For profit - Corporation · 113 certified beds · CMS number 675656
Avir at Walnut Springs, Seguin, TX
CMS records 14 health deficiencies at Avir at Walnut Springs in Seguin, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Nov 18, 2025. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 14deficiencies, 3 cycles (TX median 25)
- 7in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Avir at Walnut Springs as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Avir at Walnut Springs may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (7 deficiencies)
Standard inspection Nov 18, 2025. CMS counts 7 health deficiencies and 2 fire safety deficiencies in this cycle.
Nov 18, 2025 · Standard inspection
7 deficiencies, highest E
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Nov 19, 2025
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 Nov 19, 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 Nov 19, 2025
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 19, 2025
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 Nov 19, 2025
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 19, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 19, 2025
Previous cycle: 6 deficiencies (standard inspection Aug 28, 2024)
Standard inspection Aug 28, 2024. CMS counts 6 health deficiencies and 1 fire safety deficiency in this cycle.
May 2, 2025 · Complaint inspection
1 deficiency, highest D
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 May 23, 2025
Aug 28, 2024 · Standard + complaint inspection
5 deficiencies, highest D
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Aug 29, 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 Sep 27, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 27, 2024
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Aug 18, 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 Sep 27, 2024
Earlier cycle: 1 deficiency (standard inspection Jun 16, 2023)
Standard inspection Jun 16, 2023. CMS counts 1 health deficiency and 3 fire safety deficiencies in this cycle.
Jun 16, 2023 · Standard inspection
1 deficiency, highest B
F912 · Minimum bedroom size
Requirement cited (CMS): Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- Severity
- B No actual harm, potential for minimal harm, pattern
- Status
- Correction date Jul 5, 2023
Tags cited in more than one inspection
2 tags cited on more than one inspection date at Avir at Walnut Springs; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F912 Minimum bedroom size | 3 | Nov 18, 2025; Aug 28, 2024; Jun 16, 2023 |
| F689 Accident prevention and supervision | 2 | May 2, 2025; Aug 28, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.66 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.17 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.94 h
- Nursing staff turnover
- 57.7% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 5 of 5
CMS figures for Avir at Walnut Springs, copied as published; Texas medians are ours.
Facility details
- Address
- 1637 N King St, Seguin, TX 78155
- Phone
- (830) 379-3784
- County
- Guadalupe
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Avir Health Group
- Certified beds
- 113
- Average residents per day
- 67.9
- In Medicare/Medicaid since
- Dec 10, 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 large are the shared and private rooms, and how many residents share a room? (F912, cited 3 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 1 time)
- How does the home screen, train, and supervise staff to protect residents? (F600, cited 1 time)
Other nursing homes in Seguin and the same chain
- Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Avir at Seguin
Seguin · 51 deficiencies - River Bend Healthcare
Seguin · 49 deficiencies - Windsor Nursing and Rehabilitation Center of Segui
Seguin · 33 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.