Avalon Place Kirbyville earns a solid B grade from CMS data, with a score of 81/100. Performing above average across most metrics, this Kirbyville facility ranks in the 90th percentile among Texas nursing homes.
With 3.35 total nurse hours per resident per day, Avalon Place Kirbyville falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 17 deficiencies at Avalon Place Kirbyville, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: provide safe and appropriate respiratory care for a resident when needed..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.35 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.40 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.09 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.86 | 2.4 | Below Average |
| Weekend Total Nursing | 2.90 | 3.8 | Below Average |
| Weekend RN Hours | 0.30 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0695 Severity DProvide safe and appropriate respiratory care for a resident when needed.Dec 2, 2025 · Quality of Life and Care Deficiencies
- Tag 0813 Severity DHave a policy regarding use and storage of foods brought to residents by family and other visitors.Dec 2, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Dec 2, 2025 · Infection Control Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 9, 2025 · Quality of Life and Care Deficiencies
- Tag 0600 Severity DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Sep 9, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.5% | 4.5% | Better |
| Falls with major injury | 0.5% | 3.0% | Better |
| On antipsychotic medication | 10.3% | 14.5% | Better |
| Urinary tract infections | 1.5% | 2.5% | Better |
| ADL decline (daily activities) | 12.8% | 14.0% | Average |
| Excessive weight loss | 3.5% | 7.5% | Better |
| New/worsened incontinence | 11.4% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $14,020
How This Grade Was Calculated
This facility's grade of B is based on a score of 81 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 5★ → 40 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 3★ → 12 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -1 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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