Texas › Guadalupe County › Seguin
Avir At Seguin
1215 Ashby, Seguin, TX 78155
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.
Certified for 134 beds, Avir At Seguin serves Seguin in Guadalupe County, Texas and has taken Medicare and Medicaid residents since 1996.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (9, 17, 21 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 35.1 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 2.9 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 60.8%.
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 | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 49 | 25 | 28.7 |
| Citations per 100 beds | 35.1 | 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 | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 60.8% | 60.8% | 52.1% | 45.8% |
| Fines listed | $13,877 | $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: 31 Jul 2025, 5 Jun 2024.
Severity mix: J ×2 G ×1 D ×18 E ×21 F ×4 C ×1
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 |
|---|---|---|---|---|---|
| 24 Jun 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 | 25 Jun 2026 |
| 6 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 | Complaint investigation | 7 Feb 2026 |
| 30 Jan 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | Past Non-Compliance |
| 31 Jul 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | 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 | Standard survey | 1 Aug 2025 |
| 31 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 | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 1 Aug 2025 |
| 31 Jul 2025 | 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 | 1 Aug 2025 |
| 31 Jul 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 1 Aug 2025 |
| 14 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 17 Mar 2025 |
| 14 Mar 2025 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Complaint investigation | 17 Mar 2025 |
| 7 Jul 2024 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Complaint investigation | 8 Jul 2024 |
| 7 Jul 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | J | Complaint investigation | 18 Jun 2024 |
| 5 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | 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. | E | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0727 | 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. | E | Complaint investigation | 7 Jun 2024 |
| 5 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | 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 | 7 Jun 2024 |
| 5 Jun 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 | Standard survey | 7 Jun 2024 |
| 5 Jun 2024 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 7 Jun 2024 |
| 16 May 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 5 Jun 2024 |
| 22 Mar 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 22 Apr 2024 |
| 5 May 2023 | F0727 | 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. | F | Standard survey | 12 May 2023 |
| 5 May 2023 | F0941 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | F | Standard survey | 12 May 2023 |
| 5 May 2023 | F0944 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | F | Standard survey | 12 May 2023 |
| 5 May 2023 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 12 May 2023 |
| 5 May 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. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 9 May 2023 |
| 5 May 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0946 | Provide training in compliance and ethics. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0949 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Standard survey | 12 May 2023 |
| 5 May 2023 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 12 May 2023 |
| 5 May 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 12 May 2023 |
| 5 May 2023 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 12 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 16 May 2024 | Fine | $13,877 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 60.8%, RNs —; 1 administrator 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 | 14.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.9% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.2% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.4% | 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, corporation. 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% | 02/01/2015 |
| 1215 Ashby 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 |
| 1215 Ashby Opco, LLC | Operational/managerial control | NOT APPLICABLE | 03/01/2025 |
| 1215 Ashby Opco, LLC | Adp of the snf | NOT APPLICABLE | 04/22/2025 |
| 1215 Ashby 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 |
| Avir At Schertzabuse icon | Schertz | 96 | 2 | 1 | 1 | 65 | 67.7 | $35K | 21 Mar 2026 |
| 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 |
| 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 Seguin been cited for?
47 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 Seguin been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Avir At Seguin 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 Seguin?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Guadalupe County Hospital Board and 1215 Ashby Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Seguin last inspected?
The most recent survey or investigation in the CMS record is dated 24 Jun 2026; the most recent standard health survey was 31 Jul 2025.
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.