AVIR AT MADISONVILLE (MADISONVILLE, TX) has a 2-star overall rating, with 2 stars for health inspections, 1 star for staffing, and 5 stars for quality measures. Staffing is below the federal benchmark (2.99 vs 4.1 hours per resident per day), and the facility has a recent federal penalty with $8,827 in fines over the last 24 months.
Last inspection: January 27, 2026Penalties, last 24 months: $8,827recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9887.
Staffing detail
Registered nurses
0.32
Licensed practical nurses
0.74
Nurse aides
1.93
Weekend nursing
2.67
Hours per resident per day.
Total staff turnover: 56%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
7.7%5.7%Improving
Residents with a fall causing major injury
0%5.4%Worsening
Residents with pressure ulcers (bedsores)
2.9%2.4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%3.8%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.3%32.7%Worsening
Residents whose ability to walk got worse
0%11%Worsening
Long-stay residents on antianxiety or sleep medication
12.3%5.6%Improving
Short-stay residents newly given an antipsychotic
—3.2%—
Residents with a long-term catheter
1.4%0%Improving
Residents with new or worsening incontinence
12.1%3.2%Improving
Residents with depressive symptoms
0%2%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited January 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: K
The home failed to run its operations effectively and efficiently using its available resources. Cited January 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 835 — 42 CFR §483.70 — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 558 — 42 CFR §483.10 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $8,827 was recorded.
Penalties & enforcement
On record with Medicare: 1 fine · $8,827 in total fines.
Federal fine
Oct 3, 2024
$8,827
Operator & ownership
Ownership
For profit - Partnership
Chain
Part of GULF COAST LTC PARTNERS · 19 homes · 2.6 stars avg
Occupancy
58.6 residents on an average day (65% of 90 beds)
Resident voice
Resident council
Medicare history
Certified for 6 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.