Avir at Seguin
1215 Ashby · Seguin, TX · 78155 · 8303791606
134 certified beds For profit - Corporation Chain: Avir Health Group Hospital-based
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.23 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.23 | 0.55–0.75 |
| Weekend hours / resident-day | 2.80 | ≈ weekday level |
| Nursing turnover / year | 58% | median 45% |
| Fines (3-yr window) | 1 · $13,877 |
Inspection citations (46 in the current record)
-
Potential for harm · E February 6, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 7, 2026 · Resident Assessment and Care Planning
-
Actual harm · G January 30, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Past Non-Compliance · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D July 31, 2025
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.
Corrected August 1, 2025 · Resident Rights
-
Potential for harm · D July 31, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 1, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E July 31, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 1, 2025 · Pharmacy Service
-
Potential for harm · D July 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 1, 2025 · Nutrition and Dietary
-
Potential for harm · D July 31, 2025
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.
Corrected August 1, 2025 · Administration
-
No harm found · C July 31, 2025
Post nurse staffing information every day.
Corrected August 1, 2025 · Nursing and Physician Services
-
Potential for harm · D March 14, 2025 · found via complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected March 17, 2025 · Resident Rights
-
Potential for harm · E March 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 17, 2025 · Infection Control
-
Immediate jeopardy · J July 7, 2024 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 8, 2024 · Quality of Life and Care
-
Immediate jeopardy · J July 7, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 18, 2024 · Environmental
-
Potential for harm · D June 5, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected June 7, 2024 · Resident Rights
-
Potential for harm · D June 5, 2024
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected June 7, 2024 · Resident Rights
-
Potential for harm · D June 5, 2024
Keep residents' personal and medical records private and confidential.
Corrected June 7, 2024 · Resident Rights
-
Potential for harm · E June 5, 2024
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.
Corrected June 7, 2024 · Resident Rights
-
Potential for harm · E June 5, 2024
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected June 7, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 5, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 7, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D June 5, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected June 7, 2024 · Quality of Life and Care
-
Potential for harm · D June 5, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 7, 2024 · Quality of Life and Care
-
Potential for harm · E June 5, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Corrected June 7, 2024 · Quality of Life and Care
-
Potential for harm · D June 5, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected June 7, 2024 · Pharmacy Service
-
Potential for harm · D June 5, 2024
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.
Corrected June 7, 2024 · Pharmacy Service
-
Potential for harm · F June 5, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 7, 2024 · Nutrition and Dietary
-
Potential for harm · D June 5, 2024
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected June 7, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| May 16, 2024 | Fine | $13,877 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675641 · certified since October 31, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.