Avir at Seguin
Nursing Home · Seguin, TX
CMS certification number675641
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1215 AshbySeguin, TX 78155
Guadalupe County
- Phone
- (830) 379-1606
- ZIP code
- 78155 – all care providers
Facility details
- Certified beds
- 134
- Residents per day
- 67.7 (51% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Guadalupe County Hospital Board
- Chain
- Avir Health Group (116 facilities, avg 2.3★)
- Medicare certified since
- October 31, 1996
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.88 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.25 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.72 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.91 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.66 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 60.8 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- July 31, 2025
- Health deficiencies (last cycle)
- 9.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 47 health · 12 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-25 |
| 2026-02-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-07 |
| 2026-01-30 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Past Non-Compliance |
| 2025-07-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-01 |
| 2025-07-31 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-08-01 |
| 2025-03-14 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-03-17 |
| 2025-03-14 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-17 |
| 2024-07-07 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-08 |
| 2024-07-07 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925 · Environmental Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-06-18 |
| 2024-06-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | 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. F0727 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-06-05 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-07 |
| 2024-05-16 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-05 |
| 2024-03-22 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-22 |
| 2023-05-05 | 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. F0727 · Nursing and Physician Services Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Assure the security of all personal funds of residents deposited with the facility. F0570 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | 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. F0578 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-09 |
| 2023-05-05 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. F0847 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Hire a qualified full-time social worker in a facility with more than 120 beds. F0850 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Provide training in compliance and ethics. F0946 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
| 2023-05-05 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-12 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $13,877 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-05-16 | Fine | $13,877 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Guadalupe County Hospital Board (organization) | 5%+ Direct Ownership Interest · 100% | |
| 1215 Ashby Property Owner, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Welltower INC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Welltower NNN Group, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| Welltower Op, LLC (organization) | 5%+ Security Interest · NOT APPLICABLE | |
| 1215 Ashby Opco, LLC (organization) | Administrator · NOT APPLICABLE | |
| 1215 Ashby Property Owner, LLC (organization) | Administrator · NOT APPLICABLE | |
| Allen, Gary (individual) | Administrator · NOT APPLICABLE | |
| Welltower INC (organization) | Administrator · NOT APPLICABLE | |
| Welltower NNN Group, LLC (organization) | Administrator · NOT APPLICABLE | |
| Welltower Op, LLC (organization) | Administrator · NOT APPLICABLE | |
| Gann, Kody (individual) | Corporate Officer · NOT APPLICABLE | |
| Dagan, Amitai (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| Goldberger, Abraham (individual) | Individual Is An Owner, Partner Or Trustee Of Any Administrator · NOT APPLICABLE | |
| 1215 Ashby Opco, LLC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Freund, Nochum (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Travitsky, Aaron (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Avir at Seguin?
Avir at Seguin has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Avir at Seguin have?
It has 134 certified beds and cares for about 68 residents per day.
Has Avir at Seguin been fined?
Yes. CMS lists 1 penalty totaling $13,877 in the last three years.
Who owns Avir at Seguin?
It is part of Avir Health Group and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Avir at Seguin?
(830) 379-1606. The facility is located at 1215 Ashby, Seguin, TX 78155.
Other nursing homes in Seguin
-
Avir at Walnut Springs
Nursing Home · Seguin, TX · 113 beds
★★★★ -
Guadalupe Valley Nursing and Rehabilitation Center
Nursing Home · Seguin, TX · 148 beds
★★ -
Windsor Nursing and Rehabilitation Center of Segui
Nursing Home · Seguin, TX · 122 beds
★★ -
River Bend Healthcare
Nursing Home · Seguin, TX · 115 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.