Avir at Gonzales

Name: Avir at Gonzales
Address: 3428 MOULTON RD, Gonzales, TX, 78629, US
Telephone: 8306722867

3428 Moulton Rd, Gonzales, TX 78629 · Gonzales County · 80 certified beds · avg 42 residents/day · certified since Jan 6, 1993 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.72

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (41)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 16, 2026	E · Potential for harm, repeated	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · from a complaint
Jun 16, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Jan 3, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint
Nov 26, 2025	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Nov 26, 2025	E · Potential for harm, repeated	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · from a complaint
Jul 25, 2025	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jul 25, 2025	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Jul 25, 2025	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Jul 25, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 30, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Mar 26, 2025	E · Potential for harm, repeated	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint
Mar 26, 2025	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 7, 2024	F · Potential for harm, facility-wide	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · from a complaint
Jun 7, 2024	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · from a complaint
Jun 7, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
Jun 7, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Jun 7, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Jun 7, 2024	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · from a complaint
Apr 21, 2023	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Apr 21, 2023	E · Potential for harm, repeated	The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident.
Apr 21, 2023	E · Potential for harm, repeated	The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Apr 21, 2023	D · Potential for harm, one-off	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 9).

Year	Citations	Worst severity that year
2023	11	E
2024	12	F
2025	15	E
2026	3	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.72	3.46	3.95	bottom 8% in Texas; bottom 7% in the U.S.
Registered Nurse hours	0.22	0.44	0.69	bottom 12% in Texas; bottom 4% in the U.S.
Weekend total nurse staffing	2.35	3.04	3.50	bottom 9% in Texas; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.19	0.34	0.48	bottom 18% in Texas; bottom 10% in the U.S.
Total nursing staff turnover (%)	61.3	55.3	45.8	bottom 31% in Texas; bottom 15% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.65, RN 0.22, weekend 2.29. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Gonzales Healthcare Systems	Organization	5% or Greater Direct Ownership Interest	100%	03/01/2025
3428 Moulton Road Opco, LLC	Organization	Operational/Managerial Control	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	5% or Greater Security Interest	NOT APPLICABLE	03/01/2025
3428 Moulton Road Property Owner, 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
Freund, Nochum	Individual	Operational/Managerial Control	NOT APPLICABLE	03/01/2025
Goldberger, Abraham	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/21/2025
McCord, Jamie	Individual	ADP of the SNF	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
Walker, Christopher	Individual	ADP of the SNF	NOT APPLICABLE	04/21/2025
Welltower INC	Organization	5% or Greater Security Interest	NOT APPLICABLE	03/01/2025
Welltower INC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2025
Welltower NNN Group, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	03/01/2025
Welltower NNN Group, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2025
Welltower Op, LLC	Organization	5% or Greater Security Interest	NOT APPLICABLE	03/01/2025
Welltower Op, LLC	Organization	ADP of the SNF	NOT APPLICABLE	03/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Where do you post your daily staffing numbers, and can I see today's?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"How many hours a day is a registered nurse physically in the building, including weekends?"
"Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"How do you explain health changes and treatment options to residents and their families?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
The Heights of Gonzales	0.6 mi	Gonzales, TX	★★★★☆	4/5
Diversicare of Luling	15.6 mi	Luling, TX	★★★☆☆	4/5
Shiner Nursing and Rehabilitation Center	17.5 mi	Shiner, TX	★★★☆☆	3/5
Avir at Magnolia	17.5 mi	Luling, TX	★★☆☆☆	2/5	abuse
Avir at Luling	17.7 mi	Luling, TX	★★☆☆☆	1/5
Shady Oak Nursing and Rehabilitation	18.7 mi	Moulton, TX	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Gonzales →

Facility data as of CMS processing date 2026-08-01. CCN 675124.

The Care File

Visit checklist — Avir at Gonzales

3428 Moulton Rd, Gonzales, TX 78629 · 8306722867

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "Where do you post your daily staffing numbers, and can I see today's?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "How many hours a day is a registered nurse physically in the building, including weekends?"
☐ "Can you show me the call buttons in the bathrooms and bathing areas, and tell me your average response time when one is pressed?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "How do you explain health changes and treatment options to residents and their families?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675124 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)