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Nursing home report

Nesbit Living & Recovery Center

Registered name: Avir at Seguin

SEGUIN, TX · Medicare-certified · 134 beds

Needs attention
Abuse citationFor-profitChain member
Data as of July 1, 2026
1 of 5 overall

Nesbit Living & Recovery Center in Seguin, TX has an overall rating of 1 out of 5 stars, with 1-star staffing and 2-star health inspection results, while quality measures are 4 stars. Reported nurse staffing is 2.88 hours per resident per day, below the 4.1-hour federal benchmark, and it has a recent abuse citation but no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.8775 hrs/resident/day

Quality measures

Last inspection: February 6, 2026Penalties, last 24 months: $0recent abuse citation

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8775.

Staffing detail

Registered nurses
0.25
Licensed practical nurses
0.72
Nurse aides
1.91
Weekend nursing
2.66

Hours per resident per day.

Total staff turnover: 61%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

5.7%5.9%No change

Residents with a fall causing major injury

1.7%3.5%Worsening

Residents with pressure ulcers (bedsores)

0%1.1%Worsening

Residents with a urinary tract infection

1.7%1.8%No change

Residents who lost too much weight

0%7%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

8.2%23.3%Worsening

Residents whose ability to walk got worse

9.5%4.5%Improving

Long-stay residents on antianxiety or sleep medication

31.4%27.3%Improving

Short-stay residents newly given an antipsychotic

3.2%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

1.4%12.7%Worsening

Residents with depressive symptoms

5.4%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

98.3%100%Improving

Short-stay residents given the seasonal flu vaccine

90%

Short-stay residents given the pneumonia vaccine

94.7%100%Improving

What the inspectors found

The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 686 — 42 CFR §483.25(b) — S/S: J

The nursing home failed to make sure it had a pest control program to prevent or deal with mice, insects, and other pests. Cited July 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 925 — 42 CFR §483.90 — S/S: J

The nursing home failed to protect residents from abuse and neglect by others. Cited January 2026 — isolated incident, actual harm.

View the original federal record

F-Tag 600 — 42 CFR §483.12 — S/S: G

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited May 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $13,877 was recorded.

Penalties & enforcement

On record with Medicare: 1 fine · $13,877 in total fines.

  • Federal fine

    May 16, 2024

    $13,877

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 119 homes · 2.3 stars avg
Occupancy
67.7 residents on an average day (51% of 134 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.