Nursing HomeInspections

Avir at Walnut Springs

Nursing home in Seguin, TX

Medicare & Medicaid certified4★ overall (CMS)

Call (830) 379-3784Send a messageMap ↗

Public-record details

Address
1637 N King St, Seguin, TX 78155
Phone
(830) 379-3784
Listed under
For-profit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
675656
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
5 of 5
Certified beds
113
Average residents per day
68
Ownership
For-profit, corporation
Legal business name
Fannin County Hospital Authority
Chain
Avir Health Group (116 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 10, 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 675656. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Nov 18, 2025. CMS lists 14 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 16, 2023 to Nov 18, 2025): 6 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Nov 18, 2025Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental		B
Potential for minimal harm, pattern
Nov 18, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Nov 18, 2025Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Nov 18, 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
Nov 18, 2025Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Nov 18, 2025Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Nov 18, 2025Ensure 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…
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 2, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 28, 2024Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Environmental · complaint inspection		B
Potential for minimal harm, pattern
Aug 28, 2024Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Aug 28, 2024Protect 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		D
Potential for more than minimal harm, isolated
Aug 28, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 14. 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 no fines or payment denials for this facility in the last three years.

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
3.66 hours
Registered nurse (RN) time per resident per day
0.17 hours
Nurse aide time per resident per day
2.20 hours
Total nurse staffing on weekends
2.94 hours
Nursing staff turnover (yearly)
58%
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

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)Avir at Seguin1215 Ashby · Seguin, TX 78155 · (830) 379-1606 · For-profit47 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $13,877 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse iconRiver 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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