Texas ›Seguin

Avir at Walnut Springs

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1637 N King St, Seguin, TX 78155 (opens Google Maps) · Guadalupe County · (830) 379-3784· 113 certified beds · avg 68 residents/day · certified since Dec 10, 1996 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: AVIR HEALTH GROUP (116 facilities, chain avg rating 2.3★)

4/5
Health inspection rating (on-site)
inspected Nov 18, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.69
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 14 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. F-0690

  2. E · Potential for more than minimal harm, pattern

    The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. F-0761

  3. D · Potential for more than minimal harm, isolated

    The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. F-0641

View all 14 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Nov 18, 2025E · Potential for more than minimal harm, patternThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Nov 18, 2025E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Nov 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Nov 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Nov 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Nov 18, 2025D · Potential for more than minimal harm, isolatedThe facility did not have a policy covering how food brought in by family and visitors is used and stored safely. · F-0813
Nov 18, 2025B · Potential for minimal harm, patternThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912
May 2, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint · F-0558
Aug 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint · F-0600
Aug 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 28, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Aug 28, 2024B · Potential for minimal harm, patternThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · from a complaint · F-0912
Jun 16, 2023B · Potential for minimal harm, patternThe facility had resident rooms smaller than required — at least 80 square feet per person in shared rooms and 100 square feet in single rooms. · F-0912

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 1
Serious citations (G–L): 0
2024
All citations: 5
Serious citations (G–L): 0
2025
All citations: 8
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202310B
202450D
202580E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.69
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.17
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.96
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.693.463.95top 25% in Texas; bottom 46% in the U.S.
Registered Nurse hours0.170.440.69bottom 5% in Texas; bottom 2% in the U.S.
Weekend total nurse staffing2.963.043.50top 44% in Texas; bottom 29% in the U.S.
Weekend RN hours (not acuity-adjusted)0.190.340.48bottom 19% in Texas; bottom 11% in the U.S.
Total nursing staff turnover (%)57.755.345.8bottom 37% in Texas; bottom 20% in the U.S.
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.66, RN 0.17, weekend 2.94.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.66 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 5/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Avir at Walnut Springs. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.

Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
  • Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.

Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Fannin County Hospital AuthorityOrganization5% or Greater Direct Ownership Interest100%09/01/2020
1637 N King St Opco, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE08/01/2025
1637 N King St Opco, LLCOrganizationADP of the SNFNOT APPLICABLE08/01/2025
Dagan, AmitaiIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE11/20/2025
Freund, NochumIndividualOperational/Managerial ControlNOT APPLICABLE08/01/2025
Goldberger, AbrahamIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE11/20/2025
Goldberger, FaigyIndividualIndividual Is an Owner, Partner or Trustee of Any ADP of the SNFNOT APPLICABLE11/20/2025
Kuo, Yu JieIndividualOperational/Managerial ControlNOT APPLICABLE08/01/2025
Kuo, Yu JieIndividualADP of the SNFNOT APPLICABLE08/01/2025
Sanderson, ClarkIndividualCorporate DirectorNOT APPLICABLE10/29/2012
Travitsky, AaronIndividualOperational/Managerial ControlNOT APPLICABLE08/01/2025
Welltower NNN Group, LLCOrganizationADP of the SNFNOT APPLICABLE08/01/2025
Welltower Op, LLCOrganizationADP of the SNFNOT APPLICABLE08/01/2025
Zuniga, JudithIndividualADP of the SNFNOT APPLICABLE08/01/2025

All 14 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Avir Health Group — 116 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 115 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
  • "Can you show me how medications are stored and secured on the units, including controlled drugs?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
  • "Can I see the actual room my family member would live in before we decide?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 58% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 14 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 16 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Avir at Seguin1.3 miSeguin, TX★☆☆☆☆2/5abuse
Guadalupe Valley Nursing and Rehabilitation Center1.5 miSeguin, TX★★☆☆☆2/5
Windsor Nursing and Rehabilitation Center of Segui1.5 miSeguin, TX★★☆☆☆3/5
River Bend Healthcare1.6 miSeguin, TX★☆☆☆☆2/5
Legend Oaks Healthcare and Rehabilitation - New Br11.6 miNew Braunfels, TX★★★☆☆3/5
Avir at New Braunfels12.1 miNew Braunfels, TX★☆☆☆☆1/5abuse
Sundance Inn Health Center13.4 miNew Braunfels, TX★★☆☆☆2/5abuse
Eden Home14.3 miNew Braunfels, TX★★★☆☆3/5
Kirkwood Manor14.5 miNew Braunfels, TX★★☆☆☆2/5
Cypress Healthcare and Rehabilitation Center18.1 miSan Marcos, TX★☆☆☆☆1/5
Avir at Luling18.5 miLuling, TX★★☆☆☆1/5
Silver Tree Nursing and Rehabilitation Center18.6 miSchertz, TX★★☆☆☆2/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Guadalupe, TX — 8 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Seguin →

Facility data as of CMS processing date 2026-08-01. CCN 675656.

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