Deficiency Index

Avir at Walnut Springs

Seguin, Texas · CCN 675656

27 surveys since 2010, and no finding has been recorded at harm level.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
102
Surveys
27
Harm or worse
0
Immediate jeopardy
0
The record, 2010–2025
’10’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worseNone

No finding on record has been cited at harm level or above.

Beyond CMS’s monthly file23/27

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
113
Ownership
For profit - Corporation
Chain
AVIR HEALTH GROUP
County
Guadalupe
Medicare-certified since
1996

CMS ratings

Overall
4
Health inspection
4
Staffing
1
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded fewer weighted findings than most of its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Nov 18, 2025

356 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.663.25
Registered-nurse hours per resident day0.17—
Annual nurse turnover57.7%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD964.3%E214.3%F—
No harm, potential for minimalA—B321.4%C—
CMS’s current file: 14 of the 102 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F9123×

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

  • F6892×

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

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F6001×

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

  • F6411×

    Ensure each resident receives an accurate assessment.

In the surveyor’s words

From the most serious findings on record at Avir at Walnut Springs, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF812Feb 12, 2021

    Based on observation, interview, and record review, the facility failed to store food in accordance with professional standards for 1 of 1 kitchen reviewed for food service safety, in that: 1. The table-mounted can opener had sticky black and brown grime on the blade and along the base of the equipment. 2. The scoop used for retrieving ice was stored inside the ice machine. 3. The Food Handler's Certificate for Cook D was expired. These deficient practices could place residents who ate food from the kitchen at risk for foodborne illness. The findings were: 1. Observation on [DATE] at 09:35 a.m. […]

  • No harm, potential for more than minimal, patternF690Nov 18, 2025

    Based on observations, interviews, and record review, the facility failed to ensure a resident who was incontinent of bladder and bowel received appropriate treatment and services to prevent urinary tract infections and to restore continence to the extent possible for 2 (Resident #4 and #52) of 4 residents reviewed for incontinence care. The facility failed to ensure while providing incontinent care: 1. CNAB did not clean the right buttock area for Resident #4. 2. CNAC did not separating the labia and thoroughly clean the vaginal area for Resident #52. This failure could place residents who required incontinence care at risk for cross contamination and the development of urinary tract infections. The findings included: 1. […]

  • No harm, potential for more than minimal, patternF761Nov 18, 2025

    Based on observation, interview, and record review, the facility failed to ensure all drugs and biological were stored in locked compartments for 1 (stage 2 station medication room) of 1 medication room, 1 (stage 1 station medication aide cart) of 3 medication carts, and 1 resident (Resident #64) of 25 residents reviewed for storage, in that: The facility failed to ensure: 1. There was one bottle of Fish Oil 1200 mg found in stage 2 station medication room on 09/24/2025, and it expired 07/2025. 2. Resident #64's acetaminophen suppository was found in the refrigerator inside stage 2 station medication room on 09/24/2025, and it expired 08/2025. 3. There was one bottle of calcium citrate with vitamin D3 found in stage 1 station medication aide cart on 09/24/2025, and it expired 07/2025. […]

  • No harm, potential for more than minimal, patternF698May 6, 2022

    Based on observations, interviews, and record reviews the facility failed ensure that all allegations of abuse, neglect, exploitation, or mistreatment are reported not later than 24 hours, if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedures, for 1 of 1 residents (Resident #33) reviewed for reporting allegations of abuse, neglect, exploitation, or mistreatment. The facility failed to ensure Resident #33 was picked up from the [CONDITION(S)] services facility timely on several occasions. This deficient practice placed Resident at risk for emotional harm and reduced self-esteem. […]

  • No harm, potential for more than minimal, patternF880Feb 12, 2021

    Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of communicable diseasesfor 3 of 24 (Residents #3, #258, and #259) reviewed for infection control, in that: 1. Resident #3's bedroom door was left open, while on isolation precautions. 2. Staff did not (don PPE) prior to entering Resident #258 and #259 rooms, who were on isolation precautions. These deficient practices placed residents at risk of exposure to infectious disease, or a decline in health. The findings were: Observation on 02/09/2021 at 11:33 a.m., revealed PPE carts outside Residents #3, #258, and #259 doors. […]

Read 20 findings in full →The most serious and the most recent: 20 of 102 on record.

Every survey on record

FindingsAt actual harm or above

  • Nov 18, 2025Standard7 findings
  • May 2, 2025Complaint1 finding
  • Aug 28, 2024Standard and complaint5 findings
  • Jun 16, 2023Standard1 finding
  • Mar 3, 2023Complaint1 finding
  • May 6, 2022Standard5 findings
  • Feb 12, 2021Standard and complaint7 findings
  • Oct 22, 2020Infection control1 finding
Show the 19 earlier surveys
  • Oct 12, 2020Infection control1 finding
  • Aug 7, 2020Infection control1 finding
  • Jul 14, 2020Complaint1 finding
  • Jan 23, 2020Complaint2 findings
  • Sep 5, 2019Complaint1 finding
  • Jun 21, 2019Standard4 findings
  • Mar 15, 2019Complaint1 finding
  • Jun 21, 2018Standard8 findings
  • Nov 1, 2017Complaint1 finding
  • May 12, 2017Standard9 findings
  • May 5, 2016Standard8 findings
  • Mar 27, 2015Standard9 findings
  • Mar 16, 2015Complaint1 finding
  • Jan 28, 2014—6 findings
  • Sep 27, 2013—3 findings
  • Feb 25, 2013—1 finding
  • Feb 15, 2013—5 findings
  • Dec 16, 2011—6 findings
  • Nov 17, 2010—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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