CMS PUBLIC RECORD · AUGUST 2026 RELEASERECORDS ARE ONE INPUT—NOT A PLACEMENT RECOMMENDATION
NURSING HOMELEDGERINSPECTIONS · OWNERSHIP · PENALTIES
CMS CCN 6751242026-08-01 PROCESSING DATE

NURSING HOME PUBLIC RECORD

Avir At Gonzales

3428 Moulton Rd · Gonzales, TX 78629 · Gonzales County

CMS OVERALL RATING★★☆☆☆2/5CMS field—not our score or recommendation
Certified beds80CMS provider file
Recent citation rows52current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.

The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.

01 / INSPECTION LEDGER

Survey cycles in this release

CycleHealth dateHealth deficienciesFire dateFire deficiencies
Cycle 12025-07-25142025-07-254
Cycle 22024-06-07162024-06-073
Cycle 32023-04-21112023-04-214
02 / CITATION DETAIL

52 rows in the current release

0 rows carry G–L scope/severity codes; 0 carry J–L. 10 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.

2026-06-16 · HEALTHF0684Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-06-17 · complaint
2026-06-16 · HEALTHF0732Severity E · pattern; potential for more than minimal harm

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Correction field: Deficient, Provider has date of correction · 2026-06-17 · complaint
2026-01-03 · HEALTHF0677Severity D · isolated; potential for more than minimal harm

Quality of Life and Care Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2026-01-23 · complaint
2025-11-26 · HEALTHF0727Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaint
2025-11-26 · HEALTHF0919Severity E · pattern; potential for more than minimal harm

Environmental Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-12-01 · complaint
2025-07-25 · HEALTHF0552Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-29
2025-07-25 · HEALTHF0644Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

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

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · HEALTHF0656Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · HEALTHF0727Severity E · pattern; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · HEALTHF0759Severity E · pattern; potential for more than minimal harm

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · HEALTHF0761Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-08-01
2025-07-25 · HEALTHF0813Severity D · isolated; potential for more than minimal harm

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · HEALTHF0842Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · HEALTHF0880Severity D · isolated; potential for more than minimal harm

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · FIREK0353Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Correction field: Deficient, Provider has date of correction · 2025-08-30
2025-07-25 · FIREK0372Severity E · pattern; potential for more than minimal harm

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Correction field: Deficient, Provider has date of correction · 2025-07-28
2025-07-25 · FIREK0511Severity E · pattern; potential for more than minimal harm

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

Correction field: Deficient, Provider has date of correction · 2025-07-29
2025-07-25 · FIREK0521Severity C · widespread; potential for minimal harm

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Correction field: No revisit needed
2025-04-30 · HEALTHF0641Severity D · isolated; potential for more than minimal harm

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

Correction field: Deficient, Provider has date of correction · 2025-05-01 · complaint
2025-03-26 · HEALTHF0558Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint
2025-03-26 · HEALTHF0656Severity D · isolated; potential for more than minimal harm

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.

Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint
2025-03-26 · HEALTHF0695Severity E · pattern; potential for more than minimal harm

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Correction field: Deficient, Provider has date of correction · 2025-03-27 · complaint
2024-06-07 · HEALTHF0576Severity F · widespread; potential for more than minimal harm

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Correction field: Deficient, Provider has date of correction · 2024-06-10 · complaint
2024-06-07 · HEALTHF0578Severity D · isolated; potential for more than minimal harm

Resident Rights Deficiencies

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Correction field: Deficient, Provider has date of correction · 2024-06-10 · complaint
03 / ENFORCEMENT FILE

Penalties reported by CMS

Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.

DateTypeFine amountPayment-denial days
No penalty row appeared in the August 2026 penalties file.
04 / OWNERSHIP DISCLOSURES

Who appears in the CMS file

  • GONZALES HEALTHCARE SYSTEMSOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST
    100% · since 03/01/2025
  • 3428 MOULTON ROAD PROPERTY OWNER, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER INCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER NNN GROUP, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER OP, LLCOrganization · 5% OR GREATER SECURITY INTEREST
    NOT APPLICABLE · since 03/01/2025
  • ANZALDUA, BRANDONIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 08/01/2023
  • CLAY, JULIIndividual · CORPORATE OFFICER
    NOT APPLICABLE · since 01/06/2015
  • 3428 MOULTON ROAD OPCO, LLCOrganization · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • FREUND, NOCHUMIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • TRAVITSKY, AARONIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • WALKER, CHRISTOPHERIndividual · OPERATIONAL/MANAGERIAL CONTROL
    NOT APPLICABLE · since 03/01/2025
  • DAGAN, AMITAIIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 04/21/2025
  • GOLDBERGER, ABRAHAMIndividual · INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF
    NOT APPLICABLE · since 04/21/2025
  • 3428 MOULTON ROAD OPCO, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 06/05/2025
  • 3428 MOULTON ROAD PROPERTY OWNER, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER INCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER NNN GROUP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025
  • WELLTOWER OP, LLCOrganization · ADP OF THE SNF
    NOT APPLICABLE · since 03/01/2025

Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.

05 / CMS STAFFING FIELDS

Reported hours and turnover

Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.

Total nurse hours2.65per resident day
RN hours0.22per resident day
Weekend nurse hours2.29per resident day
Staff turnover61.3%CMS reported field
BEFORE A CARE DECISION

Verify the current record and visit in person.

Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.