Nursing HomeInspections

Avir at Seguin

Nursing home in Seguin, TX

Medicare & Medicaid certified1★ overall (CMS)CMS abuse icon

Call (830) 379-1606Send a messageMap ↗

Public-record details

Address
1215 Ashby, Seguin, TX 78155
Phone
(830) 379-1606
Listed under
For-profit
Medicare CCN
675641
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
134
Average residents per day
68
Ownership
For-profit, corporation
Legal business name
Guadalupe County Hospital Board
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Oct 31, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
Yes
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675641. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 31, 2025. CMS lists 47 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 5, 2023 to Jun 24, 2026): 10 from complaint inspections, 3 at the “actual harm” level or higher, including 2 at “immediate jeopardy”. CMS shows its abuse icon for this facility, which it uses for nursing homes cited for abuse at the harm level recently or at the potential-harm level in each of the last two years.

InspectionCitationSeverity
Jun 24, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 6, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		E
Potential for more than minimal harm, pattern
Jan 30, 2026Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		G
Actual harm, isolated
Jul 31, 2025Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Jul 31, 2025Honor 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…
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 31, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 31, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Jul 31, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern
Mar 14, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 14, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		E
Potential for more than minimal harm, pattern
Jul 7, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 47. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $13,877 in the last three years.

May 16, 2024Fine: $13,877

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.88 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.91 hours
Total nurse staffing on weekends
2.66 hours
Nursing staff turnover (yearly)
61%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Seguin

Avir at Walnut Springs1637 N King St · Seguin, TX 78155 · (830) 379-3784 · For-profit14 health citations in 3 inspection cycles · last standard inspection Nov 18, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Guadalupe Valley Nursing and Rehabilitation Center1210 Eastwood Dr · Seguin, TX 78155 · (830) 379-9308 · Nonprofit52 health citations in 3 inspection cycles · last standard inspection Mar 27, 2026 · $75,450 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Windsor Nursing and Rehabilitation Center of Segui1219 Eastwood Dr · Seguin, TX 78155 · (830) 379-7777 · Government-owned33 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $24,499 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)River Bend Healthcare1339 Eastwood Dr · Seguin, TX 78155 · (830) 379-3900 · Government-owned49 health citations in 3 inspection cycles · last standard inspection Feb 13, 2026 · $18,225 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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