Avir at Gonzales

3428 Moulton Rd · Gonzales, TX · 78629 · 8306722867

80 certified beds For profit - Corporation Chain: Avir Health Group

Why this verdict

  • Staffing levels are well below research benchmarks for safe care.
  • No federal fines or payment denials in CMS’s 3-year window.

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

RN staffing in the bottom 10% nationally

0.14 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.74 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 48
Serious harm & abuse 20% 100
Staffing 20% 38
Federal penalties 15% 100
Trend 10% 70
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day2.743.48 min · 4.1 strong
RN hours / resident-day0.140.55–0.75
Weekend hours / resident-day2.41≈ weekday level
Nursing turnover / year41%median 45%
Fines (3-yr window)none

Inspection citations (39 in the current record)

  • Potential for harm · D January 3, 2026 · found via complaint

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected January 23, 2026 · Quality of Life and Care

  • Potential for harm · E November 26, 2025 · found via 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.

    Corrected December 1, 2025 · Nursing and Physician Services

  • Potential for harm · E November 26, 2025 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected December 1, 2025 · Environmental

  • Potential for harm · D July 25, 2025

    Ensure that residents are fully informed and understand their health status, care and treatments.

    Corrected July 29, 2025 · Resident Rights

  • Potential for harm · D July 25, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected July 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 25, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected July 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E July 25, 2025

    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.

    Corrected July 28, 2025 · Nursing and Physician Services

  • Potential for harm · E July 25, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 28, 2025 · Pharmacy Service

  • Potential for harm · D July 25, 2025

    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.

    Corrected August 1, 2025 · Pharmacy Service

  • Potential for harm · D July 25, 2025

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected July 28, 2025 · Nutrition and Dietary

  • Potential for harm · D July 25, 2025

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected July 28, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 25, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 28, 2025 · Infection Control

  • Potential for harm · D April 30, 2025 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected May 1, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D March 26, 2025 · found via complaint

    Reasonably accommodate the needs and preferences of each resident.

    Corrected March 27, 2025 · Resident Rights

  • Potential for harm · D March 26, 2025 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 27, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E March 26, 2025 · found via complaint

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 27, 2025 · Quality of Life and Care

  • Potential for harm · F June 7, 2024 · found via complaint

    Ensure residents have reasonable access to and privacy in their use of communication methods.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · D June 7, 2024 · found via 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.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · D June 7, 2024 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected June 10, 2024 · Resident Rights

  • Potential for harm · D June 7, 2024 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 10, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D June 7, 2024 · found via complaint

    Provide appropriate foot care.

    Corrected July 9, 2024 · Quality of Life and Care

  • Potential for harm · D June 7, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected June 20, 2024 · Quality of Life and Care

  • Potential for harm · E June 7, 2024 · found via 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.

    Corrected June 10, 2024 · Nursing and Physician Services

  • Potential for harm · E June 7, 2024 · found via complaint

    Ensure medication error rates are not 5 percent or greater.

    Corrected June 20, 2024 · Pharmacy Service

  • Potential for harm · D June 7, 2024 · found via 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.

    Corrected June 20, 2024 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675124 · certified since January 6, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.