Elder Care Record

Texas › Gonzales County › Gonzales

Avir At Gonzales

3428 Moulton Rd, Gonzales, TX 78629

CCN 675124 · For-profit, corporation · 80 certified beds · chain Avir Health Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 80 beds, Avir At Gonzales serves Gonzales in Gonzales County, Texas and has taken Medicare and Medicaid residents since 1993.

CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.

Inspectors recorded 41 health deficiencies across the three most recent survey cycles (14, 16, 11 by cycle, most recent first), none at the actual-harm level. That is 51.3 per 100 beds, more than the state median of 22.5.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 2.7 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 61.3%.

41health deficiencies, 3 survey cyclesnone at actual-harm level
$0fines listed by CMS0 penalties in period
2.7nurse hours per resident per daystate median 3.3
53%occupancy (residents ÷ beds)42 residents a day

Compared with county, state and nation

MeasureThis facilityGonzales Co. medianTexas medianUS average
Overall star rating2433.0
Health citations, 3 cycles41412528.7
Citations per 100 beds51.351.322.526.8
Total nurse hours per resident day2.73.23.33.9
RN hours per resident day0.20.30.40.7
Nursing staff turnover61.3%61.3%52.1%45.8%
Fines listed$0$0$16,801—

County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)14
Cycle 216
Cycle 311

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jul 2025, 7 Jun 2024.

Severity mix: D ×26 E ×14 F ×1

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Jun 2026F0732Post nurse staffing information every day.EComplaint investigation17 Jun 2026
16 Jun 2026F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint investigation17 Jun 2026
3 Jan 2026F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation23 Jan 2026
26 Nov 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint investigation1 Dec 2025
26 Nov 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EComplaint investigation1 Dec 2025
25 Jul 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard survey28 Jul 2025
25 Jul 2025F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard survey28 Jul 2025
25 Jul 2025F0759Ensure medication error rates are not 5 percent or greater.EStandard survey28 Jul 2025
25 Jul 2025F0552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard survey29 Jul 2025
25 Jul 2025F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard survey28 Jul 2025
25 Jul 2025F0761Ensure 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.DStandard survey1 Aug 2025
25 Jul 2025F0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard survey28 Jul 2025
25 Jul 2025F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey28 Jul 2025
25 Jul 2025F0880Provide and implement an infection prevention and control program.DStandard survey28 Jul 2025
30 Apr 2025F0641Ensure each resident receives an accurate assessment.DComplaint investigation1 May 2025
26 Mar 2025F0695Provide safe and appropriate respiratory care for a resident when needed.EComplaint investigation27 Mar 2025
26 Mar 2025F0558Reasonably accommodate the needs and preferences of each resident.DComplaint investigation27 Mar 2025
26 Mar 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation27 Mar 2025
7 Jun 2024F0576Ensure residents have reasonable access to and privacy in their use of communication methods.FComplaint investigation10 Jun 2024
7 Jun 2024F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EComplaint investigation10 Jun 2024
7 Jun 2024F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation20 Jun 2024
7 Jun 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint investigation20 Jun 2024
7 Jun 2024F0880Provide and implement an infection prevention and control program.EComplaint investigation20 Jun 2024
7 Jun 2024F0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint investigation10 Jun 2024
7 Jun 2024F0583Keep residents' personal and medical records private and confidential.DComplaint investigation10 Jun 2024
7 Jun 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation10 Jun 2024
7 Jun 2024F0687Provide appropriate foot care.DComplaint investigation9 Jul 2024
7 Jun 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation20 Jun 2024
7 Jun 2024F0761Ensure 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.DComplaint investigation20 Jun 2024
7 Jun 2024F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint investigation10 Jun 2024
21 Apr 2023F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey23 Apr 2023
21 Apr 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey23 Apr 2023
21 Apr 2023F0727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard survey23 Apr 2023
21 Apr 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey23 Apr 2023
21 Apr 2023F0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard survey23 Apr 2023
21 Apr 2023F0641Ensure each resident receives an accurate assessment.DStandard survey23 Apr 2023
21 Apr 2023F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey23 Apr 2023
21 Apr 2023F0761Ensure 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.DStandard survey23 Apr 2023
21 Apr 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey23 Apr 2023
21 Apr 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard survey23 Apr 2023
21 Apr 2023F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard survey23 Apr 2023

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing2.65 h
Nurse aides1.52 h
LPN0.92 h
RN0.22 h
Weekend total2.29 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 61.3%, RNs —; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay21.4%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay4.8%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay0.0%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay14.8%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.5%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay5.7%8.3%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, corporation. Legal business name: Gonzales Healthcare Systems. Chain: Avir Health Group (116 facilities).

OrganisationRole in the CMS recordInterestSince
Gonzales Healthcare Systems5% or greater direct ownership interest100%03/01/2025
3428 Moulton Road Property Owner, LLC5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Inc5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Nnn Group, LLC5% or greater security interestNOT APPLICABLE03/01/2025
Welltower Op, LLC5% or greater security interestNOT APPLICABLE03/01/2025
3428 Moulton Road Opco, LLCOperational/managerial controlNOT APPLICABLE03/01/2025
3428 Moulton Road Opco, LLCAdp of the snfNOT APPLICABLE06/05/2025
3428 Moulton Road Property Owner, LLCAdp of the snfNOT APPLICABLE03/01/2025
Welltower IncAdp of the snfNOT APPLICABLE03/01/2025
Welltower Nnn Group, LLCAdp of the snfNOT APPLICABLE03/01/2025
Welltower Op, LLCAdp of the snfNOT APPLICABLE03/01/2025

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Gonzales County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
The Heights of GonzalesGonzales1324422216.7—27 Mar 2026

All 2 facilities in Gonzales County

Questions and answers

How many deficiencies has Avir At Gonzales been cited for?

41 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Avir At Gonzales been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Avir At Gonzales compare?

Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Avir At Gonzales?

It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Gonzales Healthcare Systems and 3428 Moulton Road Opco, LLC. Individual owners and managers are not listed on this site.

When was Avir At Gonzales last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jun 2026; the most recent standard health survey was 25 Jul 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.