Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 0.2 mi · 148 beds
Citations0Substantiated0
Avir at Seguin
1215 ASHBY, Seguin, TX, 78155
Nursing home134 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 8 deficiencies against Avir at Seguin in Seguin, Texas at its most recent standard inspection on 2025-07-31, 2 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 1 time, totalling $13,877. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
1 / 5Medicare overall rating
134certified beds
8deficiencies at the last inspection
2immediate-jeopardy findings on record
1actual-harm findings on record
1federal fines, $13,877
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.1
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.42
Potential for minimal harmThe least serious band.1
Most recentEGEDDDDCEDJJFEEEEEDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-02-06 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-01-30 · from a complaint · Actual harm to a resident
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0578 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
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.
Administration Deficiencies · F0849 · 2025-07-31 · standard survey · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-07-31 · standard survey · No actual harm, potential for minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-03-14 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2025-03-14 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · F0686 · 2024-07-07 · from a complaint · Immediate jeopardy to resident health or safety
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental Deficiencies · F0925 · 2024-07-07 · from a complaint · Immediate jeopardy to resident health or safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0584 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
Have 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.
Nursing and Physician Services Deficiencies · F0727 · 2024-06-05 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies · F0561 · 2024-06-05 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below1 of 5
Health inspectionBased on the last three inspection cycles2 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS2.87746
Nursing staff turnoverShare of nursing staff who left in a year60.8%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS1
Total fined$13,877
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one1
Ownership
Who owns Avir at Seguin
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 100% | since 02/01/2015 |
| 1215 ASHBY PROPERTY OWNER, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER INC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER NNN GROUP, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER OP, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| GANN, KODY | Individual | NOT APPLICABLE | since 03/01/2025 |
| 1215 ASHBY OPCO, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| FREUND, NOCHUM | Individual | NOT APPLICABLE | since 03/01/2025 |
| TRAVITSKY, AARON | Individual | NOT APPLICABLE | since 03/01/2025 |
| DAGAN, AMITAI | Individual | NOT APPLICABLE | since 04/22/2025 |
| GOLDBERGER, ABRAHAM | Individual | NOT APPLICABLE | since 04/22/2025 |
| 1215 ASHBY OPCO, LLC | Organization | NOT APPLICABLE | since 04/22/2025 |
Part of the AVIR HEALTH GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Windsor Nursing and Rehabilitation Center of Segui
Seguin · 0.2 mi · 122 beds
Citations0Substantiated0
River Bend Healthcare
Seguin · 0.3 mi · 115 beds
Citations0Substantiated0
Avir at Walnut Springs
Seguin · 1.3 mi · 113 beds
Citations0Substantiated0
Contact
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675641.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction