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Avir At Madisonville is a 2-star rated nursing home in Madisonville, TX with 90 beds. CMS sub-ratings: health inspections 2/5, staffing 1/5, quality measures 5/5.

The facility has 74 health violations on record. Federal fines total $462,403 across 28 enforcement actions. Most recent inspection: April 10, 2025.

Staff turnover rate: 60.4% — significantly above the national average.

Data synthesized from CMS.gov and Texas public inspection records. Reviewed by Christopher F. Nesbitt, Sr., NR-EMT & BU-trained Paralegal.

Inspection History Overview

Data current as of May 6, 2026 · Source: CMS Provider Data

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Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2023 5 penalties totaling $4,545

$4,545

Fine

$4,545

Fine

$4,545

Fine

$4,545

Fine

$4,545

Fine

2022 8 penalties totaling $285,632

$4,545

Fine

$12,587

Fine

$96,600

Fine

$84,360

Fine

$62,790

Fine

$15,000

Fine

$0

Payment Denial

$9,750

Fine

2021 9 penalties totaling $25,675

$9,750

Fine

$0

Payment Denial

$3,250

Fine

$2,925

Fine

$2,600

Fine

$2,275

Fine

$1,950

Fine

$1,625

Fine

$1,300

Fine

2020 6 penalties totaling $146,551

$975

Fine

$650

Fine

$126,621

Fine

$13,305

Fine

$0

Payment Denial

$5,000

Fine

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Health Violations by Year

2025 14 violations

Tag 0583 D Apr 10, 2025

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 11, 2025
Tag 0584 E Apr 10, 2025

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.

✓ Corrected: Apr 11, 2025
Tag 0656 D Apr 10, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 11, 2025
Tag 0677 E Apr 10, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 11, 2025
Tag 0684 D Apr 10, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 11, 2025
Tag 0688 D Apr 10, 2025

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.

✓ Corrected: Apr 11, 2025
Tag 0690 D Apr 10, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 11, 2025
Tag 0755 D Apr 10, 2025

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Apr 11, 2025
Tag 0761 E Apr 10, 2025

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.

✓ Corrected: Apr 11, 2025
Tag 0804 E Apr 10, 2025

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Apr 11, 2025
Tag 0812 E Apr 10, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 11, 2025
Tag 0880 D Apr 10, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 11, 2025
Tag 0883 D Apr 10, 2025

Develop and implement policies and procedures for flu and pneumonia vaccinations.

✓ Corrected: Apr 11, 2025
Tag 0887 D Apr 10, 2025

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.

✓ Corrected: Apr 11, 2025

2024 7 violations

Tag 0760 E May 10, 2024

Ensure that residents are free from significant medication errors.

✓ Corrected: Jun 7, 2024
Tag 0677 E Apr 25, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 9, 2024
Tag 0550 D Feb 29, 2024

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Mar 18, 2024
Tag 0689 D Feb 29, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Mar 18, 2024
Tag 0804 D Feb 29, 2024

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Mar 18, 2024
Tag 0812 D Feb 29, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 18, 2024
Tag 0880 E Feb 29, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 18, 2024

2023 27 violations

Tag 0609 D Nov 14, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Dec 11, 2023
Tag 0655 D Nov 14, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Dec 11, 2023
Tag 0656 D Nov 14, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Dec 11, 2023
Tag 0677 E Nov 14, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 11, 2023
Tag 0689 E Oct 25, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Nov 17, 2023
Tag 0584 E Sep 14, 2023

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.

✓ Corrected: Oct 8, 2023
Tag 0689 E Sep 14, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Oct 8, 2023
Tag 0835 E Sep 14, 2023

Administer the facility in a manner that enables it to use its resources effectively and efficiently.

✓ Corrected: Oct 8, 2023
Tag 0836 E Sep 14, 2023

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.

✓ Corrected: Oct 8, 2023
Tag 0609 D Mar 10, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 20, 2023
Tag 0695 D Mar 10, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 30, 2023
Tag 0803 E Mar 10, 2023

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

✓ Corrected: Apr 20, 2023
Tag 0880 D Mar 10, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 30, 2023
Tag 0558 E Jan 2, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Feb 5, 2023
Tag 0584 K Jan 2, 2023

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.

✓ Corrected: Feb 5, 2023
Tag 0644 D Jan 2, 2023

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

✓ Corrected: Feb 5, 2023
Tag 0677 D Jan 2, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Feb 5, 2023
Tag 0684 D Jan 2, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 5, 2023
Tag 0695 D Jan 2, 2023

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 5, 2023
Tag 0742 E Jan 2, 2023

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

✓ Corrected: Feb 5, 2023

2022 5 violations

Tag 0727 F Nov 18, 2022

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

✓ Corrected: Dec 23, 2022
Tag 0880 D Nov 18, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 23, 2022
Tag 0607 D Oct 11, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Dec 5, 2022
Tag 0880 E Jun 17, 2022

Provide and implement an infection prevention and control program.

✓ Corrected: Jul 17, 2022
Tag 0610 D Apr 19, 2022

Respond appropriately to all alleged violations.

✓ Corrected: May 27, 2022

2021 11 violations

Tag 0576 D Oct 7, 2021

Ensure residents have reasonable access to and privacy in their use of communication methods.

✓ Corrected: Nov 30, 2021
Tag 0645 D Oct 7, 2021

PASARR screening for Mental disorders or Intellectual Disabilities

✓ Corrected: Nov 30, 2021
Tag 0655 D Oct 7, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Nov 30, 2021
Tag 0656 D Oct 7, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 30, 2021
Tag 0657 E Oct 7, 2021

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Nov 30, 2021
Tag 0679 E Oct 7, 2021

Provide activities to meet all resident's needs.

✓ Corrected: Nov 30, 2021
Tag 0812 F Oct 7, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Nov 30, 2021
Tag 0880 E Oct 7, 2021

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 30, 2021
Tag 0925 E Oct 7, 2021

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Nov 30, 2021
Tag 0607 E Mar 11, 2021

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Mar 12, 2021
Tag 0880 K Jan 5, 2021

Provide and implement an infection prevention and control program.

2020 10 violations

Tag 0610 D Nov 5, 2020

Respond appropriately to all alleged violations.

Tag 0880 E Nov 5, 2020

Provide and implement an infection prevention and control program.

Tag 0726 E Sep 11, 2020

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Oct 26, 2020
Tag 0880 E Sep 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 26, 2020
Tag 0558 D Jan 8, 2020

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Jan 30, 2020
Tag 0656 D Jan 8, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jan 30, 2020
Tag 0679 D Jan 8, 2020

Provide activities to meet all resident's needs.

✓ Corrected: Jan 30, 2020
Tag 0689 D Jan 8, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jan 30, 2020
Tag 0812 E Jan 8, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jan 30, 2020
Tag 0880 D Jan 8, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Jan 30, 2020

Frequently Asked Questions About Avir At Madisonville

What violations has Avir At Madisonville received?
Avir At Madisonville has 74 health and safety violation(s) documented by CMS inspections. All violation data comes from official Medicare inspection reports and is updated regularly from government sources.
What is the quality rating of Avir At Madisonville?
Avir At Madisonville has a 2-star rating out of 5 from CMS. This rating indicates the facility may have quality concerns that should be investigated further. The rating is based on health inspections, staffing levels, and quality measures.
When was Avir At Madisonville last inspected?
Inspection reports are documented by state survey agencies and the Centers for Medicare & Medicaid Services (CMS). Reports typically lag 2-3 months behind the actual inspection date. Visit the facility's full profile page for detailed violation information and inspection history.
Is Avir At Madisonville safe?
Safety at Avir At Madisonville should be evaluated based on multiple factors: the facility's CMS rating, recent violation history, and personal visits. We recommend reviewing the complete inspection history, speaking with current residents and families, consulting healthcare professionals, and visiting in person before making placement decisions.
How do I contact Avir At Madisonville?
Phone: (936) 348-9097. Address: 600 Bacon Street, Madisonville, TX. For visiting hours and admission information, call the facility directly.
What services does Avir At Madisonville offer?
Avir At Madisonville is a skilled nursing facility with 90 beds. The facility accepts Medicare and Medicaid. For specific services like rehabilitation, memory care, or short-term recovery, contact the facility directly.
What are better facilities near Madisonville, TX?
Compare Avir At Madisonville with other nursing homes in Madisonville, TX on our facilities page. Filter by star rating, bed count, and recent inspection results to find the best match for your needs.

Compare Nursing Homes in Madisonville, TX

Facility Rating Violations Beds
Avir At Madisonville (this facility) ★★☆☆☆ 74 90
Madisonville Care Center ★★★☆☆ 40 106
Riverwood Healthcare ★☆☆☆☆ 0 90

Editorial Standards & Data Oversight

Data Source: This report is based on official public inspection records from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog.

Editorial Process: Content generated using AI to synthesize complex regulatory data, then reviewed and verified for accuracy by our editorial team.

Professional Review: All content undergoes standards and compliance oversight by Christopher F. Nesbitt, Sr., Nationally Registered EMT & BU-trained Paralegal, using professional regulatory data auditing protocols.

Last verified: April 10, 2025 | Our methodology | Editorial standards | Report an error

This page is maintained by NursingHomeNews.org and is not affiliated with Avir At Madisonville.

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