOT APPLICABLE | 04/12/2025 |
| Kirbyville I Realty, L.L.C. | Organization | ADP of the SNF | NOT APPLICABLE | 07/09/2024 |
| Stratton, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/01/2005 |
| Stratton, Charles | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2005 |
| Willig, Zachary | Individual | Corporate Director | NOT APPLICABLE | 01/01/2025 |
| Xintavelonis, Elena | Individual | ADP of the SNF | NOT APPLICABLE | 04/12/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Shady Acres Health & Rehabilitation | 15.5 mi | Newton, TX | ★☆☆☆☆ | 1/5 | abuseSFF |
| Rayburn Health Care & Rehabilitation | 17.0 mi | Jasper, TX | ★★★☆☆ | 3/5 | |
| Timberidge Nursing and Rehabilitation Center | 17.6 mi | Jasper, TX | ★★★★★ | 5/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675220.