Avalon Place Kirbyville
Kirbyville, Jasper County, Texas · CCN 675220 · Government (Hospital district) · part of Creative Solutions In Healthcare (149 facilities, chain average 2.1 stars)
CMS rates Avalon Place Kirbyville 4 of 5 overall as of August 2026. 114 certified beds, 49 residents a day on average. 17 citations on record from the current inspection cycles, 1 at immediate jeopardy; 1 fine totalling $9,113.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★☆☆☆ 2 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 3.41934 hours per resident per day |
|---|---|
| Registered nurses | 0.42998 hours per resident per day |
| Weekend total | 2.97354 hours per resident per day |
| Nursing staff turnover | 97.8% (registered nurses 100%) |
| Administrators who left | 1 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-12-03 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-04 |
| 2025-12-03 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · tag F0813 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-04 |
| 2025-12-03 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-12-04 |
| 2025-12-03 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2025-12-04 |
| 2025-09-10 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance 2025-09-05 |
| 2025-09-10 complaint survey |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0600 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Nutrition and Dietary Deficiencies · tag F0801 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2024-09-12 |
| 2024-09-11 | Keep all essential equipment working safely. Environmental Deficiencies · tag F0908 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0661 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-12 |
| 2023-08-23 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-09-01 |
| 2023-08-23 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-01 |
| 2023-08-23 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 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. Resident Assessment and Care Planning Deficiencies · tag F0661 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-01 |
| 2023-08-23 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-01 |
| 2023-08-23 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-09-01 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-10 | Fine | $9,113 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 Organization | 5% or greater direct ownership interest | 100% | 2017-04-01 |
| Kirbyville I Enterprises, L.L.C. Organization | adp of the snf | — | 2025-04-12 |
| Kirbyville I Realty, L.L.C. Organization | adp of the snf | — | 2024-07-09 |
| Kirbyville I Enterprises, L.L.C. Organization | operational/managerial control | — | 2024-07-09 |
| Blake, Gary Individual | adp of the snf | — | 2024-07-09 |
| Blake, Malisa Individual | adp of the snf | — | 2024-07-09 |
| Burkhalter, Sheila Individual | adp of the snf | — | 2025-04-12 |
| Eamiguel, Christopher Individual | adp of the snf | — | 2024-07-09 |
| Xintavelonis, Elena Individual | adp of the snf | — | 2025-04-12 |
| Huggins, Linda Individual | corporate director | — | 2024-07-09 |
| Willig, Zachary Individual | corporate director | — | 2025-01-01 |
| Stratton, Charles Individual | corporate officer | — | 2005-05-01 |
| Fregia, Milton Individual | managing control - governing body | — | 2022-05-07 |
| Gardner, Shannon Individual | managing control - governing body | — | 2022-08-22 |
| Gardzina, Margaret Individual | managing control - governing body | — | 2024-02-26 |
| Henry, Paul Individual | managing control - governing body | — | 2009-05-09 |
| Stratton, Charles Individual | managing control - governing body | — | 2005-05-01 |
| Blake, Gary Individual | operational/managerial control | — | 2024-07-09 |
| Blake, Malisa Individual | operational/managerial control | — | 2024-07-09 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avalon Place Kirbyville.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Jasper County.