Avir At Madisonville has received an F grade based on CMS data, with a score of 38/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Madisonville facility should carefully review its inspection history and quality metrics.
With 2.94 total nurse hours per resident per day, Avir At Madisonville 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 52 deficiencies at Avir At Madisonville, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.94 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.47 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.63 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.84 | 2.4 | Below Average |
| Weekend Total Nursing | 2.52 | 3.8 | Below Average |
| Weekend RN Hours | 0.32 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jan 26, 2026 · Nutrition and Dietary Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiJan 26, 2026 · Pharmacy Service Deficiencies
- Tag 0558 Severity EReasonably accommodate the needs and preferences of each resident.May 19, 2025 · Resident Rights Deficiencies
- Tag 0583 Severity DKeep residents' personal and medical records private and confidential.May 19, 2025 · Resident Rights Deficiencies
- Tag 0584 Severity EHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for dApr 9, 2025 · Resident Rights 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 | 3.0% | 4.5% | Better |
| Falls with major injury | 0.8% | 3.0% | Better |
| On antipsychotic medication | 9.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.0% | 14.0% | Better |
| Excessive weight loss | 0.9% | 7.5% | Better |
| New/worsened incontinence | 12.3% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $8,827
How This Grade Was Calculated
This facility's grade of F is based on a score of 38 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -0 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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