Avir At Gonzales
Nursing Home · 3428 Moulton Rd, Gonzales, TX 78629 · 8306722867
Scores by dimension
| Dimension | Score | Data confidence |
|---|---|---|
| Safety & compliance | 3.0 / 5 | high |
| Staffing | 1.8 / 5 | high |
| Clinical outcomes | 3.7 / 5 | high |
| Enforcement | 5.0 / 5 | high |
| Financial stability | 3.3 / 5 | med |
Key facts
| Care type | Nursing Home |
| Beds | 80 |
| Ownership | For Profit - Corporation |
| Operator | Gonzales Healthcare Systems |
| Chain size | 117 facilities |
| Certified since | 1993-01-06 |
| CMS overall star | 2 / 5 |
| Accepts Medicaid | Yes |
| Price tier | $$ of 5 · ~$265/day reported charge (within TX) |
Inspection & enforcement record
- Health-inspection citations: 0 immediate jeopardy · 0 actual harm · 39 potential for harm · 0 minor
- Federal fines: $0 · payment denials: 0 · penalty actions: 0
Recent inspection findings
The 8 most recent health-inspection deficiencies on file with CMS, newest first. Severity is the CMS scope/severity scale (A–L); G and above mean actual harm or immediate jeopardy. "Corrected" shows the date the facility certified the fix.
| Date | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-03 | Provide care and assistance to perform activities of daily living for any resident who is unable. (Quality of Life and Care Deficiencies, tag 0677) | D | corrected 2026-01-23 |
| 2025-11-26 | 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. (Nursing and Physician Services Deficiencies, tag 0727) | E | corrected 2025-12-01 |
| 2025-11-26 | Make sure that a working call system is available in each resident's bathroom and bathing area. (Environmental Deficiencies, tag 0919) | E | corrected 2025-12-01 |
| 2025-07-25 | Ensure that residents are fully informed and understand their health status, care and treatments. (Resident Rights Deficiencies, tag 0552) | D | corrected 2025-07-29 |
| 2025-07-25 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Resident Assessment and Care Planning Deficiencies, tag 0644) | D | corrected 2025-07-28 |
| 2025-07-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Resident Assessment and Care Planning Deficiencies, tag 0656) | E | corrected 2025-07-28 |
| 2025-07-25 | 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. (Nursing and Physician Services Deficiencies, tag 0727) | E | corrected 2025-07-28 |
| 2025-07-25 | Ensure medication error rates are not 5 percent or greater. (Pharmacy Service Deficiencies, tag 0759) | E | corrected 2025-07-28 |
Staffing
Nurse hours per resident per day (CMS Payroll-Based Journal) — the strongest objective predictor of care. "Expected" is what CMS's case-mix model says this facility's resident acuity calls for.
- Total nurse staffing: 2.74 hrs/resident/day (expected 3.57 for this facility's resident acuity — below expected) (US median 3.69 · TX 3.27)
- Registered-nurse staffing: 0.14 hrs/resident/day (expected 0.63 for this facility's resident acuity — below expected) (US median 0.58)
- Breakdown: nurse aide 1.56 · LPN 1.04 hrs/resident/day
- Weekend total staffing: 2.41 hrs/resident/day (expected 3.17 for this facility's resident acuity — below expected)
- Annual nursing-staff turnover: 41.4% (US median 45.3% · lower is better)
- Resident acuity (nursing case-mix index): 1.28 (1.0 ≈ national average; higher = more care-intensive residents)
Clinical outcomes — the measures behind the score
The 8 CMS MDS quality measures (2025Q1-2025Q4) driving this facility's clinical score — the same measures behind the CMS QM star. All are adverse-event rates: lower is better. Worst first. The quarterly column shows the four most recent quarters (Q1→Q4); benchmarks are the national percentile and the TX state median.
| Measure | 4-qtr avg | Quarterly (Q1→Q4) | Benchmark |
|---|---|---|---|
| Percentage of long-stay residents experiencing one or more falls with major injury (long stay) | 5.5% | 2.6 → 5.3 → 11.8 → 2.9 | worse than 85% of US homes · TX median 3% |
| Percentage of long-stay residents whose need for help with daily activities has increased (long stay) | 20.6% | 18.8 → 27.3 → 16.7 → 19.4 | worse than 77% of US homes · TX median 14.8% |
| Percentage of long-stay residents whose ability to walk independently worsened (long stay) | 15.1% | not reported | worse than 56% of US homes · TX median 13% |
| Percentage of long-stay residents who received an antipsychotic medication (long stay) | 7.8% | 12 → 3.8 → 8 → 7.4 | better than 76% of US homes · TX median 8.1% |
| Percentage of long-stay residents with pressure ulcers (long stay) | 2.2% | 0 → 0 → 3.9 → 5.4 | better than 82% of US homes · TX median 3.4% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0% |
| Percentage of long-stay residents with a urinary tract infection (long stay) | 0% | 0 → 0 → 0 → 0 | better than 100% of US homes · TX median 0.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication (short stay) | 0% | not reported | better than 100% of US homes · TX median 0.7% |
What this costs
- This facility's reported avg daily charge: $265/day · $$ (price tier 2 of 5 among Texas nursing homes) — from its own federal cost report, FY ending 2024-12. Gross charges across all payers and services: higher than a quoted private rate, but computed identically for every facility, which makes the tier a fair within-state comparison.
- Payer mix (resident days): 82% Medicaid · 6% Medicare · 12% other/private · 52% occupancy
- Texas median (quoted rates): $185/day semi-private · $250/day private (national: $315 · $355)
- Accepts Medicaid: yes
- This facility's quoted rate: not public. This facility's quoted private rate isn't published by any federal or state source. Medicare covers short rehab stays (up to 100 days, copays after day 20); long-term stays are private pay until savings spend down to Medicaid. How to get the real number →
Market medians: CareScout Cost of Care Survey 2025 (collected July–November 2025), state-level — individual providers vary widely around a median. Facility-level prices aren't published by any government source; how to get a real quote.
Hospitals serving Gonzales County
Hospitals in the same county — those with an emergency department first, then by CMS hospital star rating. Useful for transfers and emergencies.
| Hospital | City | ER | CMS star | Type |
|---|---|---|---|---|
| Memorial Hospital | Gonzales | No | — | Acute care |
Compare nearby
- B+ The Heights Of Gonzales · Gonzales
Full interactive report card → Facility's own website ↗ CMS Care Compare ↗
Source: CMS Provider Information + Health Deficiencies + Penalties (as of 2026-05). Part of our Gonzales County nursing homes coverage. Spot an error? Tell us.