Avir at Walnut Springs in Seguin, TX has a 5 out of 5 overall rating, with strong quality measures and health inspections but a 2 out of 5 staffing rating. Reported nurse staffing is 3.47 hours per resident per day, below the federal benchmark of 4.1, and there were $0 fines in the last 24 months.
Last inspection: November 18, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4714.
Staffing detail
Registered nurses
0.11
Licensed practical nurses
1.37
Nurse aides
1.99
Weekend nursing
3.02
Hours per resident per day.
Total staff turnover: 47%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.8%Worsening
Residents with a fall causing major injury
2.4%Improving
Residents with pressure ulcers (bedsores)
2%Worsening
Residents with a urinary tract infection
0%Steady
Residents who lost too much weight
0.6%Steady
Residents who were physically restrained
2.8%Steady
Residents needing more help with daily activities
15.1%Improving
Residents whose ability to walk got worse
12.4%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
13.4%Improving
Short-stay residents newly given an antipsychotic
2.2%Improving
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
7.6%Worsening
Residents with depressive symptoms
0.9%Steady
Long-stay residents given the seasonal flu vaccine
98.4%Steady
Long-stay residents given the pneumonia vaccine
99.2%Worsening
Short-stay residents given the seasonal flu vaccine
83.1%Steady
Short-stay residents given the pneumonia vaccine
74%Worsening
What the inspectors found
The home failed to provide proper bladder and bowel care, including catheter care and steps to prevent urinary tract infections. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 690 — 42 CFR §483.25(e) — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 641 — 42 CFR §483.20(g) — S/S: D
The home failed to provide safe and appropriate breathing care when a resident needed it. Cited November 2025 — isolated incident, potential for harm.
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F-Tag 695 — 42 CFR §483.25(i) — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited November 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 5 health deficiencies.
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Operator & ownership
Ownership
For profit - Corporation
Chain
Part of AVIR HEALTH GROUP · 117 homes · 2.2 stars avg
Occupancy
67.4 residents on an average day (60% of 113 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.