nursing home in Gonzales, TX
Avir at Gonzales
3428 Moulton Rd, Gonzales, TX 78629 · (830) 672-2867
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Gonzales at a glance
Avir at Gonzales is a 80-bed for-profit nursing home in Gonzales, Texas (Gonzales County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.7 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 25, 2025) found 14 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 61.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 80
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- January 6, 1993
- Resident/family council
- Resident
- County
- Gonzales County
- CMS Certification Number
- 675124
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.65 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.22 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.52 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.29 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 61.3% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 84 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 80 | 113 | 107 | |
| Average residents per day | 42 | 76 | 86 | |
| Occupancy | 52.5% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.8% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 4.5% | 3.8% | 4.6% | Average |
| Long-stay residents given antipsychotic medication (lower is better) | 5.7% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 21.4% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.8% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 0% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 25% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 6% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 98.9% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 11 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 16, 2026 Complaint | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected June 17, 2026 |
| June 16, 2026 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected June 17, 2026 |
| January 3, 2026 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected January 23, 2026 |
| November 26, 2025 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected December 1, 2025 |
| November 26, 2025 Complaint | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected December 1, 2025 |
| July 25, 2025 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected July 29, 2025 |
| July 25, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 30, 2025 |
| July 25, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected July 28, 2025 |
| July 25, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| July 25, 2025 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected July 28, 2025 |
| July 25, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected July 28, 2025 |
| July 25, 2025 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected July 28, 2025 |
| July 25, 2025 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | D Potential harm, isolated | Corrected July 29, 2025 |
| July 25, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected July 28, 2025 |
| July 25, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected July 28, 2025 |
| July 25, 2025 Standard | Have a policy regarding use and storage of foods brought to residents by family and other visitors. Nutrition and Dietary Deficiencies · Tag F0813 | D Potential harm, isolated | Corrected July 28, 2025 |
| July 25, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 25, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 28, 2025 |
| April 30, 2025 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 1, 2025 |
| March 26, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected March 27, 2025 |
| March 26, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 27, 2025 |
| March 26, 2025 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected March 27, 2025 |
| June 7, 2024 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected June 20, 2024 |
| June 7, 2024 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected June 10, 2024 |
| June 7, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected June 7, 2024 |
| June 7, 2024 Complaint | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | F Potential harm, widespread | Corrected June 10, 2024 |
| June 7, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 7, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 7, 2024 Complaint | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected June 10, 2024 |
| June 7, 2024 Complaint | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected June 20, 2024 |
| June 7, 2024 Complaint | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected June 10, 2024 |
| June 7, 2024 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected June 10, 2024 |
| June 7, 2024 Complaint | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected June 10, 2024 |
| June 7, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 10, 2024 |
| June 7, 2024 Complaint | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected July 9, 2024 |
| June 7, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 20, 2024 |
| June 7, 2024 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 20, 2024 |
| April 21, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected June 1, 2023 |
| April 21, 2023 Fire safety | Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Tag E0020 | F Potential harm, widespread | Corrected May 11, 2023 |
| April 21, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 4, 2023 |
| April 21, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected April 21, 2023 |
| April 21, 2023 Standard | 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. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected April 23, 2023 |
| April 21, 2023 Standard | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Nursing and Physician Services Deficiencies · Tag F0726 | E Potential harm, pattern | Corrected April 23, 2023 |
| April 21, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected April 23, 2023 |
| April 21, 2023 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 23, 2023 |
| April 21, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 23, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| GONZALES HEALTHCARE SYSTEMS Organization | 5% or greater direct ownership interest | 100% | 03/01/2025 |
| 3428 MOULTON ROAD PROPERTY OWNER, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER INC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER OP, LLC Organization | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 3428 MOULTON ROAD OPCO, LLC Organization | adp of the snf | NOT APPLICABLE | 06/05/2025 |
| 3428 MOULTON ROAD PROPERTY OWNER, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| MCCORD, JAMIE Individual | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WALKER, CHRISTOPHER Individual | adp of the snf | NOT APPLICABLE | 04/21/2025 |
| WELLTOWER INC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 03/01/2025 |
| ANZALDUA, BRANDON Individual | corporate officer | NOT APPLICABLE | 08/01/2023 |
| CLAY, JULI Individual | corporate officer | NOT APPLICABLE | 01/06/2015 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/21/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 04/21/2025 |
| 3428 MOULTON ROAD OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| WALKER, CHRISTOPHER Individual | operational/managerial control | NOT APPLICABLE | 03/01/2025 |
Other nursing homes near Avir at Gonzales
The Heights of Gonzales
701 N Sarah Dewitt, Gonzales, TX 78629 · under 1 mi
For-profit · 132 beds · Part of Touchstone Communities
★★★★★4Above averageDiversicare of Luling
208 Maple St, Luling, TX 78648 · 15.6 mi
For-profit · 60 beds · Part of Diversicare Healthcare
★★★★★2Below averageShiner Nursing and Rehabilitation Center
1213 North Avenue B, Shiner, TX 77984 · 17.5 mi
For-profit · 95 beds · Part of Creative Solutions in Healthcare
★★★★★3AverageAvir at Magnolia
1105 N Magnolia, Luling, TX 78648 · 17.5 mi
For-profit · 90 beds · Part of Avir Health Group
- Abuse citation
★★★★★2Below averageAvir at Luling
501 W Austin St, Luling, TX 78648 · 17.7 mi
For-profit · 56 beds · Part of Avir Health Group
★★★★★2Below averageShady Oak Nursing and Rehabilitation
101 South Lancaster, Moulton, TX 77975 · 18.7 mi
For-profit · 61 beds · Part of Creative Solutions in Healthcare
★★★★★5Much above average
Frequently asked questions
What is Avir at Gonzales's rating?
Avir at Gonzales has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Avir at Gonzales receive?
Its most recent standard health inspection found 14 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Gonzales accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Avir at Gonzales?
It is for profit - corporation and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.
Where is Avir at Gonzales and how do I contact it?
Avir at Gonzales is at 3428 Moulton Rd, Gonzales, TX 78629. Phone: (830) 672-2867.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.