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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.