Avir at LulingCMS ratings, inspections and fines
- Address
- 501 W Austin St, Luling, TX 78648
- CCN
- 676292
- Ownership type
- For-profit, corporation
- Certified beds
- 56
- Chain
- Avir Health Group
- Residents per day
- 47
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Avir at Luling an overall rating of 2 of 5 stars. The last standard survey was on 21 Nov 2025. The latest survey cycle has 14 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $35,559 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Caldwell County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 1 | 2.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 5 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 5 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 21 Nov 2025 | 14 | 8 |
| Cycle 2 | 6 Sep 2024 | 21 | 8 |
| Cycle 3 | No date | 6 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | H0 | I0 | |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 5 Feb 2026 |
| 20 Jan 2026 | F0584 | 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. | E | Complaint investigation | 21 Jan 2026 |
| 21 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0584 | 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. | E | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0727 | Have 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. | E | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Nov 2025 |
| 21 Nov 2025 | F0908 | Keep all essential equipment working safely. | F | Standard survey | 22 Nov 2025 |
Survey cycle 2: 21 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 22 Jul 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 23 Jul 2025 |
| 6 May 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 12 May 2025 |
| 6 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 12 May 2025 |
| 6 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 12 May 2025 |
| 6 May 2025 | F0727 | Have 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. | E | Complaint investigation | 12 May 2025 |
| 7 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 8 Jan 2025 |
| 11 Oct 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 14 Oct 2024 |
| 11 Oct 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Oct 2024 |
| 6 Sep 2024 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Sep 2024 |
| 6 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0727 | Have 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. | E | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0791 | Provide or obtain dental services for each resident. | E | Standard survey | 17 Sep 2024 |
| 6 Sep 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 Sep 2024 |
| 6 Sep 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 12 Sep 2024 |
Survey cycle 3: 6 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 11 Aug 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 15 Aug 2023 |
| 11 Aug 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 15 Aug 2023 |
| 11 Aug 2023 | F0727 | Have 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. | F | Complaint investigation | 15 Aug 2023 |
| 11 Aug 2023 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Complaint investigation | 15 Aug 2023 |
| 11 Aug 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 15 Aug 2023 |
| 11 Aug 2023 | F0926 | Have policies on smoking. | D | Complaint investigation | 15 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 22 Jul 2025 | Fine | $4,648 | |
| 6 May 2025 | Fine | $24,752 | |
| 11 Oct 2024 | Fine | $6,159 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.82 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.18 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.74 | 0.95 | |
| Nurse aides | 1.90 | 2.00 | |
| All nurse staff, weekends | 2.46 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 76.1%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.2% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Guadalupe County Hospital Board
- Chain
- Avir Health Group (116 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% or greater direct ownership interest | 100% | 3 Mar 2017 |
| 501 W Austin Street Property Owner, LLC | 5% or greater security interest | 1 Mar 2025 | |
| Welltower Inc | 5% or greater security interest | 1 Mar 2025 | |
| Welltower NNN Group, LLC | 5% or greater security interest | 1 Mar 2025 | |
| Welltower Op, LLC | 5% or greater security interest | 1 Mar 2025 | |
| 501 W Austin Street Opco, LLC | Operational/managerial control | 1 Mar 2025 | |
| 501 W Austin Street Opco, LLC | Adp of the snf | 17 Apr 2025 | |
| 501 W Austin Street Property Owner, LLC | Adp of the snf | 1 Mar 2025 | |
| Welltower Inc | Adp of the snf | 1 Mar 2025 | |
| Welltower NNN Group, LLC | Adp of the snf | 1 Mar 2025 | |
| Welltower Op, LLC | Adp of the snf | 1 Mar 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Caldwell County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Magnolia | Luling | 2 of 5 | 11 | $51,320 | 28 Aug 2025 | |
| Diversicare of Luling | Luling | 3 of 5 | 6 | $0 | 8 May 2025 | |
| Parkview Nursing and Rehabilitation Center | Lockhart | 2 of 5 | 6 | $64,967 | 4 Sep 2025 | |
| Chisolm Trail Nursing and Rehabilitation Center | Lockhart | 3 of 5 | 8 | $37,541 | 7 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Avir at Luling (CCN 676292). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/avir-at-luling-luling-tx-676292/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Avir at Luling last inspected?
- The latest inspection with a citation in the CMS record was on 4 Feb 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 6 Sep 2024.
- Who operates Avir at Luling?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Avir Health Group. The CMS ownership file names 501 W Austin Street Opco, LLC for operational or managerial control. This site does not show the names of persons.
- Is Avir at Luling a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.