Avir at Gonzales
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 11 Google reviews

Watch Avir at Gonzales
Get an email when new inspections, ratings, or penalties are published for this facility.
We’ll only email you about this — no spam, unsubscribe anytime.
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
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 detailsStrengths
- 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
Distribution
How They Respond to Reviews
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”
“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.”
“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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
13
measures
3
measures
1
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Residents on anti-anxiety or sleep medication
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nov 26, 2025Complaint2
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Jul 25, 2025Routine13
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.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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.
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 30, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Mar 26, 2025Complaint3
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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, 2024Complaint12
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
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.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
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
Gonzales Healthcare Systems
for profit
3428 MOULTON ROAD OPCO LLC
JAMIE L MCCORD
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 65 of 90 (Worst)
Ownership & Management
Owners
Gonzales Healthcare Systems
Owner · Organization
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
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
11 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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.