Avir at Gonzales

In the surveyor’s words

From the most serious findings on record at Avir at Gonzales, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF576Jun 7, 2024

  Based on interview and record review, the facility failed to promote the residents' right to receive mail, for 1 of 1 facility review for residents' right to receive mail, in that: Facility staff did not distribute mail received on Saturdays to the residents. This deficient practice could result in residents not receiving mail in a timely manner and a diminished quality of life. The findings were: During a confidential group meeting on 06/05/2024 at 11:00 AM, members of the resident group stated they did not receive mail on Saturdays, they did not understand why it was not distributed on Saturdays, and stated they felt this practice was disrespectful. […]

• No harm, potential for more than minimal, patternF732Jun 16, 2026

  Based on observation, interview, and record review, the facility failed to post the current nurse staffing data for 1 of 1 facility, in that: The nurse staffing data upon entrance on 6/16/26 was dated 6/9/26. This deficient practice could place residents at risk by not providing adequate staffing information for the residents, staff, and visitors to ensure that resident care needs are met. Based on observation, interview, and record review, the facility failed to post the current nurse staffing data for 1 of 1 facility, in that: The nurse staffing data upon entrance on 6/16/26 was dated 6/9/26. […]

• No harm, potential for more than minimal, patternF727Nov 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure RN coverage of eight (8) hrs daily and a full time DON for eight days (11/1/25, 11/2/25,11/6/25,11/9/25,11/12/25, 11/13/25,11/17/25, and 11/18/25) in November 2025 for 1 of 1 facility. The facility failed to ensure RN 8 hour daily coverage and a full time DON in the facility for eight days in November 2025. This deficient practice could place residents at-risk of not having their care needs assessed by a licensed RN on a daily basis.The findings included: Record review of the facility's daily nursing staffing for the time period of 10/31/25 through 11/24/25 revealed there were eight days in the month of November 2025 in which there was not an RN or DON working at the facility during the 24 hour time period… […]

• No harm, potential for more than minimal, patternF919Nov 26, 2025

  Based on observation, interview, and record review, the facility failed to ensure an adequate communication system to allow residents to call for staff assistance for 3 of 9 rooms (Rooms# 108,109, and 206) reviewed on the three resident hallways for an operating call light system. The facility failed to ensure Resident rooms # 108, 109, and 206 had a fully functional call light notification system. This deficient practice could place residents at-risk of not being able to call for staff assistance to meet care needs.The findings included: Record review of the facility floor plan revealed there were three resident hallways (hallway #'s 100, 200, and 300). […]

• No harm, potential for more than minimal, patternF656Jul 25, 2025

  Based on observation, interview, and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with resident rights, that included measurable objectives and time frames to meet residents' medical, nursing and mental and psychosocial needs that were identified in the comprehensive assessment, for 3of 8 residents (Residents #1, #6, and #3) reviewed for comprehensive care plans. 1. The facility failed to ensure Resident #1 had a care plan accessible in his current active record. 2. The facility failed to ensure that Resident #6's diagnoses of anxiety and depression, including a past history of self-harm, were focus areas on the resident's comprehensive care plan. 3. […]