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Nursing HomeMedicaid Investigative

Avir at Gonzales

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

3428 Moulton Rd, Gonzales, TX 7862980 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 11 Google reviews

5
4
3
2
1
Avir at Gonzales Nursing Home in Gonzales, TX — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (16 vs median 8.0)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · No penalties on record

Source: Medicare data

What this means for your family

This facility is an excellent choice if you prioritize the quality of nursing care and rehabilitation expertise, as the staff is frequently described as 'angels.' However, you should personally inspect the physical condition of the building and ask about recent safety protocols to address concerns regarding the aging infrastructure and past allegations of neglect.

Google Reviews

Google Reviews

11 reviews analyzed
Families can expect a highly compassionate and experienced nursing staff that prioritizes patient care and rehabilitation success. While the facility's physical building is noted as being older and in need of some updates, the staff's dedication is a consistent highlight for many residents and their families.

Quality Themes

Tap a score for details
FoodN/AStaff9.0CleanN/AActivitiesN/AMedsN/AMemoryN/ACommsN/AValueN/A

Strengths

  • Compassionate and experienced nursing staff
  • Successful rehabilitation outcomes
  • Warm, homelike atmosphere
  • Dedicated and hardworking departments

Concerns

  • Safety and neglect allegations
  • Aging building infrastructure

Rating Trends

Tap a year to see what changed

2345.02017(1)5.02020(1)1.02023(1)5.02024(1)4.22025(5)4.52026(2)

Distribution

5
5
4
1
3
0
2
0
1
2

How They Respond to Reviews

46%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1I noticed some families have mentioned how compassionate and experienced the nursing staff is; how do you ensure that level of care is consistent across all shifts?
  • 2With the building being a bit older, what recent or upcoming improvements are being made to the infrastructure to ensure resident comfort and safety?
  • 3Can you tell me more about your protocols for monitoring residents closely to prevent any lapses in care or safety concerns?
  • 4What is the process for handling medical emergencies or sudden changes in health during the overnight hours?
  • 5What kind of daily activities or social programs do you have in place to maintain that warm, homelike atmosphere for the residents?
  • 6I saw that the management team engages with some of the feedback left online; how does the facility use resident or family feedback to implement actual changes?

Personalized based on this facility's data


Key Review Excerpts

I met most of these angels when my late mother in law was a resident. I trusted them again to rehab my mother who broke a hip and she walked out of there today wi

Rehab patient's family · 2026★★★★★

Grateful for the loving care and attention provided by the staff. The people who work here are full of compassion and have a great wealth of experience and humor. The building is definitely old but Avir seems to be making steps in fixing things up.

Long-term resident's family · 2026★★★★

This is an unsafe environment! The nurses are rude and even managers from ALL departments. Unacceptable behavior. My grandfather was injured and neglected. I am going to sue.

Long-term resident's family · 2023☆☆☆☆
Source: 11 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.14hrs
18%
Registered nurses for medical care
Total Nursing
2.74hrs
67%
All nurses + aides combined
Staff Turnover
41%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
4/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.2%
Better than Avg
Here
7.2%
US
19.4%
TX
14.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility26.7%
Worse than Avg
Here
26.7%
US
19.5%
TX
18.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility7.8%
Better than Avg
Here
7.8%
US
15.4%
TX
9.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility20.6%
Worse than Avg
Here
20.6%
US
14.4%
TX
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility98.9%
Better than Avg
Here
98.9%
US
81.8%
TX
89.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

12deficiencies
Above state avg (9.1)
30 complaint-triggered

AVIR at Gonzales has a concerning pattern with 29 out of 50 deficiencies triggered by family complaints, indicating ongoing issues that prompted outside reporting. The facility repeatedly struggles with nursing staffing (registered nurse coverage), medication management, and care planning across multiple surveys. While all deficiencies show correction dates, the recurring nature of problems in these core areas suggests persistent challenges in maintaining consistent quality care standards.

Jan 3, 2026Complaint
1
0677MinorCorrected

Quality of Life and Care Deficiencies

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

Nov 26, 2025Complaint
2
0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0919ModerateCorrected

Environmental Deficiencies

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

Jul 25, 2025Routine
13
0656ModerateCorrected

Resident Assessment and Care Planning Deficiencies

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

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511ModerateCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0552MinorCorrected

Resident Rights Deficiencies

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

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0813MinorCorrected

Nutrition and Dietary Deficiencies

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

0842MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minor

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Apr 30, 2025Complaint
2
0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Mar 26, 2025Complaint
3
0695ModerateCorrected

Quality of Life and Care Deficiencies

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

0558MinorCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

Jun 7, 2024Complaint
12
0576ModerateCorrected

Resident Rights Deficiencies

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

0727ModerateCorrected

Nursing and Physician Services Deficiencies

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.

0759ModerateCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578MinorCorrected

Resident Rights Deficiencies

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.

0583MinorCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0687MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate foot care.

0689MinorCorrected

Quality of Life and Care Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0849MinorCorrected

Administration Deficiencies

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.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Gonzales Healthcare Systems

Organization Type

for profit

Management Company

3428 MOULTON ROAD OPCO LLC

Administrator

JAMIE L MCCORD

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 65 of 90 (Worst)

Ownership & Management

Owners

Gonzales Healthcare Systems

Owner · Organization

100%

Dagan, Amitai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Abraham

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

3428 Moulton Road Property Owner, LLC5% or Greater Security InterestHccf Management Group Xi LLC5% or Greater Security InterestWelltower INC5% or Greater Security InterestWelltower Nnn Group, LLC5% or Greater Security InterestAnzaldua, BrandonOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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