nursing home in Seguin, TX

Avir at Seguin

1215 Ashby, Seguin, TX 78155 · (830) 379-1606

★★★★★1
Much below average
CMS overall star rating
  • Health inspections★★★★★2
  • Staffing★★★★★1
  • Quality measures★★★★★4
  • Abuse citation

Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data

Avir at Seguin at a glance

Avir at Seguin is a 134-bed for-profit nursing home in Seguin, Texas (Guadalupe County).

CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.

Residents receive about 2.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.

Its most recent standard health inspection (July 31, 2025) found 13 health citations. The Texas average is 9.4.

Federal regulators fined it 1 time in the past three years, totaling $13,877.

Nursing staff turnover is 60.8% per year (state average 55.3%).

Facility details

Type
Nursing home
Ownership
For Profit - Corporation
Beds
134
Certified for
Medicare and Medicaid
Chain / affiliated entity
Avir Health Group
Medicare-certified since
October 31, 1996
Resident/family council
Resident
County
Guadalupe County
CMS Certification Number
675641

Ratings

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Overall star rating ⓘ (higher is better)1 / 52.7 / 53 / 5Worse
Health inspection rating ⓘ (higher is better)2 / 52.8 / 52.8 / 5Worse
Staffing rating ⓘ (higher is better)1 / 51.9 / 52.9 / 5Worse
Quality measures rating ⓘ (higher is better)4 / 53.7 / 53.6 / 5Average
Long-stay quality rating (higher is better)4 / 54 / 53.8 / 5Average
Short-stay (rehab) quality rating (higher is better)3 / 53.2 / 53.3 / 5Average

Staffing

This facility2.88 hrsTexas average3.39 hrsU.S. average3.86 hrs
Total nurse staff hours per resident per day: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Total nurse staff hours per resident per day ⓘ (higher is better)2.88 hrs3.39 hrs3.86 hrsWorse
Registered nurse hours per resident per day (higher is better)0.25 hrs0.43 hrs0.69 hrsWorse
Nurse aide hours per resident per day (higher is better)1.91 hrs2.01 hrs2.32 hrsWorse
Weekend nurse staff hours per resident per day (higher is better)2.66 hrs2.98 hrs3.42 hrsWorse
Nursing staff turnover (yearly) (lower is better)60.8%55.3%45.8%Worse
Administrators who left in the past year (lower is better)111Worse

Inspections

This facility13Texas average9U.S. average9
Health citations in the most recent inspection: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Health citations in the most recent inspection (lower is better)1399Worse
Citations from complaint investigations (latest cycle) (lower is better)743Worse
Weighted health inspection score ⓘ (lower is better)107.810280.6Worse

Penalties

This facility1Texas average1U.S. average1
Fines in the past 3 years: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Fines in the past 3 years (lower is better)111Worse
Total fines in the past 3 years (lower is better)$13,877$44,141$30,972Better
All federal penalties in the past 3 years (lower is better)121Average

Size

MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Certified beds134113107
Average residents per day687686
Occupancy50.5%67.6%80.9%

Long-stay residents

This facility3.9%Texas average3.3%U.S. average3.2%
Long-stay residents with a fall causing major injury: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Long-stay residents with a fall causing major injury (lower is better)3.9%3.3%3.2%Worse
Long-stay residents with pressure ulcers (lower is better)1.2%3.8%4.6%Better
Long-stay residents given antipsychotic medication (lower is better)4.4%9.6%15.4%Better
Long-stay residents with a urinary tract infection (lower is better)0.9%0.8%1.6%Better
Long-stay residents with a catheter left in the bladder (lower is better)0%0.3%0.8%Better
Long-stay residents needing more help with daily activities (lower is better)14%15.8%13.9%Average
Long-stay residents whose walking worsened (lower is better)13.4%14%14.1%Average
Long-stay residents who lose too much weight (lower is better)2.2%3%5.2%Better
Long-stay residents with depressive symptoms (lower is better)2.3%2.4%12.8%Better
Long-stay residents who were physically restrained (lower is better)0%0%0.1%Better
Long-stay residents given anti-anxiety or sleep medication (lower is better)33.5%18%19.5%Worse
Long-stay residents with new or worse incontinence (lower is better)7.9%13.4%19%Better
Long-stay residents given a flu vaccine (higher is better)100%98%95.5%Average
Long-stay residents given a pneumonia vaccine (higher is better)99.6%96.6%93.6%Better

Short-stay residents

This facility2.8%Texas average1.5%U.S. average1.6%
Short-stay residents newly given antipsychotic medication: this facility vs. Texas and U.S. averages
MeasureThis facilityTexas avg.U.S. avg.vs. U.S.
Short-stay residents newly given antipsychotic medication (lower is better)2.8%1.5%1.6%Worse
Short-stay residents given a flu vaccine (higher is better)90%88%79.8%Better
Short-stay residents given a pneumonia vaccine (higher is better)97.4%88.9%82%Better

Inspection citations

State inspectors cited this home for 51 health deficiencies and 12 fire safety deficiencies in the inspection records CMS currently publishes. 3 citations involved actual harm, including 2 rated "immediate jeopardy".

