PlainNursing
CMS Nursing Home Compare · August 2026

Avir at Walnut Springs

1637 N King St, Seguin, TX 78155

Avir at Walnut Springs, a 113-bed for profit - corporation nursing facility in Seguin, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #212 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 8303793784

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4 / 5
Above average · CMS overall · nat'l 3.0
#212 of 1,165
In-state rank among rated TX homes
3.66
Below average · nurse hrs/day · nat'l 3.86
14
Inspection findings

The verdict

Avir at Walnut Springs, a 113-bed for profit - corporation nursing facility in Seguin, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #212 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#212 of 1,165
In-state rank among rated TX homes
3.66
Nurse hrs/resident-day · national 3.86
14
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as For profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
675656
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
113
Residents
68
In Hospital
Yes
County
Guadalupe
Last Inspection
Nov 18, 2025

Staffing Data

How the 3.66 total nursing hours per resident-day are staffed:

RN Hours
0.17 (nat'l avg: 0.69)
LPN Hours
1.29
CNA Hours
2.20
Total Nursing Hours
3.66 (nat'l avg: 3.86)
PT Hours
0.08
Nursing Turnover
57.7%

What the CMS Record Reveals About Avir at Walnut Springs

According to CMS Nursing Home Compare, Avir at Walnut Springs ranks #212 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avir at Walnut Springs operates 113 certified beds in Seguin, TX with approximately 68 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 1★ · quality 5★).

The inspection file contains 14 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. CMS has not levied any fines or payment denials against this facility. Per resident day, this facility reports 3.66 total nursing hours (national average 3.86) and 0.17 RN hours.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider embedded within a hospital campus, Avir at Walnut Springs falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 57.7% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (14 most recent)

B - Pattern - No harm Nov 18, 2025 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Nov 19, 2025

D - Isolated - Minimal harm Nov 18, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 19, 2025

D - Isolated - Minimal harm Nov 18, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 19, 2025

D - Isolated - Minimal harm Nov 18, 2025 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 19, 2025

D - Isolated - Minimal harm Nov 18, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 19, 2025

E - Pattern - Minimal harm Nov 18, 2025 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 19, 2025

E - Pattern - Minimal harm Nov 18, 2025 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 19, 2025

D - Isolated - Minimal harm May 2, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: May 23, 2025

B - Pattern - No harm Aug 28, 2024 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Aug 29, 2024

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 27, 2024

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 18, 2024

D - Isolated - Minimal harm Aug 28, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 27, 2024

B - Pattern - No harm Jun 16, 2023 Tag: 0912

Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

Category: Environmental Deficiencies

Corrected: Jul 5, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 12.7% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.6% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.8% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 19.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.2% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% No
Percentage of long-stay residents who were physically restrained Long Stay 2.8% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.2% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 11.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.4% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 7.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 80.1% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 83.1% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Avir at Walnut Springs, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Avir at Walnut Springs

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 113 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Avir at Walnut Springs?
Avir at Walnut Springs has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (1★), and quality measures (5★).
Where does Avir at Walnut Springs rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Avir at Walnut Springs ranks 212th among 1,165 rated nursing homes in TX (#212 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Avir at Walnut Springs?
Avir at Walnut Springs reports 3.66 total nursing hours per resident day (national average: 3.86). RN hours are 0.17 per resident day (national average: 0.69). Nursing staff turnover is 57.7%.
How many beds does Avir at Walnut Springs have?
Avir at Walnut Springs has 113 certified beds with approximately 68 residents. The facility is located at 1637 N King St, Seguin, TX 78155.
Does Avir at Walnut Springs have any deficiencies on record?
Yes, Avir at Walnut Springs has 14 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Avir at Walnut Springs received any fines or penalties?
No, Avir at Walnut Springs has no fines or penalties on record.
Who owns Avir at Walnut Springs?
Avir at Walnut Springs is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid" and is located within a hospital.
When was Avir at Walnut Springs last inspected?
The most recent health inspection for Avir at Walnut Springs was on Nov 18, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Avir at Walnut Springs?
Avir at Walnut Springs is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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