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Elevated
OpenScore 130

GONZALES HEALTHCARE SYSTEMS

Doing business as AVIR AT MAGNOLIA

Flagged provider address

1105 N MAGNOLIA AVE, LULING, TX, 78648-1604

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Why this was flagged

Elevated
Extreme per-patient billing

Medicare paid far more per patient than peers

In 2021 this provider was paid $36,009 per patient, against a typical $16,032 for the same kind of provider in TX. A genuinely high-need patient mix can explain some of this, but extreme per-patient billing is a classic upcoding and phantom-patient pattern.

Source Medicare Skilled Nursing Payments by Provider · record as of 11 Aug 2026 · pulled 9 Nov 2026 · version 2026-11-09 · 0c26d5

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Moderate
Owner cluster

Owner is tied to 299 providers

An owner or managing party of this provider (WELLTOWER OP LLC) is listed on 299 separate Medicare enrollments. Chains are legal, and most are ordinary business — this is background context, not a fraud indicator on its own.

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

View the records behind this flag →

Owners and managing parties of record

1105 N MAGNOLIA PROPERTY OWNER, LLC

5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER NNN GROUP, LLC

5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER OP LLC

5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

GONZALES HEALTHCARE SYSTEMS

5% OR GREATER DIRECT OWNERSHIP INTEREST · O · 100% ownership · since Jan 1, 2015

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER INC

5% OR GREATER SECURITY INTEREST · O · 100% ownership · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

BRANDON ANZALDUA

CORPORATE OFFICER · I · since Aug 1, 2023

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

1105 N MAGNOLIA OPCO, LLC

OPERATIONAL/MANAGERIAL CONTROL · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

1105 N MAGNOLIA PROPERTY OWNER, LLC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

NOCHUM FREUND

OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

AARON TRAVITSKY

OPERATIONAL/MANAGERIAL CONTROL · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

DIVONNA PERKINS

ADP OF THE SNF · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER NNN GROUP, LLC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

JULI CLAY

CORPORATE OFFICER · I · since May 24, 2001

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER OP LLC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

WELLTOWER INC

ADP OF THE SNF · O · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Unnamed party

ADP OF THE SNF · I · since Mar 1, 2025

Source CMS Skilled Nursing Facility All Owners · record as of 19 Oct 2026 · pulled 21 Oct 2026 · version 2026-10-21 · 859da0

Source timeline

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Source records

Each value includes its published file, download date, and weekly version. Open a link to check the source record. Verify this lead yourself.

DetailValuePublished fileRecord as ofPulledVersion
Legal nameGONZALES HEALTHCARE SYSTEMSCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Trading nameAVIR AT MAGNOLIACMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
NPI1144662990CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Medicare certification number676044CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CMS associate ID8527963776CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Provider typePART A PROVIDER - SKILLED NURSING FACILITYCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Organisation typeGOVERNMENTCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
Street address1105 N MAGNOLIA AVECMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
CityLULINGCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
StateTXCMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d
ZIP78648-1604CMS Skilled Nursing Facility EnrollmentsOct 19, 2026Nov 9, 20262026-11-09 · e83b3d

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