Texas › Guadalupe County › Schertz
Avir At Schertz
3301 Fm 3009, Schertz, TX 78154
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avir At Schertz, in Schertz, Texas, is certified for 96 beds under for-profit, limited liability company ownership and belongs to the Avir Health Group chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 1 and quality measures 5.
Inspectors recorded 65 health deficiencies across the three most recent survey cycles (37, 16, 12 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 67.7 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $35K.
Reported nurse staffing is 2.9 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 79.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Guadalupe Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 65 | 49 | 25 | 28.7 |
| Citations per 100 beds | 67.7 | 35.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 79.4% | 60.8% | 52.1% | 45.8% |
| Fines listed | $34,769 | $24,499 | $16,801 | — |
County and state figures are medians across facilities (8 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 27 Feb 2026, 23 Nov 2024.
Severity mix: J ×3 D ×49 E ×11 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 Mar 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 18 Apr 2026 |
| 27 Feb 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0814 | Dispose of garbage and refuse properly. | F | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0761 | 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. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0803 | Ensure 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. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 6 Mar 2026 |
| 27 Feb 2026 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | D | Standard survey | 6 Mar 2026 |
| 4 Feb 2026 | F0700 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | Complaint investigation | 12 Feb 2026 |
| 9 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | Past Non-Compliance |
| 9 Jan 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | Complaint investigation | Past Non-Compliance |
| 9 Jan 2026 | F0761 | 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. | E | Complaint investigation | 30 Jan 2026 |
| 9 Jan 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 30 Jan 2026 |
| 9 Jan 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 30 Jan 2026 |
| 31 Oct 2025 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Complaint investigation | 3 Nov 2025 |
| 31 Oct 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Nov 2025 |
| 31 Oct 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 3 Nov 2025 |
| 17 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 20 Sep 2025 |
| 17 Sep 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 20 Sep 2025 |
| 17 Sep 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 20 Sep 2025 |
| 5 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Jul 2025 |
| 5 Jul 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 6 Jul 2025 |
| 9 May 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint investigation | 6 Jun 2025 |
| 9 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Jun 2025 |
| 9 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 6 Jun 2025 |
| 23 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 25 Nov 2024 |
| 23 Nov 2024 | F0758 | Implement 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. | E | Standard survey | 25 Nov 2024 |
| 23 Nov 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 25 Nov 2024 |
| 23 Nov 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 25 Nov 2024 |
| 23 Nov 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 25 Nov 2024 |
| 23 Nov 2024 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 25 Nov 2024 |
| 8 Nov 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 9 Nov 2024 |
| 8 Nov 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 9 Nov 2024 |
| 8 Nov 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint investigation | 9 Nov 2024 |
| 8 Nov 2024 | F0761 | 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. | D | Complaint investigation | 9 Nov 2024 |
| 8 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 9 Nov 2024 |
| 18 Oct 2023 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0578 | 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. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0584 | 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. | D | Standard survey | 6 Nov 2023 |
| 18 Oct 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | Complaint investigation | 6 Nov 2023 |
| 18 Oct 2023 | F0761 | 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. | D | Standard survey | 6 Nov 2023 |
| 18 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 6 Nov 2023 |
| 18 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 6 Nov 2023 |
| 18 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jan 2026 | Fine | $9,113 | |
| 23 Nov 2024 | Fine | $25,656 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 79.4%, RNs 83.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.8% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.7% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 0.0% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Guadalupe County Hospital Board. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Guadalupe County Hospital Board | 5% or greater direct ownership interest | 100% | 03/03/2017 |
| 3301 Fm 3009 Property Owner, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | 5% or greater security interest | NOT APPLICABLE | 03/01/2025 |
| 3301 Fm 3009 Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 3301 Fm 3009 Opco, LLC | Adp of the snf | NOT APPLICABLE | 04/22/2025 |
| 3301 Fm 3009 Property Owner, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Inc | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 03/01/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Guadalupe County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Walnut Springs | Seguin | 113 | 4 | 4 | 1 | 14 | 12.4 | — | 18 Nov 2025 |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | 148 | 2 | 2 | 2 | 52 | 35.1 | $75K | 30 Jun 2026 |
| Silver Tree Nursing and Rehabilitation Center | Schertz | 120 | 2 | 2 | 2 | 60 | 50.0 | $114K | 12 Jun 2026 |
| Trucare Living Centers - Selma | Selma | 128 | 2 | 3 | 1 | 25 | 19.5 | — | 26 Apr 2026 |
| Windsor Nursing and Rehabilitation Center of Segui | Seguin | 122 | 2 | 3 | 1 | 33 | 27.0 | $24K | 31 Jul 2025 |
| Avir At Seguinabuse icon | Seguin | 134 | 1 | 2 | 1 | 47 | 35.1 | $14K | 24 Jun 2026 |
| River Bend Healthcare | Seguin | 115 | 1 | 2 | 1 | 49 | 42.6 | $18K | 13 Feb 2026 |
All 8 facilities in Guadalupe County
Questions and answers
How many deficiencies has Avir At Schertz been cited for?
65 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Schertz been fined?
Yes. CMS lists fines totalling $35K in the period covered.
How does staffing at Avir At Schertz compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Schertz?
It is part of the Avir Health Group chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Guadalupe County Hospital Board and 3301 Fm 3009 Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Schertz last inspected?
The most recent survey or investigation in the CMS record is dated 21 Mar 2026; the most recent standard health survey was 27 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.