Avir At Madisonville
600 BACON STREET, Madisonville, TX, 77864
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership · Chain: Gulf Coast Ltc Partners
- Certified beds
- 90 · avg 61 residents/day
- Total nursing staff turnover
- 53.2% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,827 total
State licensing & capacity
- License number
- 311717
- Service type
- Medicare/medicaid
- Licensed capacity
- 90 beds
- Bed type breakdown
- 24 Medicare-only · 66 Medicaid/Medicare
- Current license effective
- August 5, 2025
- Current license expires
- December 14, 2026
- Initial license date
- January 13, 1995
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- 600 Bacon St Opco Llc
- Administrator
- Krysta Kothmann
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Gulf Coast Ltc Partners chain — 20 facilities. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (11 on record)
- 1424 Fallbrook dr Property Owner Llc
Adp of The Snf · since 2025
- 600 Bacon st Opco, Llc
Operational/managerial Control · since 2025
- Aaron Travitsky
Operational/managerial Control · since 2025
- Hccf Management Group xi Llc
Adp of The Snf · since 2025
- Nochum Freund
Operational/managerial Control · since 2025
- Welltower Nnn Group, Llc
Adp of The Snf · since 2025
+ 5 additional owners on the federal record.
Recent change of ownership
December 2023 (2 years ago) · acquired from Riverwood Healthcare
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 52)
- E0812·Jan 27, 2026Complaint
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Jan 27, 2026Complaint
Pharmacy Service Deficiencies
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.
- D0583·May 20, 2025Complaint
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- E0558·May 20, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0887·Apr 10, 2025
Infection Control Deficiencies
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.
- D0883·Apr 10, 2025
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- D0880·Apr 10, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Apr 10, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Federal penalties
By year
- 20241 fine · $8,827
Most recent events
- Oct 3, 2024Fine · $8,827
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Feb 29, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Avir at Madisonville is a 90-bed nursing home in Madison County, Texas, licensed under West Wharton County Hospital District and managed by 600 Bacon St Opco LLC. CMS rates it 2 stars overall, with a 2-star health inspection rating and 2-star staffing rating. Short-stay care outcomes rate 1 star, while long-stay outcomes rate 5 stars. About 61 of its 90 beds are occupied on a given day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Residents receive about 176 minutes of nursing care per day — roughly 65 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so those 176 minutes stretch thinner than the number alone suggests.
Two administrators have left in the past year — organizational instability that residents feel.
The facility carries one CMS fine totaling $8,827. About 30% of Texas nursing homes have no fines at all.
Avir at Madisonville is filling about 68% of its 90 licensed beds — roughly 61 residents on a given day. That figure sits well below typical occupancy for Texas nursing homes.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current director of nursing tenure
With two administrators leaving in the past year, ask how long the current director of nursing has been in this role and whether clinical leadership has been stable through that transition.
Short-stay care outcomes
CMS rates short-stay quality measures at 1 star — ask what types of short-term rehab or recovery residents typically are, and how outcomes are tracked after discharge.
Daily staffing on nights and weekends
Reported weekend nursing hours are lower than weekday figures; ask how many nurses and aides are on the floor on a Saturday night with 61 residents.
Reasons behind current occupancy
Only about 61 of 90 beds are occupied; ask whether that reflects recent admissions trends, referral patterns, or something specific to the facility's recent history.
Management company's role day-to-day
The facility is licensed under a hospital district but operated by 600 Bacon St Opco LLC; ask which entity sets staffing levels, hires caregivers, and handles complaints.
Family Council availability
The facility has a Resident Council but no Family Council; ask whether there is a formal channel for families to raise concerns collectively and how that process works.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.