210 S King St, Seguin, TX 78155
Independent LivingActive Adult Living
Affordable senior housingIndependent livingAge 62+ community
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Prices not published
About Avir at Seguin
Avir at Seguin brings skilled nursing and rehabilitation expertise to Texas families during their most challenging transitions. Our team focuses on personalized recovery plans and compassionate care that honors each resident's path toward independence and wellness.
Community at a glance
Capacity
134 residents
Location
Seguin, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1215 ASHBY, Seguin, Texas 78155
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
- Medicare flags Avir at Seguin for a citation related to abuse of residents in its recent inspections.
At its most recent standard inspection, on July 31, 2025, state inspectors cited 13 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 53 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Avir at Seguin once in the last three years, $13,877 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 53 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 15 minutesBelow the Texas average |
| Nursing staff who left in the past year | 61%Above the Texas average |
1 administrator has left the home in the past year.
Inspections
34 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 22, 2026 · Complaint investigation · 1 citation
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jul 23, 2026
July 14, 2026 · Complaint investigation · 3 citations
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalFrom a complaintCorrected Jul 15, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jul 15, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 15, 2026
June 24, 2026 · Complaint investigation · 1 citation+
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 25, 2026
February 6, 2026 · Complaint investigation · 1 citation+
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 7, 2026
January 30, 2026 · Complaint investigation · 1 citation+
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Residents were harmed, a few residents (level G)Freedom from Abuse, Neglect, and ExploitationFrom a complaintAlready fixed before the inspection
July 31, 2025 · Standard inspection · 6 citations+
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Aug 1, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Aug 1, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Aug 1, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Aug 1, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 1, 2025Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Aug 1, 2025
March 14, 2025 · Complaint investigation · 2 citations+
Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Mar 17, 2025Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 17, 2025
July 7, 2024 · Complaint investigation · 2 citations+
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Immediate danger to residents, a few residents (level J)EnvironmentalFrom a complaintAlready fixed by Jun 18, 2024Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jul 8, 2024
June 5, 2024 · Standard inspection · 15 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 7, 2024PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 7, 2024Have 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.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesFrom a complaintCorrected Jun 7, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jun 7, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 7, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jun 7, 2024Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 7, 2024Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 7, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 7, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 7, 2024Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 7, 2024Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 7, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 7, 2024Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 7, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 7, 2024
May 16, 2024 · Complaint investigation · 1 citation+
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalFrom a complaintCorrected Jun 5, 2024
March 22, 2024 · Complaint investigation · 1 citation+
Employ staff that are licensed, certified, or registered in accordance with state laws.
Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Apr 22, 2024
Fines and payment denials
1 fine totaling $13,877 in the last three years.
- May 16, 2024Fine: $13,877
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Guadalupe County Hospital Board
- Medicare-certified beds
- 134
- Average residents per day
- 68
- Accepts
- Medicare and Medicaid
- First certified
- October 31, 1996
- Part of a chain
- Avir Health Group, 118 homes
- Inside a hospital
- Yes
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675641
Location
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1215 ASHBYSeguin, TX 78155
11 other communities within 10 miles
Senior living near Seguin
Guadalupe Valley Nursing and Rehabilitation Center
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Windsor Nursing and Rehabilitation Center of Segui
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Questions about Avir at Seguin
How did Avir at Seguin do on its last inspection?+
State inspectors visited on July 31, 2025 and cited 13 health deficiencies, 7 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at Avir at Seguin?+
Nurses and aides spend 2 hours 53 minutes with each resident per day, including 15 minutes from registered nurses. 61% of nursing staff left over the past year.
Has Avir at Seguin been fined by Medicare?+
Yes. Medicare fined Avir at Seguin once in the last three years, totaling $13,877.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.