Nursing homes › Texas › Avalon Place Kirbyville
700 N Herndon, Kirbyville, TX 75956 · 4094236111 · 114 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates above its group average (2.2/5).
Total nurse staffing: 3.42 (Texas median: 3.27). RN hours: 0.43. Weekend total: 2.97. Nursing staff turnover: 98%.
All-time on record: 17 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-12-03 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-12-04 |
| 2025-12-03 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Health | corrected 2025-12-04 |
| 2025-12-03 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-12-04 |
| 2025-12-03 | Post nurse staffing information every day. | B | Health | corrected 2025-12-04 |
| 2025-09-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-09-05 |
| 2025-09-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-09-11 |
| 2024-09-11 | 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 | Health | corrected 2024-09-12 |
| 2024-09-11 | Keep all essential equipment working safely. | F | Health | corrected 2024-10-08 |
| 2024-09-11 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2024-09-12 |
| 2023-08-23 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2023-09-01 |
| 2023-08-23 | 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 | Health | corrected 2023-09-01 |
| 2023-08-23 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-09-01 |
| 2023-08-23 | 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 | Health | corrected 2023-09-01 |
| 2023-08-23 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | corrected 2023-09-01 |
| 2023-08-23 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Health | corrected 2023-09-01 |
| 2023-08-23 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2023-09-01 |
| 2023-08-23 | Ensure that residents are free from significant medication errors. | D | Health | corrected 2023-09-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-09-10 | Fine | $9,113 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO.1 | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 04/01/2017 |
| FREGIA, MILTON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/07/2022 |
| GARDNER, SHANNON | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/22/2022 |
| GARDZINA, MARGARET | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/26/2024 |
| HENRY, PAUL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/09/2009 |
| STRATTON, CHARLES | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/01/2005 |
| HUGGINS, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 07/09/2024 |
| WILLIG, ZACHARY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| STRATTON, CHARLES | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2005 |
| KIRBYVILLE I ENTERPRISES, L.L.C. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 07/09/2024 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/09/2024 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 07/09/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675220. Corrections: data@carerecords.org.