nursing home in Seguin, TX
Avir at Walnut Springs
1637 N King St, Seguin, TX 78155 · (830) 379-3784
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★1
- Quality measures★★★★★5
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Avir at Walnut Springs at a glance
Avir at Walnut Springs is a 113-bed for-profit nursing home in Seguin, Texas (Guadalupe County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.7 hours of nursing care per day (0.2 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (November 18, 2025) found 7 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 57.7% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 113
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avir Health Group
- Medicare-certified since
- December 10, 1996
- Resident/family council
- Resident
- County
- Guadalupe County
- CMS Certification Number
- 675656
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 5 / 5 | 3.7 / 5 | 3.6 / 5 | Better |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 5 / 5 | 3.2 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.66 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.17 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.20 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.94 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 57.7% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 29 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 113 | 113 | 107 | |
| Average residents per day | 68 | 76 | 86 | |
| Occupancy | 60.1% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 1.6% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 19.1% | 9.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 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) | 12.7% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 13% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.9% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 2.8% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 11.7% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 7.2% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.4% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99.2% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0.9% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 83.1% | 88% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 80.1% | 88.9% | 82% | Average |
Inspection citations
State inspectors cited this home for 14 health deficiencies and 6 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| November 18, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected September 27, 2025 |
| November 18, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected September 27, 2025 |
| November 18, 2025 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 | E Potential harm, pattern | Corrected November 19, 2025 |
| November 18, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected November 19, 2025 |
| November 18, 2025 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 November 19, 2025 |
| November 18, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected November 19, 2025 |
| November 18, 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 November 19, 2025 |
| November 18, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected November 19, 2025 |
| November 18, 2025 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected November 19, 2025 |
| May 2, 2025 Complaint | 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 May 23, 2025 |
| August 28, 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 August 27, 2024 |
| August 28, 2024 Complaint | 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 September 27, 2024 |
| August 28, 2024 Complaint | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected September 27, 2024 |
| August 28, 2024 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 | D Potential harm, isolated | Corrected August 18, 2024 |
| August 28, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected September 27, 2024 |
| August 28, 2024 Complaint | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected August 29, 2024 |
| June 16, 2023 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 June 15, 2023 |
| June 16, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | E Potential harm, pattern | Corrected June 15, 2023 |
| June 16, 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 14, 2023 |
| June 16, 2023 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected July 5, 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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY Organization | 5% or greater direct ownership interest | 100% | 09/01/2020 |
| 1637 N KING ST OPCO, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| KUO, YU JIE Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER NNN GROUP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| WELLTOWER OP, LLC Organization | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| ZUNIGA, JUDITH Individual | adp of the snf | NOT APPLICABLE | 08/01/2025 |
| SANDERSON, CLARK Individual | corporate director | NOT APPLICABLE | 10/29/2012 |
| DAGAN, AMITAI Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/20/2025 |
| GOLDBERGER, ABRAHAM Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/20/2025 |
| GOLDBERGER, FAIGY Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/20/2025 |
| 1637 N KING ST OPCO, LLC Organization | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| FREUND, NOCHUM Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| KUO, YU JIE Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
| TRAVITSKY, AARON Individual | operational/managerial control | NOT APPLICABLE | 08/01/2025 |
Other nursing homes near Avir at Walnut Springs
Avir at Seguin
1215 Ashby, Seguin, TX 78155 · 1.3 mi
For-profit · 134 beds · Part of Avir Health Group
- Abuse citation
★★★★★1Much below averageGuadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr, Seguin, TX 78155 · 1.5 mi
Non-profit · 148 beds · Part of Wellsential Health
★★★★★2Below averageWindsor Nursing and Rehabilitation Center of Segui
1219 Eastwood Dr, Seguin, TX 78155 · 1.5 mi
Government · 122 beds · Part of Wellsential Health
★★★★★2Below averageRiver Bend Healthcare
1339 Eastwood Dr., Seguin, TX 78155 · 1.6 mi
Government · 115 beds · Part of The Ensign Group
★★★★★1Much below averageLegend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101, New Braunfels, TX 78130 · 11.6 mi
Government · 126 beds · Part of The Ensign Group
★★★★★3AverageAvir at New Braunfels
821 US Hwy 81 W, New Braunfels, TX 78130 · 12.1 mi
For-profit · 154 beds · Part of Avir Health Group
- Abuse citation
- New owner (last 12 months)
★★★★★1Much below average
Frequently asked questions
What is Avir at Walnut Springs's rating?
Avir at Walnut Springs has 4 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 Walnut Springs receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Avir at Walnut Springs 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 Walnut Springs?
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 Walnut Springs and how do I contact it?
Avir at Walnut Springs is at 1637 N King St, Seguin, TX 78155. Phone: (830) 379-3784.
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.