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Nursing homeFAID #14011

Avalon Place Kirbyville

700 N HERNDON AVE, KIRBYVILLE, TX, 75956
(409) 423-6111
114 licensed beds

CMS rates Avalon Place Kirbyville 5 out of 5 overall. Federal inspectors issued 23 citations across 7 inspections in the last three years, with $9,113 in fines. Listing last updated 2026-11-06.

★★★★★5/5CMS Five-Star overall5/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Avalon Place Kirbyville
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Bed capacity
114
CMS facility ID
675220
Care type
Nursing home
County
Jasper
Facility name
Avalon Place Kirbyville
Street address
700 N HERNDON AVE
City / state / ZIP
Kirbyville, TX 75956
Phone
(409) 423-6111
Website

Avalon Place Kirbyville is a Medicare/Medicaid-certified skilled nursing facility in Kirbyville, Texas. It is licensed for 114 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Kirbyville and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Creative Solutions in Healthcare, a group of 150 facilities on this site.

Federal inspectors have cited Avalon Place Kirbyville 23 times across 7 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $9,113 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Parent company
Creative Solutions In Healthcare
Ownership type
Government - Hospital district

Registered owners & officers

Liberty County Hospital District No 1
Direct owner — 100% stake — since 2017
Blake, Gary
Operational control · Additional disclosable party — since 2024
Blake, Malisa
Operational control · Additional disclosable party — since 2024
Burkhalter, Sheila
Additional disclosable party — since 2025
Eamiguel, Christopher
Additional disclosable party — since 2024
Fregia, Milton
Governing body — since 2022
Gardner, Shannon
Governing body — since 2022
Gardzina, Margaret
Governing body — since 2024
Henry, Paul
Governing body — since 2009
Huggins, Linda
Director — since 2024
Kirbyville I Enterprises, L.l.c.
Operational control · Additional disclosable party — since 2024
Kirbyville I Realty, L.l.c.
Additional disclosable party — since 2024
Stratton, Charles
Governing body · Officer — since 2005
Willig, Zachary
Director — since 2025
Xintavelonis, Elena
Additional disclosable party — since 2025

Regulatory standing

Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1993-09-28
CMS overall rating
5 of 5 stars
Health deficiencies
4 at the last standard inspection
Federal fines
$9,113 total
Last standard inspection
2025-12-03
Nurse staffing
3.5 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$237 per day (≈ $7,200/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
74% Medicaid · 8% Medicare · 18% private/other
Occupancy
41% (fiscal year 2023)
Vs. state median
14% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
114
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2025-12-03Health inspection4 citations
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-12-04
F-0732
B · No harm found
Post nurse staffing information every day.
Corrected 2025-12-04
F-0813
D · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2025-12-04
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-12-04
2025-09-10Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-11
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-05
5 earlier / fire-safety inspections (17 citations)
2024-09-11Health inspection3 citations
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-09-12
F-0801
F · No harm foundFood safety
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.
Corrected 2024-09-12
F-0908
F · No harm found
Keep all essential equipment working safely.
Corrected 2024-10-08
2023-08-23Health inspection8 citations
F-0578
D · No harm found
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.
Corrected 2023-09-01
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-09-01
F-0661
D · No harm found
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-09-01
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-09-01
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-09-01
F-0760
D · No harm found
Ensure that residents are free from significant medication errors.
Corrected 2023-09-01
F-0761
E · No harm found
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.
Corrected 2023-09-01
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-09-01
2025-12-03Fire-safety inspection1 citation
K-0222
D · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2025-12-05
2024-09-11Fire-safety inspection2 citations
K-0211
E · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-10-11
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-09-12
2023-08-23Fire-safety inspection3 citations
E-0039
C · No harm found
Conduct testing and exercise requirements.
Corrected 2023-08-28
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-09-22
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-24

Federal penalties

2025-09-10Fine$9,113
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675220.
How it compares in Texas.
Inspection citations, 3 years
23
More than 22% of nursing homes in the state
State median: 33
Federal fines, 3 years
$9,113
More than 40% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.5
Higher than 69% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
49%
Higher than 45% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 7 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased16.7%15.8%13.5%Near state average
Lose too much weight4.6%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.5%0.8%1.5%Better than state
Have depressive symptoms0.6%2.3%13.5%Better than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury4.6%3.2%3.2%Worse than state
Assessed and appropriately given the pneumococcal vaccine99.5%96.4%93.7%Near state average
Ability to walk independently worsened14.4%12.9%12.7%Worse than state
Received an antianxiety or hypnotic medication27.3%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers1.1%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence14.0%12.5%18.3%Worse than state
Received an antipsychotic medication12.0%9.8%15.4%Worse than state
Hospitalizations per 1000 long-stay resident days2.042.051.81Near state average
Outpatient emergency department visits per 1000 long-stay resident days2.941.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine96.6%88.7%82.3%Near state average
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%85.4%80.1%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
  • F-0661 2 inspections. Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.

What its owners also hold

  • Liberty County Hospital District No 1 has an ownership stake on file at 35 nursing homes, averaging 2.9 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.
Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Christus Jasper Memorial Hospital, about 18 miles. CMS rating 4 of 5.
  • Dequincy Memorial Hospital, about 32 miles.
  • Tyler County Hospital, about 32 miles.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
4.297 ratings on Google
★★★★★Sharon Slaydon · 2023-03-11 · via Google

“My friend Stella Likes is here. Each time I've visited the staff has been courteous to me. May God bless you all for taking care of our friends & family. 🙏🙌”

★★★★★Ken Collinsworth · 2025-01-23 · via Google

“My brother is in this facility. This facility is THE CLEANEST by far I have ever been in. It is so great they have family night every month, holiday festivities etc. The food is great. The staff are outstanding. So helpful. Kind, and polite. They are very good with the residents. This facility is absolutely awesome. Melissa and Sheila Burkhalter have been great to work with and have been s…”

★★★★★Armando Fernandez · 2025-06-27 · via Google

“My mother stayed her for a short time for rehab, post op. The staff was fantastic. The facility was great. My mother really appreciated how she was treated. We were glad she came here”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 23 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered