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.
The complete Safety Report — $19
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.
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
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-day | 2.74 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.14 | 0.55–0.75 |
| Weekend hours / resident-day | 2.41 | ≈ weekday level |
| Nursing turnover / year | 41% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (39 in the current record)
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · E July 25, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected July 28, 2025 · Pharmacy Service
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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
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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
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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
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Potential for harm · D July 25, 2025
Provide and implement an infection prevention and control program.
Corrected July 28, 2025 · Infection Control
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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
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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
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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
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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
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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
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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
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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
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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
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Potential for harm · D June 7, 2024 · found via complaint
Provide appropriate foot care.
Corrected July 9, 2024 · Quality of Life and Care
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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
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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
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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
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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.
Family & resident reviews — a separate signal, never mixed into the score
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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.