Texas › Guadalupe County › Seguin
Avir At Walnut Springs
1637 N King St, 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.
Avir At Walnut Springs is a For-profit, corporation nursing home in Seguin, Texas, certified for 113 beds and caring for about 68 residents a day.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 1 and quality measures 5.
Inspectors recorded 14 health deficiencies across the three most recent survey cycles (7, 6, 1 by cycle, most recent first), none at the actual-harm level. That is 12.4 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.7 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 57.7%.
Compared with county, state and nation
| Measure | This facility | Guadalupe Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 14 | 49 | 25 | 28.7 |
| Citations per 100 beds | 12.4 | 35.1 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.7 | 3.3 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 57.7% | 60.8% | 52.1% | 45.8% |
| Fines listed | $0 | $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: 18 Nov 2025, 28 Aug 2024.
Severity mix: D ×9 E ×2 B ×3
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 |
|---|---|---|---|---|---|
| 18 Nov 2025 | 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. | E | Standard survey | 19 Nov 2025 |
| 18 Nov 2025 | 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 | Standard survey | 19 Nov 2025 |
| 18 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Nov 2025 |
| 18 Nov 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 19 Nov 2025 |
| 18 Nov 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 | 19 Nov 2025 |
| 18 Nov 2025 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | D | Standard survey | 19 Nov 2025 |
| 18 Nov 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 19 Nov 2025 |
| 2 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 23 May 2025 |
| 28 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 27 Sep 2024 |
| 28 Aug 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 18 Aug 2024 |
| 28 Aug 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 27 Sep 2024 |
| 28 Aug 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 27 Sep 2024 |
| 28 Aug 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Complaint investigation | 29 Aug 2024 |
| 16 Jun 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 5 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 57.7%, 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 | 12.7% | 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 | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 1.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.9% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 13.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 19.1% | 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: Fannin County Hospital Authority. Chain: Avir Health Group (116 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Fannin County Hospital Authority | 5% or greater direct ownership interest | 100% | 09/01/2020 |
| 1637 N King St Opco, LLC | Operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| 1637 N King St Opco, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Nnn Group, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
| Welltower Op, LLC | Adp of the snf | NOT APPLICABLE | 08/01/2025 |
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 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 |
| 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 Walnut Springs been cited for?
14 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Avir At Walnut Springs been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Avir At Walnut Springs compare?
Reported total nurse staffing is 3.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Avir At Walnut Springs?
It is part of the Avir Health Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Fannin County Hospital Authority and 1637 N King St Opco, LLC. Individual owners and managers are not listed on this site.
When was Avir At Walnut Springs last inspected?
The most recent survey or investigation in the CMS record is dated 18 Nov 2025; the most recent standard health survey was 18 Nov 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.