AVALON PLACE KIRBYVILLE

700 N HERNDON
KIRBYVILLE, TX, 75956
4094236111
CCN: 675220
5
Overall
4
Health
3
Staffing
5
Quality
ChainCREATIVE SOLUTIONS IN HEALTHCARE
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
LIBERTY COUNTY HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTEREST100%
HUGGINS, LINDACORPORATE DIRECTORNOT APPLICABLE
WILLIG, ZACHARYCORPORATE DIRECTORNOT APPLICABLE
STRATTON, CHARLESCORPORATE OFFICERNOT APPLICABLE
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
KIRBYVILLE I ENTERPRISES, L.L.C.OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2025-09-10Fine$14K
Health Deficiencies (17)
2025-12-03 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
D
F813 · Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
B
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
2025-09-10 · Health
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-09-11 · Health
F
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
F
F801 · Nutrition and Dietary Deficiencies
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.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
2023-08-23 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
D
F760 · Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
E
F759 · Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F661 · Resident Assessment and Care Planning Deficiencies
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
D
F645 · Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
D
F578 · Resident Rights Deficiencies
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.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.35
3.68
RN Hrs/Resident/Day
0.40
0.54
LPN Hrs/Resident/Day
1.09
0.81
CNA Hrs/Resident/Day
1.86
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01