Avir at Madisonville: Staffing, Turnover, and Inspection Record
Avir at Madisonville is a 90-bed for-profit nursing home in Madisonville, Texas, part of Gulf Coast LTC Partners. In the CMS August 2026 release it reported 2.06 nurse aide hours per resident per day, 3% above the Texas average of 2.00, and 56.1% nursing staff turnover (Texas average 55.3%).
Avir at Madisonville
600 Bacon StreetMadisonville, TX 77864
Madison County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avir at Madisonville, nurse aides logged 2.06 hours per resident per day, 3% above the Texas average. With about 59 residents a day, that works out to roughly 121 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.06 | 2.00 | 2.32 |
| Licensed practical nurses | 0.76 | 0.95 | 0.86 |
| Registered nurses | 0.35 | 0.43 | 0.69 |
| All nursing staff | 3.17 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.71 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
56.1% of nursing staff at Avir at Madisonville left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 66.7%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 10, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,827 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 3, 2024 | Fine | $8,827 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avir at Madisonville holds 2 of 5 overall; the Texas average is 2.6.
About Avir at Madisonville
- Ownership: For profit - Partnership
- Chain: Gulf Coast LTC Partners, 20 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Nov 1, 2019
- Councils: resident council
- Area: rural
Nursing homes near Avir at Madisonville
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Madisonville Care Center Madisonville | 0.6 | 106 | 1.95 | 3.19 | — | 2 | $18,852 |
| Cass Valley Healthcare Center Centerville · abuse citation | 21.4 | 74 | 2.60 | 4.20 | 45.0% | 3 | $54,592 |
| MRC Creekside Huntsville | 25.8 | 66 | 3.42 | 5.53 | 46.8% | 5 | None |
| Focused Care at Huntsville Huntsville · abuse citation | 26.9 | 88 | 1.52 | 2.71 | 56.8% | 2 | None |
| Huntsville Health Care Center Huntsville | 27.5 | 92 | 2.13 | 3.50 | 63.8% | 4 | $14,069 |
| Crockett Health Care Associates, Inc. Crockett · many days without an RN | 28.5 | 90 | 0.90 | 1.98 | 26.1% | 4 | None |
| River Pointe of Trinity Healthcare and Rehabilitat Trinity | 31.5 | 104 | 2.14 | 3.21 | 48.3% | 4 | $20,026 |
| Trinity Rehabilitation & Healthcare Center Trinity · SFF candidate · abuse citation · no staffing data submitted | 32.0 | 76 | — | — | — | 1 | $275,584 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.