Avalon Place Kirbyville
700 N Herndon Ave, Kirbyville, TX 75956
Phone: 4094236111
CMS ratings and facility information
Avalon Place Kirbyville is a Medicare-certified nursing facility in Kirbyville, Jasper County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 4 of 5 stars |
|---|---|
| Health inspection rating | 4 of 5 |
| Staffing rating | 2 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 114 |
| Ownership | Government - Hospital district |
| CMS certification number | 675220 |
Staffing
| Total nurse hours per resident day | 3.42 |
|---|---|
| RN hours per resident day | 0.43 |
| Nurse aide hours per resident day | 1.94 |
| Total nursing staff turnover percent | 97.8 |
| RN turnover percent | 100 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 1.87 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 2.47 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 3 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 1.17 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 1.52 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 11.76 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-12-03 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2025-12-03 | 0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D |
| 2025-12-03 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2025-12-03 | 0732 | Post nurse staffing information every day. | B |
| 2024-09-11 | 0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F |
| 2024-09-11 | 0908 | Keep all essential equipment working safely. | F |
| 2024-09-11 | 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| 2023-08-23 | 0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2023-08-23 | 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E |
| 2023-08-23 | 0880 | Provide and implement an infection prevention and control program. | E |
| 2023-08-23 | 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D |
| 2023-08-23 | 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D |
| 2023-08-23 | 0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D |
| 2023-08-23 | 0695 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2023-08-23 | 0760 | Ensure that residents are free from significant medication errors. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2025-09-10 | Fine | ,113 |
Ownership records
| Name | Type | Role |
|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| FREGIA, MILTON | Individual | MANAGING CONTROL - GOVERNING BODY |
| GARDNER, SHANNON | Individual | MANAGING CONTROL - GOVERNING BODY |
| GARDZINA, MARGARET | Individual | MANAGING CONTROL - GOVERNING BODY |
| HENRY, PAUL | Individual | MANAGING CONTROL - GOVERNING BODY |
| STRATTON, CHARLES | Individual | MANAGING CONTROL - GOVERNING BODY |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR |
| STRATTON, CHARLES | Individual | CORPORATE OFFICER |
| KIRBYVILLE I ENTERPRISES, L.L.C. | Organization | OPERATIONAL/MANAGERIAL CONTROL |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| KIRBYVILLE I ENTERPRISES, L.L.C. | Organization | ADP OF THE SNF |
| KIRBYVILLE I REALTY, L.L.C. | Organization | ADP OF THE SNF |
| BLAKE, GARY | Individual | ADP OF THE SNF |
| BLAKE, MALISA | Individual | ADP OF THE SNF |
| BURKHALTER, SHEILA | Individual | ADP OF THE SNF |
| EAMIGUEL, CHRISTOPHER | Individual | ADP OF THE SNF |
| XINTAVELONIS, ELENA | Individual | ADP OF THE SNF |
Compare nursing homes in Jasper County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.