Avir at Magnolia
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 14 Google reviews
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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 (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (16 vs median 8.0)
- High staff turnover (67%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $70,912 in fines · Abuse citation
What this means for your family
While recent reviews suggest a positive turnaround in culture and therapy services, the history of severe medical neglect and medication errors is a critical red flag. If you choose this facility, you must physically visit frequently and verify that all medical protocols, especially for chronic conditions like diabetes, are being strictly followed.
Google Reviews
Google Reviews
14 reviews analyzed“Families should exercise extreme caution due to severe allegations of medical neglect, medication errors, and malnutrition. While some recent visitors praise the therapy team and the friendliness of the nursing staff, there are deeply concerning reports of life-threatening lapses in care for diabetic residents.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional therapy team
- Friendly and compassionate nursing staff
- Welcoming and warm culture
Concerns
- Severe medical neglect and medication mismanagement (mentioned by 2 reviewers)
- Staffing shortages
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner provides personalized responses that acknowledge specific details from the reviews, such as mentioning staff members or specific themes like 'positive changes' and 'compassionate care'. They consistently use the reviewer's name when available and reinforce the facility's core values.
Questions for Your Tour
- 1We've heard wonderful things about your therapy team and the warm culture here; how do you integrate personalized therapy into a resident's daily routine?
- 2With the importance of medication accuracy, what specific protocols do you have in place to ensure every dose is administered correctly and on time?
- 3How does the nursing team communicate important medical updates or changes in condition to family members to ensure we are always in the loop?
- 4In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
- 5What kind of daily activities or social outings are available to help residents stay engaged and connected with one another?
- 6How do you manage staffing levels during busy shifts to ensure that every resident receives the attentive, compassionate care they deserve?
Personalized based on this facility's data
Key Review Excerpts
“My mother went into that facility for what was supposed to be a temporary stay. A few months. She did not go into this place with any terminal illnesses. The mistakes were from the jump. She was diabetic, they never gave her her necessary medications or even tested her blood sugar. A year later she went septic, we never found out why. She passed away a few months later, cause of death was severe malnutrition and neglect.”
“The staff is awesome. This facility took my loved one in when there was no one in the state of Texas would. They have nursed her back to health and they love her dearly and she loves them as well.”
“From the moment I walked in the door- I was treated with happy residents, friendly staff, and an exceptional team. The culture- from housekeepers, CNAs, nurses (Teresa is fantastic!!) and administrator- is evident.”
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
2
measures
2
measures
Residents whose bladder or bowel control got worse
Residents on antipsychotic medication
Residents with depression symptoms
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents vaccinated for the flu
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
Families have filed 11 complaints triggering inspections, with serious issues including abuse/neglect violations and medication errors requiring immediate attention. The facility struggles repeatedly with safety hazards and accident prevention, nutrition and dietary services, and medication management. While most deficiencies show correction dates, the pattern of complaint-driven inspections and recurring problems across safety, nutrition, and pharmacy services suggests ongoing quality concerns that warrant careful consideration.
Nov 5, 2025Complaint3
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Aug 28, 2025Routine13
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Smoke Deficiencies
Provide properly protected cooking facilities.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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 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.
Egress Deficiencies
Have exits that are accessible at all times.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 24, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 27, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jun 4, 2025Complaint2
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Mar 5, 2025Complaint1
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal Penalties
Fine
Nov 5, 2025
$15,940
Fine
Nov 5, 2025
$15,940
Fine
Jul 24, 2025
$14,069
Fine
Jun 4, 2025
$2,444
Fine
Aug 7, 2024
$13,627
Ownership & Operations
Who Operates This Facility
Gonzales Healthcare Systems
for profit
1105 N MAGNOLIA OPCO LLC
DIVONNA L GRAHAM
Chain Affiliation
Avir Health Group
117 facilities nationwide
Chain avg rating: 2.3/5 · Rank 61 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
14 reviews from families & visitors
Official Website
Visit avirhg.com
Medicare data downloads
Original nursing home datasets
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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.