DateCitationSeverityStatus
July 22, 2026
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected July 23, 2026
July 14, 2026
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
D
Potential harm, isolated
Corrected July 15, 2026
July 14, 2026
Complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
D
Potential harm, isolated
Corrected July 15, 2026
July 14, 2026
Complaint
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
D
Potential harm, isolated
Corrected July 15, 2026
June 24, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 25, 2026
June 23, 2026
Fire safety
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies · Tag K0345
F
Potential harm, widespread
Corrected June 25, 2026
February 6, 2026
Complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
E
Potential harm, pattern
Corrected February 7, 2026
January 30, 2026
Complaint
Protect 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 Deficiencies · Tag F0600
G
Actual harm, isolated
Past Non-Compliance
July 31, 2025
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
F
Potential harm, widespread
Corrected August 1, 2025
July 31, 2025
Fire safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies · Tag K0355
E
Potential harm, pattern
Corrected August 1, 2025
July 31, 2025
Fire safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies · Tag K0372
E
Potential harm, pattern
Corrected August 1, 2025
July 31, 2025
Fire safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies · Tag K0321
E
Potential harm, pattern
Corrected August 1, 2025
July 31, 2025
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
No revisit needed
July 31, 2025
Standard
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Tag F0755
E
Potential harm, pattern
Corrected August 1, 2025
July 31, 2025
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected August 1, 2025
July 31, 2025
Standard
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.
Resident Rights Deficiencies · Tag F0578
D
Potential harm, isolated
Corrected August 1, 2025
July 31, 2025
Standard
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.
Administration Deficiencies · Tag F0849
D
Potential harm, isolated
Corrected August 1, 2025
July 31, 2025
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
D
Potential harm, isolated
Corrected August 1, 2025
July 31, 2025
Standard
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Tag F0732
C
No harm, widespread
Corrected August 1, 2025
March 14, 2025
Complaint
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected March 17, 2025
March 14, 2025
Complaint
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected March 17, 2025
July 7, 2024
Complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · Tag F0925
J
Immediate jeopardy, isolated
Corrected June 18, 2024
July 7, 2024
Complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Tag F0686
J
Immediate jeopardy, isolated
Corrected July 8, 2024
June 5, 2024
Fire safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies · Tag K0741
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Fire safety
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected June 5, 2024
June 5, 2024
Standard
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Tag F0812
F
Potential harm, widespread
Corrected June 7, 2024
June 5, 2024
Standard
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Tag F0880
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Standard
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Tag F0695
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Complaint
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.
Nursing and Physician Services Deficiencies · Tag F0727
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Standard
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.
Resident Rights Deficiencies · Tag F0584
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Standard
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Tag F0645
E
Potential harm, pattern
Corrected June 7, 2024
June 5, 2024
Standard
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Tag F0689
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · Tag F0558
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · Tag F0561
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · Tag F0583
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Tag F0656
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Tag F0677
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · Tag F0756
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
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.
Pharmacy Service Deficiencies · Tag F0761
D
Potential harm, isolated
Corrected June 7, 2024
June 5, 2024
Standard
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Nutrition and Dietary Deficiencies · Tag F0813
D
Potential harm, isolated
Corrected June 7, 2024
May 16, 2024
Complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected June 5, 2024
March 22, 2024
Complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Administration Deficiencies · Tag F0839
E
Potential harm, pattern
Corrected April 22, 2024
May 5, 2023
Fire safety
Provide properly protected cooking facilities.
Smoke Deficiencies · Tag K0324
E
Potential harm, pattern
Corrected June 16, 2023
May 5, 2023
Fire safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies · Tag K0211
E
Potential harm, pattern
Corrected June 16, 2023
May 5, 2023
Fire safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Services Deficiencies · Tag K0521
C
No harm, widespread
Corrected June 16, 2023
May 5, 2023
Standard
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies · Tag F0941
F
Potential harm, widespread
Corrected May 12, 2023
May 5, 2023
Standard
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies · Tag F0944
F
Potential harm, widespread
Corrected May 12, 2023
May 5, 2023
Standard
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.
Nursing and Physician Services Deficiencies · Tag F0727
F
Potential harm, widespread
Corrected May 12, 2023
May 5, 2023
Standard
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607
E
Potential harm, pattern
Corrected May 9, 2023
May 5, 2023
Standard
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.
Resident Rights Deficiencies · Tag F0578
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies · Tag F0570
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Tag F0842
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies · Tag F0949
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Provide training in compliance and ethics.
Administration Deficiencies · Tag F0946
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies · Tag F0942
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Tag F0921
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · Tag F0850
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Administration Deficiencies · Tag F0847
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · Tag F0759
E
Potential harm, pattern
Corrected May 12, 2023
May 5, 2023
Standard
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Tag F0657
D
Potential harm, isolated
Corrected May 12, 2023
May 5, 2023
Standard
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · Tag F0760
D
Potential harm, isolated
Corrected May 12, 2023
May 5, 2023
Standard
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies · Tag F0553
D
Potential harm, isolated
Corrected May 12, 2023

Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.

