All states › Texas › Seguin › Avir at Walnut Springs
1637 N King St Seguin, TX 78155 · Guadalupe County
All 5 nursing homes in Seguin, TX (5 take Medicaid)
CMS certification number 675656 · See this home on Medicare Care Compare
Is Avir at Walnut Springs a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Avir at Walnut Springs as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.54 hours per resident per day at Avir at Walnut Springs, above the Texas median of 3.30 (US median: 3.72). About 0.12 of those hours are from registered nurses. On weekends it falls to 2.83 hours, 20% below its all-week average. Ask how weekends are staffed. 51.6% of nursing staff left within a year (Texas median 50.2%). 2 administrators left in the past year.
About this nursing home
Paying for care at Avir at Walnut Springs: Medicare and Medicaid
Avir at Walnut Springs is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
This home is located in a hospital.
Health inspections
The most recent standard inspection was on November 18, 2025 and found 7 deficiencies. In total, inspectors issued 14 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 14 citations at Avir at Walnut Springs across 4 inspection dates, 6 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 11 were "potential for more than minimal harm" (D–F) and 3 were minimal (A–C). The most common areas cited were quality of life and care (5) and environmental (3). The most serious was cited under the CMS rule to "provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections" (tag F0690, level E, November 18, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
November 18, 2025 · 7 citations
EProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
EEnsure 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.
DEnsure each resident receives an accurate assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHave a policy regarding use and storage of foods brought to residents by family and other visitors.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
May 2, 2025 · 1 citation · includes complaint inspection
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
August 28, 2024 · 5 citations · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
June 16, 2023 · 1 citation
BProvide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Questions to ask on a tour of Avir at Walnut Springs
- CMS cited the home under its abuse and neglect rules on August 28, 2024. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Weekend staffing is 20% below the all-week average. Who is on duty on Saturday nights?
- Several administrators left in the past year. What has changed for residents since then?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
| August 2026 | 4/5 | 4/5 | 1/5 | 5/5 |
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Location
Hospitals near Avir at Walnut Springs
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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1.3 mi
Guadalupe Regional Medical Center SeguinEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 3h 14m for patients treated and sent home
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11.8 mi
Resolute Health Hospital New BraunfelsEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 16m for patients treated and sent home
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18.4 mi
CHRISTUS Santa Rosa Hospital-San Marcos San MarcosEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 23m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Avir Health Group nursing homes in Texas
- Avir at Beeville · Beeville · 5 stars
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- Avir at Courtyard · Houston · 5 stars
- Avir at Haskell · Haskell · 5 stars
- Avir at Pampa · Pampa · 5 stars
- Avir at Paris · Paris · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 118 Avir Health Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.