Skilled nursing · SEGUIN, TX

Avir at Walnut Springs

1637 N KING ST, SEGUIN, TX 78155

113 bedsFor profit - Corporation
8.6Clarity
Score history
Aug 20268.6 flagged

First scored Aug 2026. Rescored monthly from the federal and state record.

The Palmelle ReadUpdated 5 May 2026

The record on Avir at Walnut Springs cuts both ways. On one side, inspectors rated the last health survey 4 out of 5 and levied no fines. On the other, registered-nurse time runs well below the national average, and falls with major injury far outpace the national rate. The sections below show exactly where each number comes from — read them before you tour.

palmelle

Written by Palmelle from federal and state records. Last updated 5 May 2026. Not paid for or edited by the facility.

In their own words

No description from the operator yet. If you manage this facility, claim this listing to tell families your side — and respond to the record below. Claimed pages also stop showing nearby alternatives: the page becomes yours alone.

The record

CMS Care Compare · Apr 2026
Federal ratings
Overall★★★★★ 5 of 5
Health inspection★★★★☆ 4 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5

Staffing · hours per resident per day

Registered-nurse time with each resident, dailyhigher is better

This home
7 min
National
47 min

All nursing time with each resident, dailyhigher is better

This home
3 hr 28 min
National
3 hr 37 min

Nurses who quit each yearlower is better

This home
46.8%
National
53%

Medication & safety · share of long-stay residents

On antipsychotic medicationlower is bettersee why ↓

This home
17.5%
National
14%

On sedatives / sleep medicationlower is better

This home
17.4%
National
15%

Falls causing major injurylower is bettersee why ↓

This home
3.3%
National
1.6%

Physically restrainedlower is better

This home
2.9%
National
1.1%
Penalties & citations · last 36 months
Federal fines$0 · zero penalties
Abuse iconNone
Conflict flags in latest reconcile1

TX does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.

What the pattern says

Palmelle pattern checks · v1

Warehouse warning signs — read the findings below before touring.

  • Staffing below the line. Residents get 3 hr 28 min of nursing time a day against a national norm of 3 hr 37 min — thin staffing is the first warehouse warning sign.
  • The falls number is the outlier: 2× the national rate. 3.3% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
  • Physical restraint use is far above the national rate. 2.9% vs 1.1% nationally — ask for the facility's restraint policy in writing.
  • Clean accountability record. There are no fines, flags, or abuse findings on the federal record.

These checks are computed the same way for every facility. Good patterns and bad ones both print.

Nearby & comparable

Same records, same rules

Questions families ask

What is the CMS rating for Avir at Walnut Springs?
Avir at Walnut Springs has an overall CMS Care Compare rating of 5 out of 5 stars.
Has Avir at Walnut Springs been cited for resident harm?
Avir at Walnut Springs has no abuse icon and no federal fines on record in the last 36 months.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.