Nursing home
Avir at Gonzales
3428 Moulton Rd, Gonzales, TX 78629 · Map
For profit - Corporation · Part of Avir Health Group (90 facilities) · 80 certified beds
Avir at Gonzales is a Medicare-certified nursing home in Gonzales, Texas. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Nurse staffing is 2.69 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Jul 25, 2025 cited 16 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avir at Gonzales compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.69 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.22 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.56 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 43.8% | 51.5% | 46.4% | below avg |
| Deficiencies cited, last inspection | 16.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Avir at Gonzales
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Jan 3, 2026 · Full report (PDF) - Potential for harm
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · Nov 26, 2025 · Full report (PDF) - Potential for harm
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 · Nov 26, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
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 · Jul 25, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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 · Jul 25, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
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.
Pharmacy Service Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · Jul 25, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jul 25, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 3428 Moulton Rd
Gonzales, TX 78629 - CMS certification #
- 675124
- Ownership
- For profit - Corporation
- Certified beds
- 80
- Avg residents/day
- 39.3
- Provider type
- Medicare and Medicaid
- First certified
- 1993-01-06
- Chain
- Avir Health Group (90 facilities)
- Setting
- Rural
Part of Avir Health Group
Avir Health Group operates 90 nursing facilities across the United States. View all Avir Health Group facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avir at Gonzales using Google Maps.
Other public records
- Website says Transportation
- Workplace safety 2 OSHA workplace safety inspections since 2021, 2 violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Avir at Gonzales says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
From our beauty/barber shop and on-demand dining services to transportation and life enrichment activities, every amenity is designed to promote dignity, independence, and joy.
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Feb 28, 2023: follow-up inspection, partial (health). Case closed Apr 21, 2023. 1 violation cited (1 other). Penalties: $4,687 proposed, $2,344 now. OSHA record. OSHA recorded the employer as Texan Nursing & Rehab-gonzales.
Details
- Other than serious: Respiratory protection (respirators, N95 fit testing) (1910.134(f)(1)). Penalty $4,687 proposed, $2,344 now. To be fixed by Apr 13, 2023.
- Jun 23, 2021: programmed (planned) inspection, partial (health). Case closed May 6, 2022. 1 violation cited (1 serious). Penalties: $8,192 proposed, $1,000 now. OSHA record. OSHA recorded the employer as Texan Nursing & Rehab-gonzales.
Details
- Serious: Respiratory protection (respirators, N95 fit testing) (1910.134(c)(1)). Penalty $8,192 proposed, $1,000 now. To be fixed by Sep 1, 2021.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Ascension Seton Edgar B Davis, Luling. 16.5 miles away, straight line.
- Nearest Medicare nursing home
- The Heights of Gonzales, Gonzales. 0.6 miles away, straight line.
- Nearest home health agency office
- Memorial Hospital Home Health Agency, Gonzales. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 0.5 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78629 as small town (small town core).
- Dialysis within 15 miles
- Davita Gonzales Dialysis Center, Gonzales, 0.8 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 12 Medicare hospices tell CMS they serve ZIP code 78629.
- Nearest geriatric medicine practice
- Tmc Provider Group PLLC, Austin. 50.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: very high. By hazard: hurricane relatively moderate, inland flooding very high, wildfire very low, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Avir at Gonzales a good nursing home?
CMS gives Avir at Gonzales an overall rating of 1 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avir at Gonzales staffed?
Avir at Gonzales reports 2.69 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Avir at Gonzales had inspection problems?
Its most recent CMS inspection cited 16 deficiencies.
How many beds does Avir at Gonzales have?
Avir at Gonzales is certified for 80 beds.