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Nursing HomeMedicaid Investigative

Avir at Seguin

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1215 Ashby, Seguin, TX 78155134 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 4 Google reviews

Avir at Seguin Nursing Home in Seguin, TX — Street View
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7/ 10
critical Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)
  • Above-median deficiencies (9 vs median 8.0)
  • High staff turnover (64%)

Bottom 25% in Texas · Critically understaffed (RN) · Worst in AVIR HEALTH GROUP chain · $13,877 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility is an excellent option for families seeking high-quality memory care and a compassionate admissions process. The staff's dedication to treating residents with dignity provides significant peace of mind for caregivers.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.23hrs
30%
Registered nurses for medical care
Total Nursing
3.10hrs
76%
All nurses + aides combined
Staff Turnover
58%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

12

measures

Worse Than Avg

3

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility37.1%
Worse than Avg
Here
37.1%
US
19.5%
TX
18.4%
Guadalupe
22.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility7.4%
Better than Avg
Here
7.4%
US
19.4%
TX
14.2%
Guadalupe
9.0%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility5.1%
Better than Avg
Here
5.1%
US
15.4%
TX
9.4%
Guadalupe
9.2%
😔

Residents with depression symptoms

↓ Lower is better
This Facility3.6%
Mixed vs Avgs
Here
3.6%
US
12.1%
TX
2.5%
Guadalupe
1.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
14.4%
TX
16.1%
Guadalupe
12.8%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.6%
Better than Avg
Here
99.6%
US
93.4%
TX
96.9%
Guadalupe
98.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.0%
Better than Avg
Here
97.0%
US
81.8%
TX
89.2%
Guadalupe
93.4%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility90.0%
Better than Avg
Here
90.0%
US
79.7%
TX
88.0%
Guadalupe
85.2%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.4%
Worse than Avg
Here
4.4%
US
1.6%
TX
1.5%
Guadalupe
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

8deficiencies
1penalties
Near state avg (9.1)
9 complaint-triggered
$13,877 in fines

Families filed eight complaints against this facility, triggering additional inspections that revealed serious issues including abuse protection failures and pressure ulcer care problems. The facility struggles most with medication management, nursing staff requirements, and environmental safety concerns. While all deficiencies show correction dates, the recurring complaints and repeat violations in core care areas like nursing supervision and resident safety suggest ongoing operational challenges that families should carefully consider.

Feb 6, 2026Complaint
1
0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Jan 30, 2026Complaint
1
0600Actual harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Jul 31, 2025Routine
11
0918Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0755Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0849Potential for harm · IsolatedCorrected

Administration Deficiencies

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.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Mar 14, 2025Complaint
2
0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Jul 7, 2024Complaint
2
0686Immediate jeopardy · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0925Immediate jeopardy · IsolatedResolved (past non-compliance)

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Jun 5, 2024Routine
17
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

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

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0645Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0741Potential for harm · PatternCorrected

Miscellaneous Deficiencies

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

0561Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

May 16, 2024

$13,877

Ownership & Operations

Who Operates This Facility

Owner / Operator

Guadalupe County Hospital Board

Organization Type

for profit

Management Company

SEGUIN NURSING OPERATIONS LLC

Administrator

GARY ALLEN

Chain Affiliation

Chain Name

Avir Health Group

Chain Size

117 facilities nationwide

Chain avg rating: 2.3/5 · Rank 66 of 90 (Worst)

Ownership & Management

Owners

Guadalupe County Hospital Board

Owner · Organization

100%

Dagan, Amitai

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Goldberger, Abraham

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

1215 Ashby Property Owner, LLC5% or Greater Security InterestHccf Management Group Xi LLC5% or Greater Security InterestWelltower INC5% or Greater Security InterestWelltower Nnn Group, LLC5% or Greater Security InterestGann, KodyOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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