Avir at Walnut Springs
1637 N King St · Seguin, TX · 78155 · 8303793784
113 certified beds For profit - Corporation Chain: Avir Health Group Hospital-based
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
RN staffing in the bottom 10% nationally
0.11 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 5 of 5 Inspections: 4 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.47 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.11 | 0.55–0.75 |
| Weekend hours / resident-day | 3.02 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D November 18, 2025
Ensure each resident receives an accurate assessment.
Corrected November 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 19, 2025 · Quality of Life and Care
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Potential for harm · D November 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected November 19, 2025 · Quality of Life and Care
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Potential for harm · E November 18, 2025
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 November 19, 2025 · Pharmacy Service
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Potential for harm · D November 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 19, 2025 · Nutrition and Dietary
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Potential for harm · D November 18, 2025
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected November 19, 2025 · Nutrition and Dietary
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No harm found · B November 18, 2025
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected November 19, 2025 · Environmental
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Potential for harm · D May 2, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D August 28, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected September 27, 2024 · Resident Rights
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Potential for harm · D August 28, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 18, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 28, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D August 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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No harm found · B August 28, 2024 · found via complaint
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected August 29, 2024 · Environmental
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No harm found · B June 16, 2023
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Corrected July 5, 2023 · Environmental
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675656 · certified since December 10, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.