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Nursing HomeMedicaid Investigative

Avir at Luling

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

501 W Austin St, Luling, TX 7864856 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Avir at Luling Nursing Home in Luling, TX — Street View
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7/ 10
critical Risk

Quality Concerns Identified

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

  • Abuse citation on record
  • Low overall rating (2/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (18 vs median 8.0)
  • High staff turnover (91%)

Below average in Texas · Critically understaffed (RN) · Very high staff turnover · $30,911 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. Registered Nurse hours are only 22% of the national benchmark, which can affect medication management and response times. The facility has 19 deficiencies, which is above the state average. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.16hrs
22%
Registered nurses for medical care
Total Nursing
2.94hrs
72%
All nurses + aides combined
Staff Turnover
80%
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 · 15 measures

Medicare Rating
5/ 5
Better Than Avg

14

measures

Worse Than Avg

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility3.6%
Better than Avg
Here
3.6%
US
19.4%
TX
14.2%
Caldwell
17.2%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility1.5%
Better than Avg
Here
1.5%
US
15.4%
TX
9.4%
Caldwell
10.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Caldwell
4.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility6.1%
Better than Avg
Here
6.1%
US
14.4%
TX
16.1%
Caldwell
16.5%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility25.3%
Worse than Avg
Here
25.3%
US
19.5%
TX
18.4%
Caldwell
22.8%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.3%
TX
14.9%
Caldwell
14.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Caldwell
92.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

19deficiencies
3penalties
Well above state avg (9.1)
16 complaint-triggered
$30,911 in fines

Families have filed multiple reports triggering investigations, with recurring concerns about nursing staffing, accident prevention, and care planning. The facility shows persistent problems across areas including adequate registered nurse coverage, preventing accidents and hazards, and developing proper resident care plans. While all deficiencies show correction dates, the pattern of repeat issues in core care areas suggests ongoing operational challenges that families should carefully consider.

Feb 4, 2026Complaint
1
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.

Jan 20, 2026Complaint
1
0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Nov 21, 2025Routine
15
0908ModerateCorrected

Environmental Deficiencies

Keep all essential equipment working safely.

0321ModerateCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0584ModerateCorrected

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

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.

0804ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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.

0522ModerateCorrected

Services Deficiencies

Have an externally vented heating system.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0699MinorCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

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.

Jul 22, 2025Complaint
1
0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

May 6, 2025Complaint
4
0689SevereCorrected

Quality of Life and Care Deficiencies

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

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.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Jan 7, 2025Complaint
1
0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Federal Penalties

Fine

Jul 22, 2025

$4,648

Fine

May 6, 2025

$24,752

Fine

Oct 11, 2024

$6,159

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

501 W AUSTIN STREET OPCO LLC

Administrator

DONALD E BEARD

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 40 of 90

Ownership & Management

Owners

Guadalupe County Hospital Board

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

501 W Austin Street 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 InterestGann, KodyOfficer / Director
Source: Medicare provider data

Contact

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References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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