For profit - Corporation · 134 certified beds · CMS number 675641
Avir at Seguin, Seguin, TX
CMS records 51 health deficiencies at Avir at Seguin in Seguin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 31, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 1 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $13,877 in the last three years.
- 51deficiencies, 3 cycles (TX median 25)
- 13in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $13,877fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Seguin as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Seguin may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (13 deficiencies)
Standard inspection Jul 31, 2025. CMS counts 13 health deficiencies and 6 fire safety deficiencies in this cycle.
Jul 22, 2026 · Complaint inspection
1 deficiency, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 23, 2026
Jul 14, 2026 · Complaint inspection
3 deficiencies, highest D
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 15, 2026
Jun 24, 2026 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 25, 2026
Feb 6, 2026 · Complaint inspection
1 deficiency, highest E
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 7, 2026
Jan 30, 2026 · Complaint inspection
1 deficiency, highest G
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Past non-compliance (fixed before the inspection)
Jul 31, 2025 · Standard inspection
6 deficiencies, highest E
F849 · Hospice services
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 1, 2025
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Aug 1, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2025
Previous cycle: 17 deficiencies (standard inspection Jun 5, 2024)
Standard inspection Jun 5, 2024. CMS counts 17 health deficiencies and 3 fire safety deficiencies in this cycle.
Mar 14, 2025 · Complaint inspection
2 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 17, 2025
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 17, 2025
Jun 5, 2024 · Standard + complaint inspection
15 deficiencies, highest F
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F813 · Food brought in by visitors
Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Jun 7, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F584 · Safe, clean, homelike surroundings
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 7, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F561 · Making everyday choices
Requirement cited (CMS): Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 7, 2024
Earlier cycle: 21 deficiencies (standard inspection May 5, 2023)
Standard inspection May 5, 2023. CMS counts 21 health deficiencies and 3 fire safety deficiencies in this cycle.
Jul 7, 2024 · Complaint inspection
2 deficiencies, highest J
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jun 18, 2024
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 8, 2024
May 16, 2024 · Complaint inspection
1 deficiency, highest E
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 5, 2024
Mar 22, 2024 · Complaint inspection
1 deficiency, highest E
F839 · Licensed and qualified staff
Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 22, 2024
May 5, 2023 · Standard inspection
17 deficiencies, highest F
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F946 · Compliance and ethics training
Requirement cited (CMS): Provide training in compliance and ethics.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F944 · Quality program training
Requirement cited (CMS): Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 12, 2023
F942 · Resident rights training for staff
Requirement cited (CMS): Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F941 · Communication training for caregivers
Requirement cited (CMS): Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 12, 2023
F921 · Safe, functional, sanitary building
Requirement cited (CMS): Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F850 · Full-time social worker in larger homes
Requirement cited (CMS): Hire a qualified full-time social worker in a facility with more than 120 beds.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F847 · Arbitration agreements must be optional
Requirement cited (CMS): Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F727 · RN coverage and director of nursing
Requirement cited (CMS): 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.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 12, 2023
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 9, 2023
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F570 · Bonding for deposited funds
Requirement cited (CMS): Assure the security of all personal funds of residents deposited with the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 12, 2023
F553 · Taking part in care planning
Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 12, 2023
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Avir at Seguin; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F656 Comprehensive person-centered care plan | 4 | Jun 24, 2026; Feb 6, 2026; Jul 31, 2025; Jun 5, 2024 |
| F921 Safe, functional, sanitary building | 4 | Jul 22, 2026; Jul 14, 2026; May 16, 2024; May 5, 2023 |
| F561 Making everyday choices | 2 | Mar 14, 2025; Jun 5, 2024 |
| F578 Refusing treatment and advance directives | 2 | Jul 31, 2025; May 5, 2023 |
| F695 Respiratory and oxygen care | 2 | Jul 14, 2026; Jun 5, 2024 |
| F727 RN coverage and director of nursing | 2 | Jun 5, 2024; May 5, 2023 |
| F812 Food safety and sanitation | 2 | Jul 31, 2025; Jun 5, 2024 |
| F842 Complete, confidential medical records | 2 | Jul 14, 2026; May 5, 2023 |
| F880 Infection prevention and control program | 2 | Mar 14, 2025; Jun 5, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2024 | Fine | $13,877 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.88 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.25 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.66 h
- Nursing staff turnover
- 60.8% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Avir at Seguin, copied as published; Texas medians are ours.
Facility details
- Address
- 1215 Ashby, Seguin, TX 78155
- Phone
- (830) 379-1606
- County
- Guadalupe
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Avir Health Group
- Certified beds
- 134
- Average residents per day
- 67.7
- In Medicare/Medicaid since
- Oct 31, 1996
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How are maintenance requests from residents and families handled? (F921, cited 4 times)
- Can residents choose when they wake up, go to bed, and bathe? (F561, cited 2 times)
- How does the home record and follow a resident's advance directive? (F578, cited 2 times)
Other nursing homes in Seguin and the same chain
- Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - River Bend Healthcare
Seguin · 49 deficiencies - Windsor Nursing and Rehabilitation Center of Segui
Seguin · 33 deficiencies - Avir at Walnut Springs
Seguin · 14 deficiencies - Avir at El Paso
El Paso · 93 deficiencies - Avir at Patriot
El Paso · 78 deficiencies - Avir at Cowhorn Creek
Texarkana · 68 deficiencies - Avir at Kerrville
Kerrville · 67 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.