Nursing home report
Registered name: Avir at Walnut Springs
SEGUIN, TX · Medicare-certified · 113 beds
Hacienda Oaks Nursing & Rehabilitation has a 4-star overall rating in Seguin, TX, with strong quality measures (5 stars) and health inspections (4 stars), but very weak staffing (1 star) with 3.66 reported nurse hours per resident day below the 4.1 federal benchmark. There were no fines in the last 24 months, though recent inspection citations included care, medication storage, and resident assessment issues.
Health inspections
Staffing
3.6577 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6577.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 7 health deficiencies.
Health inspection found 1 health deficiency.
Health inspection found 5 health deficiencies.
Now operated by Avir at Walnut Springs, previously Hacienda Oaks Nursing & Rehabilitation Center.
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.