Fines and payment denials

CMS reports 1 federal penalty in the past three years, including $13,877 in fines.

DatePenaltyAmount / length
May 16, 2024Fine$13,877

Owners and managers

Individuals and organizations reported to CMS as owning or operating this nursing home.

NameRoleShareSince
GUADALUPE COUNTY HOSPITAL BOARD
Organization
5% or greater direct ownership interest100%02/01/2015
1215 ASHBY PROPERTY OWNER, LLC
Organization
5% or greater security interestNOT APPLICABLE03/01/2025
WELLTOWER INC
Organization
5% or greater security interestNOT APPLICABLE03/01/2025
WELLTOWER NNN GROUP, LLC
Organization
5% or greater security interestNOT APPLICABLE03/01/2025
WELLTOWER OP, LLC
Organization
5% or greater security interestNOT APPLICABLE03/01/2025
1215 ASHBY OPCO, LLC
Organization
adp of the snfNOT APPLICABLE04/22/2025
1215 ASHBY PROPERTY OWNER, LLC
Organization
adp of the snfNOT APPLICABLE03/01/2025
ALLEN, GARY
Individual
adp of the snfNOT APPLICABLE03/01/2025
WELLTOWER INC
Organization
adp of the snfNOT APPLICABLE03/01/2025
WELLTOWER NNN GROUP, LLC
Organization
adp of the snfNOT APPLICABLE03/01/2025
WELLTOWER OP, LLC
Organization
adp of the snfNOT APPLICABLE03/01/2025
GANN, KODY
Individual
corporate officerNOT APPLICABLE03/01/2025
DAGAN, AMITAI
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/22/2025
GOLDBERGER, ABRAHAM
Individual
individual is an owner, partner or trustee of any adp of the snfNOT APPLICABLE04/22/2025
1215 ASHBY OPCO, LLC
Organization
operational/managerial controlNOT APPLICABLE03/01/2025
FREUND, NOCHUM
Individual
operational/managerial controlNOT APPLICABLE03/01/2025
TRAVITSKY, AARON
Individual
operational/managerial controlNOT APPLICABLE03/01/2025

Other nursing homes near Avir at Seguin

  1. Windsor Nursing and Rehabilitation Center of Segui

    1219 Eastwood Dr, Seguin, TX 78155 · under 1 mi

    Government · 122 beds · Part of Wellsential Health

    ★★★★★2Below average
  2. Guadalupe Valley Nursing and Rehabilitation Center

    1210 Eastwood Dr, Seguin, TX 78155 · under 1 mi

    Non-profit · 148 beds · Part of Wellsential Health

    ★★★★★2Below average
  3. River Bend Healthcare

    1339 Eastwood Dr., Seguin, TX 78155 · under 1 mi

    Government · 115 beds · Part of The Ensign Group

    ★★★★★1Much below average
  4. Avir at Walnut Springs

    1637 N King St, Seguin, TX 78155 · 1.3 mi

    For-profit · 113 beds · Part of Avir Health Group

    ★★★★★4Above average
  5. Legend Oaks Healthcare and Rehabilitation - New Br

    2468 Fm 1101, New Braunfels, TX 78130 · 12.8 mi

    Government · 126 beds · Part of The Ensign Group

    ★★★★★3Average
  6. Avir at New Braunfels

    821 US Hwy 81 W, New Braunfels, TX 78130 · 13.2 mi

    For-profit · 154 beds · Part of Avir Health Group

    • Abuse citation
    • New owner (last 12 months)
    ★★★★★1Much below average

All nursing homes in Seguin, TX · Compare side by side

Frequently asked questions

What is Avir at Seguin's rating?

Avir at Seguin has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.

How many inspection citations did Avir at Seguin receive?

Its most recent standard health inspection found 13 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.

Does Avir at Seguin accept Medicare and Medicaid?

CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.

Who owns Avir at Seguin?

It is for profit - corporation and part of Avir Health Group. The ownership section on this page lists the owners and managers reported to CMS.

Where is Avir at Seguin and how do I contact it?

Avir at Seguin is at 1215 Ashby, Seguin, TX 78155. Phone: (830) 379-1606.

About this data

Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.