Avir at Madisonville
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (18 vs median 8.0)
- High staff turnover (53%)
Below average in Texas · Below recommended RN staffing · $8,827 in fines
What this means for your family
The most recent reviews suggest a significant turnaround in care quality and administration leadership. However, because of the severe, documented allegations of neglect and hygiene issues in 2023, families should conduct an unannounced visit to verify that staffing levels and sanitary standards are currently being maintained.
Google Reviews
Google Reviews
19 reviews analyzed“Recent reviews from 2025 and 2026 highly praise the facility's administration and the compassionate nature of the nursing staff. However, older reviews from 2023 present severe allegations regarding neglect, hygiene issues, and lack of responsiveness to medical emergencies.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and dedicated administration
- Kind and patient nursing staff
- Clean-smelling environment
Concerns
- Severe neglect regarding hygiene and personal care (mentioned by 2 reviewers)
- Failure to respond to unresponsive residents/medical emergencies (mentioned by 2 reviewers)
- Unsanitary conditions including pest issues (mentioned by 2 reviewers)
- Understaffing and poor food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses a personalized approach by addressing reviewers by name and acknowledging specific mentions of staff or care. However, the responses rely on a consistent, polite template for closing the interaction.
Questions for Your Tour
- 1It is wonderful to hear such positive feedback about your administration team; how do you ensure that the compassion shown by leadership reaches every level of care?
- 2Since cleanliness is so important for comfort, what specific protocols do you have in place for daily room cleaning and maintaining a fresh environment?
- 3How does the nursing team manage resident care and hygiene during busy shifts to ensure no one's personal needs are overlooked?
- 4Could you walk me through the specific steps the staff takes to respond quickly if a resident is unresponsive or if a medical emergency occurs?
- 5We want to make sure they are well-nourished; could you tell me more about the meal planning process and how you ensure food quality and variety?
- 6What kind of daily activities or social programs do you offer to keep residents engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“AVOID THIS PLACE LIKE THE PLAUGE!!! •Baths are apparently non-existant! •Nails will never get trimmed- even if you request it several times! •Ants are crawling in resident’s beds biting them!”
“The administrator goes above and beyond to ensure patients receive excellent care. Highly recommend!”
“I regret to share that my dad's experience at Adar Healthcare was far from satisfactory. The facility is plagued by understaffing, leading to subpar conditions that resemble more of a prison than a healthcare center.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
16
measures
1
measures
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents whose bladder or bowel control got worse
Residents vaccinated for the flu
Residents whose walking got worse
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows concerning patterns with families filing 21 complaint-triggered deficiencies, indicating ongoing problems that prompted relatives to report issues to authorities. The most recurring problems involve safety hazards and accident prevention, medication management, and food safety and nutrition services. While the facility appears to correct deficiencies when cited, the persistent nature of complaints across multiple areas—particularly around resident safety and basic care—suggests systemic challenges that families should carefully consider before choosing this facility.
Jan 27, 2026Complaint2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
May 20, 2025Complaint2
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Apr 10, 2025Routine14
Resident Rights Deficiencies
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.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
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.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Oct 3, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 10, 2024Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Apr 25, 2024Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Federal Penalties
Fine
Oct 3, 2024
$8,827
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
600 BACON ST OPCO LLC
KRYSTA KOTHMANN
Chain Affiliation
Gulf Coast Ltc Partners
19 facilities nationwide
Chain avg rating: 2.4/5 · Rank 9 of 20
Ownership & Management
Owners
Dagan, Amitai
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Abraham
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Goldberger, Faigy
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.