Ellery Care
D

Avir At Gonzales

3428 Moulton Rd, Gonzales, TX 78629 · Gonzales County

For-profit · 80 certified beds · 53% occupancy · (830) 672-2867

Deciding as a family?

Avir At Gonzales reviews: what the government record shows

The U.S. government (CMS) rates Avir At Gonzales 2 out of 5 stars overall, below average. Its nurse staffing is 19% below the Texas median.

Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.

At a glance

CMS overall rating
2 of 5 stars
Nurse staffing
2.65 hrs/resident/day (-19% vs TX median)
Antipsychotic drug use
5.7% of long-stay residents (TX median 8.3%)
Falls with major injury
4.8% of long-stay residents (TX median 3%)
Federal fines (3 yrs)
None on record
Inspection findings
41 cited
Federal abuse-warning flag
No

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.

What this means for your family

A mixed record. The strengths and concerns below are worth weighing against a visit.

Strengths

  • ✓No federal fines on record in roughly the last three years.

Concerns

  • !CMS rates it just 2 of 5 stars overall.
  • !Nurse staffing of 2.65 hrs/resident/day is below the Texas median of 3.27.

Questions to ask on your visit

  • ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?

Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.

A plain-English read of this home's public record. Not advice — always visit in person.

Common questions about Avir At Gonzales

Is Avir At Gonzales a good nursing home?

Avir At Gonzales in Gonzales, Texas holds a 2 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.

How is Avir At Gonzales staffed?

Avir At Gonzales reports 2.65 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.

Has Avir At Gonzales been fined or flagged for abuse?

Avir At Gonzales has no federal fines on record in roughly the last three years, and does not currently carry a federal abuse-warning flag.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★★
Quality of resident care★★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.

TX median 3.27

2.65 nurse hours per resident per day. 19% below the Texas median of 3.27.

Total nurse
2.65 hrs
RN
0.22 hrs
LPN
0.92 hrs
Aide
1.52 hrs

Nursing staff turnover: 61.3%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

41
total findings
0
immediate jeopardy
0
caused actual harm
21
from complaints
  • Potential for harmTag F0732 · Jun 16, 2026ComplaintCorrected Jun 17, 2026

    Post nurse staffing information every day.

    Nursing and Physician Services Deficiencies

  • Potential for harmTag F0727 · Nov 26, 2025ComplaintCorrected Dec 1, 2025

    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

  • Potential for harmTag F0919 · Nov 26, 2025ComplaintCorrected Dec 1, 2025

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

    Environmental Deficiencies

  • Potential for harmTag F0656 · Jul 25, 2025Corrected Jul 28, 2025

    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

  • Potential for harmTag F0727 · Jul 25, 2025Corrected Jul 28, 2025

    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

  • Potential for harmTag F0759 · Jul 25, 2025Corrected Jul 28, 2025

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0684 · Jun 16, 2026ComplaintCorrected Jun 17, 2026

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0677 · Jan 3, 2026ComplaintCorrected Jan 23, 2026

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0552 · Jul 25, 2025Corrected Jul 29, 2025

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

    Resident Rights Deficiencies

  • Potential for harmTag F0644 · Jul 25, 2025Corrected Jul 28, 2025

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

    Resident Assessment and Care Planning Deficiencies

Showing the 10 most recent and serious of 41 findings. See the full inspection history on Medicare.gov.

Antipsychotic drug use

The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.

5.7%
of long-stay residents
Texas median 8.3%
National median 13.4%

This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.

Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study

Preventable harm

Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.

Falls with major injury
4.8%
of long-stay residents
Texas median 3% · National median 2.8%
Pressure ulcers (bedsores)
4.5%
of long-stay residents
Texas median 3.3% · National median 4.2%

The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.

Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study

Federal fines and penalties

Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.

No federal fines are on record for this home in roughly the last three years, a good sign.

Ownership

This home is for-profit (for profit - corporation). It is part of the Avir Health Group chain, which operates 116 facilities, with a chain-average CMS rating of 2.3 stars.