Public Record
Avalon Place Kirbyville
Operated by Creative Solutions In Healthcare
From CMS
Facility profile
- CMS overall rating
- 4 / 5
- Certified beds
- 114
- Avg. residents per day
- 50.4
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 17
- Fire safety findings
- 6
- Inspections on file
- 7
- Last inspection
- 2025-12-03
*CMS
*CMS
*CMS
*CMS
Citations
17 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0813Generalpotential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- 0732Generalno actual harm
Post nurse staffing information every day.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0801Generalpotential for harm
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.
- 0908Generalpotential for harm
Keep all essential equipment working safely.
- 0760Generalpotential for harm
Ensure that residents are free from significant medication errors.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0645Generalpotential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
- 0578Generalpotential for harm
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.
- 0661Generalpotential for harm
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0759Generalpotential for harm
Ensure medication error rates are not 5 percent or greater.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspectionFire Safety1 deficiency
- Inspection4 deficiencies
675220 12/03/2025 Avalon Place Kirbyville 700 N Herndon Kirbyville, TX 75956 F 0695 Provide safe and appropriate respiratory care for a resident when needed. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - Inspection2 deficiencies
675220 09/10/2025 Avalon Place Kirbyville 700 N Herndon Kirbyville, TX 75956 F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by…
Read full statement of deficiencies - Inspection3 deficiencies
675220 09/11/2024 Avalon Place Kirbyville 700 N Herndon Kirbyville, TX 75956 F 0661 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned…
Read full statement of deficiencies - View inspection reportInspectionFire Safety2 deficiencies
- View inspection reportInspectionFire Safety3 deficiencies
- Inspection8 deficiencies
675220 08/23/2023 Avalon Place Kirbyville 700 N Herndon Kirbyville, TX 75956 F 0578 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in…
Read full statement of deficiencies
Ownership
Creative Solutions In Healthcare
149nursing homes nationwide, in CMS records
FAQ
Questions and answers
- What is Avalon Place Kirbyville?
- Avalon Place Kirbyville is a Medicare- and Medicaid-certified nursing home in Kirbyville, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 675220.
- What is the CMS rating for Avalon Place Kirbyville?
- Avalon Place Kirbyville has a CMS overall rating of 4 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Avalon Place Kirbyville have?
- Avalon Place Kirbyville is certified for 114 beds. It serves an average of 50.4 residents per day.
- How many citations does Avalon Place Kirbyville have?
- Avalon Place Kirbyville has 17 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Avalon Place Kirbyville last inspected?
- Avalon Place Kirbyville was last inspected on December 3, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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