nursing home in Madisonville, TX
Avir at Madisonville
600 Bacon Street, Madisonville, TX 77864 · (936) 348-9097
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Madisonville at a glance
Avir at Madisonville is a 90-bed for-profit nursing home in Madisonville, Texas (Madison County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.2 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 4, 2026) found 13 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $8,827.
Nursing staff turnover is 56.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 90
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Gulf Coast LTC Partners
- Medicare-certified since
- November 1, 2019
- Resident/family council
- Resident
- County
- Madison County
- CMS Certification Number
- 676475
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.17 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.35 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.06 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.71 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 56.1% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 66.7% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 13 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 95 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,827 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 90 | 113 | 107 | |
| Average residents per day | 59 | 76 | 86 | |
| Occupancy | 65% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.5% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 6.7% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 14% | 15.8% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.3% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 4.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 7.4% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.4% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 46 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 4, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected June 5, 2026 |
| June 4, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 5, 2026 |
| June 4, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected June 5, 2026 |
| June 4, 2026 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected June 5, 2026 |
| April 15, 2026 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 16, 2026 |
| January 27, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 30, 2026 |
| January 27, 2026 Complaint | 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 | D Potential harm, isolated | Corrected January 30, 2026 |
| May 20, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected May 21, 2025 |
| May 20, 2025 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected May 21, 2025 |
| April 10, 2025 Standard | 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 Potential harm, pattern | Corrected April 11, 2025 |
| April 10, 2025 Standard | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected April 11, 2025 |
| April 10, 2025 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 11, 2025 |
| April 10, 2025 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected April 11, 2025 |
| April 10, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 11, 2025 |
| April 10, 2025 Standard | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 11, 2025 |
| April 10, 2025 Standard | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Infection Control Deficiencies · Tag F0887 | D Potential harm, isolated | Corrected April 11, 2025 |
| October 3, 2024 Complaint | 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, isolated | Corrected August 24, 2024 |
| May 10, 2024 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected June 7, 2024 |
| April 25, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected May 9, 2024 |
| February 29, 2024 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Establish emergency prep training and testing. Emergency Preparedness Deficiencies · Tag E0036 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Establish staff and initial training requirements. Emergency Preparedness Deficiencies · Tag E0037 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected March 25, 2024 |
| February 29, 2024 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | C No harm, widespread | Corrected March 25, 2024 |
| February 29, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 18, 2024 |
| February 29, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 18, 2024 |
| February 29, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected March 18, 2024 |
| February 29, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected March 18, 2024 |
| February 29, 2024 Standard | 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 | D Potential harm, isolated | Corrected March 18, 2024 |
| November 14, 2023 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected December 11, 2023 |
| November 14, 2023 Complaint | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected December 11, 2023 |
| November 14, 2023 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 11, 2023 |
| November 14, 2023 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected December 11, 2023 |
| October 25, 2023 Complaint | 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 | E Potential harm, pattern | Corrected November 17, 2023 |
| September 14, 2023 Complaint | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected October 8, 2023 |
| September 14, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | E Potential harm, pattern | Corrected October 8, 2023 |
| September 14, 2023 Complaint | Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Administration Deficiencies · Tag F0836 | E Potential harm, pattern | Corrected October 8, 2023 |
| September 14, 2023 Complaint | 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 | E Potential harm, pattern | Corrected October 8, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,827 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| October 3, 2024 | Fine | $8,827 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 1424 FALLBROOK DR PROPERTY OWNER LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| JIAN, PETER Individual | adp of the snf | NOT APPLICABLE | 12/14/2023 |
| PARKER, KAREN Individual | adp of the snf | NOT APPLICABLE | 08/22/2024 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| THOMPSON, JOHNNY Individual | corporate officer | NOT APPLICABLE | 12/14/2023 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 01/09/2026 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 01/09/2026 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 01/09/2026 |
| 600 BACON ST OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| JIAN, PETER Individual | operational/managerial control | NOT APPLICABLE | 12/14/2023 |
| PARKER, KAREN Individual | operational/managerial control | NOT APPLICABLE | 08/22/2024 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
Other nursing homes near Avir at Madisonville
Madisonville Care Center
411 East Collard Street, Madisonville, TX 77864 · under 1 mi
For-profit · 106 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageCass Valley Healthcare Center
103 Teakwood St, Centerville, TX 75833 · 21.4 mi
For-profit · 74 beds
- Abuse citation
★★★★★3AverageMrc Creekside
1433 Veterans Memorial Parkway, Huntsville, TX 77340 · 25.8 mi
Non-profit · 66 beds · Part of Methodist Retirement Communities
- CMS high performer
★★★★★5Much above averageFocused Care at Huntsville
1302 Nottingham St, Huntsville, TX 77340 · 26.9 mi
For-profit · 88 beds · Part of Focused Post Acute Care Partners
★★★★★4Above averageHuntsville Health Care Center
2628 Milam, Huntsville, TX 77340 · 27.5 mi
Non-profit · 92 beds · Part of Health Services Management
★★★★★4Above averageCrockett Health Care Associates, INC.
100 N E Loop 304, Crockett, TX 75835 · 28.5 mi
For-profit · 90 beds
★★★★★4Above average
All nursing homes in Madisonville, TX · Compare side by side
Frequently asked questions
What is Avir at Madisonville's rating?
Avir at Madisonville has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Madisonville receive?
Its most recent standard health inspection found 13 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Madisonville accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Madisonville?
It is for profit - limited liability company and part of Gulf Coast LTC Partners. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Madisonville and how do I contact it?
Avir at Madisonville is at 600 Bacon Street, Madisonville, TX 77864. Phone: (936) 348-9097.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.