ElderGrade
F

35/100

Poor

Avir At Luling

501 W Austin St, Luling, TX 78648

CMS 2/5 stars #4 of 5 in Caldwell County (830) 875-5628
Certified beds
56
Occupancy
84%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Abuse icon on record

    CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.

  • 3 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $35,559 in federal fines

    CMS has fined this facility across 3 penalty action(s).

  • Nursing staff turnover of 76%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 0/30 Staffing 13/30 Stability 2/15 Outcomes 15/15 Enforcement 5/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

0/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -20 for 2 immediate-jeopardy citation(s) in the last 3 years
  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -6.4 for 35 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.31 total nurse hours per resident per day (national median 3.77)
  • 0.18 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

2/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 76% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

5/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $35,559 in federal fines across 3 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — CMS abuse icon on record
  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.82 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.18 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.46 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 76.10%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 41 citations

Last standard health inspection: November 21, 2025 (9 months ago).

E Feb 4, 2026 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

E Jan 20, 2026 F0584 From a complaint

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

F Nov 21, 2025 F0908

Environmental Deficiencies

Keep all essential equipment working safely.

No actual harm, potential for more than minimal harm

E Nov 21, 2025 F0584

Resident Rights Deficiencies

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

No actual harm, potential for more than minimal harm

E Nov 21, 2025 F0656

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.

No actual harm, potential for more than minimal harm

E Nov 21, 2025 F0727

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.

No actual harm, potential for more than minimal harm

E Nov 21, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

E Nov 21, 2025 F0812

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of AVIR HEALTH GROUP, which operates 119 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
501 W AUSTIN STREET PROPERTY OWNER, LLC Organization 5% OR GREATER SECURITY INTEREST
WELLTOWER INC Organization 5% OR GREATER SECURITY INTEREST
WELLTOWER NNN GROUP, LLC Organization 5% OR GREATER SECURITY INTEREST
WELLTOWER OP, LLC Organization 5% OR GREATER SECURITY INTEREST
GANN, KODY Individual CORPORATE OFFICER
501 W AUSTIN STREET OPCO, LLC Organization OPERATIONAL/MANAGERIAL CONTROL
FREUND, NOCHUM Individual OPERATIONAL/MANAGERIAL CONTROL
TRAVITSKY, AARON Individual OPERATIONAL/MANAGERIAL CONTROL
DAGAN, AMITAI Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
GOLDBERGER, ABRAHAM Individual INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE O...
501 W AUSTIN STREET OPCO, LLC Organization ADP OF THE SNF
501 W AUSTIN STREET PROPERTY OWNER, LLC Organization ADP OF THE SNF

What families say

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Common questions about Avir At Luling

What is the ElderGrade for Avir At Luling? +

Avir At Luling holds an ElderGrade of F (35 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Avir At Luling? +

Residents receive an average of 2.82 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Avir At Luling been cited for harming residents? +

Yes. 3 of the 41 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Avir At Luling accept Medicaid? +

Yes, Avir At Luling is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.