Nursing Home Alerts

Avir at Walnut Springs

1637 N King St, Seguin, TX 78155

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Avir at Walnut Springs is a nursing home in Seguin, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

CMS star ratings

Facts from CMS

Phone
(830) 379-3784
Last standard health inspection
November 18, 2025 (11 months ago)
Certified beds
113
Residents per day, on average
70.1
Ownership type
For profit - Corporation
Legal business name
Fannin County Hospital Authority
Chain
Avir Health Group
Takes part in
Medicare and Medicaid

Fewer health citations than the Texas average (14 vs 28).

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  2. CMS update of April 29, 2026

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Ownership

      CMS lists this home under a new chain.

  3. CMS update of March 25, 2026

    • Name

      CMS lists a new name for this home. It was WALNUT SPRINGS HEALTH AND REHABILITATION.

  4. CMS update of February 25, 2026

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  5. CMS update of November 20, 2025

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  6. 7 citations

    Health inspection on November 18, 2025

    CMS lists this as a standard inspection.

    • Citation F0690. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on November 19, 2025.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on November 19, 2025.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on November 19, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on November 19, 2025.

    • Citation F0812. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on November 19, 2025.

    • Citation F0813. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Have a policy regarding use and storage of foods brought to residents by family and other visitors.

      CMS lists it as corrected on November 19, 2025.

    • Citation F0912. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

      CMS lists it as corrected on November 19, 2025.

      CMS has cited this home for F0912 3 times since 2023.

    See this home on CMS Care Compare

  7. 2 citations

    Fire safety inspection on November 18, 2025

    CMS lists this as a standard inspection.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on September 27, 2025.

    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on September 27, 2025.

    See this home on CMS Care Compare

  8. CMS update of July 30, 2025

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 2 of 5 to 3 of 5.

  9. 1 citation

    Health inspection on May 2, 2025

    CMS lists this as a complaint inspection.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on May 23, 2025.

      CMS has cited this home for F0689 2 times since 2024.

    See this home on CMS Care Compare

  10. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 5 of 5 to 4 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 1 of 5.

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 2 of 5.

  11. CMS update of February 26, 2025

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  12. 5 citations

    Health inspection on August 28, 2024

    CMS lists this as a standard inspection and a complaint inspection.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on August 18, 2024.

    • Citation F0684. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on September 27, 2024.

    • Citation F0912. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

      CMS lists it as corrected on August 29, 2024.

    See this home on CMS Care Compare

  13. 1 citation

    Fire safety inspection on August 28, 2024

    CMS lists this as a standard inspection.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on August 27, 2024.

      CMS has cited this home for K0521 2 times since 2023.

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  14. CMS update of July 31, 2024

    • Star rating

      The CMS overall star rating changed from 4 of 5 to 5 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 3 of 5.

  15. CMS update of April 25, 2024

    • Star rating

      The CMS quality measures star rating changed from 3 of 5 to 4 of 5.

  16. CMS update of December 21, 2023

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 4 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 5 of 5.

  17. 1 citation

    Health inspection on June 16, 2023

    CMS lists this as a standard inspection.

    • Citation F0912. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

      CMS lists it as corrected on July 5, 2023.

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  18. 3 citations

    Fire safety inspection on June 16, 2023

    CMS lists this as a standard inspection.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on June 15, 2023.

    • Citation K0324. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide properly protected cooking facilities.

      CMS lists it as corrected on June 15, 2023.

    • Citation K0521. Severity C: potential for minimal harm, widespread.

      The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      CMS lists it as corrected on June 14, 2023.

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Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Avir at Walnut Springs last inspected?

CMS lists November 18, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Avir at Walnut Springs have?

CMS lists 14 health citations since June 16, 2023. CMS also calls these deficiencies.

Has Avir at Walnut Springs been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Avir at Walnut Springs?

Its CMS overall star rating is 4 of 5.

Is Avir at Walnut Springs a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

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