All states › Texas › Luling › Avir at Luling
501 W Austin St Luling, TX 78648 · Caldwell County
All 3 nursing homes in Luling, TX (3 take Medicaid)
CMS certification number 676292 · See this home on Medicare Care Compare
Is Avir at Luling a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Luling as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.71 hours per resident per day at Avir at Luling, below the Texas median of 3.30 (US median: 3.72). About 0.34 of those hours are from registered nurses. On weekends it falls to 2.39 hours, 12% below its all-week average. 71.7% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.
About this nursing home
Paying for care at Avir at Luling: Medicare and Medicaid
Avir at Luling is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on November 21, 2025 and found 12 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 41 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 41 citations at Avir at Luling across 9 inspection dates, 10 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 6, 2025 (complaint inspection). The most common areas cited were nutrition and dietary (7) and quality of life and care (7). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level K, May 6, 2025). 4 citations were under CMS's abuse, neglect and exploitation rules.
February 4, 2026 · 1 citation · includes complaint inspection
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
January 20, 2026 · 1 citation · includes complaint inspection
EHonor 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.
November 21, 2025 · 12 citations
FKeep all essential equipment working safely.
EHonor 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.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EHave 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.
EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide care or services that was trauma informed and/or culturally competent.
DProvide and implement an infection prevention and control program.
July 22, 2025 · 1 citation, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
May 6, 2025 · 4 citations, includes immediate jeopardy · includes complaint inspection
KEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
EHave 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.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
January 7, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
October 11, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
September 6, 2024 · 13 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHave 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.
EProvide or obtain dental services for each resident.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProvide and implement an infection prevention and control program.
EMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
EMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.
DEnsure that residents are fully informed and understand their health status, care and treatments.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
DImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
August 11, 2023 · 6 citations
FHave 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.
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DReasonably accommodate the needs and preferences of each resident.
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
DHave policies on smoking.
Questions to ask on a tour of Avir at Luling
- Inspectors cited the home at the immediate-jeopardy level on May 6, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on July 22, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 71.7% a year. How many of the staff come from agencies?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
3 penalties in the last three years, including $35,559 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 22, 2025 | Fine | $4,648 |
| May 6, 2025 | Fine | $24,752 |
| Oct 11, 2024 | Fine | $6,159 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
| August 2026 | 2/5 | 1/5 | 1/5 | 5/5 |
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Location
Hospitals near Avir at Luling
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.2 mi
Seton Edgar B Davis Hospital LulingEmergency roomMedian ER visit 1h 28m for patients treated and sent home
- 18.4 mi
-
18.8 mi
Guadalupe Regional Medical Center SeguinEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 14m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Avir at Luling › All nursing homes in Luling ›
Compare Avir at Luling with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Diversicare of Luling · Luling · 4 stars · 2.2 mi
Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
- Avir at Temple East · Temple · 5 stars
- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.