Avir At Seguin

Penalties

• May 16, 2024 — Fine ($13,877)

Inspection findings

1. Jun 24, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 25, 2026 · CMS health inspection

2. Jun 23, 2026 Fire Safety · 1 finding
   • Not serious Scope/severity F Complaint

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Jun 25, 2026 · CMS fire safety

3. Feb 6, 2026 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Feb 7, 2026 · CMS health inspection

4. Jan 30, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     CMS health inspection

5. Jul 31, 2025 Health · 11 findings
   • Not serious Scope/severity D

     F0578 Resident Rights Deficiencies

     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.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity C

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0849 Administration Deficiencies

     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.

     Corrected Aug 1, 2025 · CMS health inspection

   • Not serious Scope/severity E

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Aug 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Aug 1, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Aug 1, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

   • Not serious Scope/severity F

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Aug 1, 2025 · CMS fire safety

6. Mar 14, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Mar 17, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Mar 17, 2025 · CMS health inspection

7. Jul 7, 2024 Health · 2 findings
   • Serious Scope/severity J Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jul 8, 2024 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0925 Environmental Deficiencies

     Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

     Corrected Jun 18, 2024 · CMS health inspection

8. Jun 5, 2024 Health · 18 findings
   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0561 Resident Rights Deficiencies

     Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0584 Resident Rights Deficiencies

     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.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0645 Resident Assessment and Care Planning Deficiencies

     PASARR screening for Mental disorders or Intellectual Disabilities

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

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

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0727 Nursing and Physician Services Deficiencies

     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.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0756 Pharmacy Service Deficiencies

     Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0761 Pharmacy Service Deficiencies

     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.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

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

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0813 Nutrition and Dietary Deficiencies

     Have a policy regarding use and storage of foods brought to residents by family and other visitors.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 7, 2024 · CMS health inspection

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Jun 5, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0741 Miscellaneous Deficiencies

     Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

     Corrected Jun 7, 2024 · CMS fire safety

   • Not serious Scope/severity E

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 7, 2024 · CMS fire safety

9. May 16, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Jun 5, 2024 · CMS health inspection

10. Mar 22, 2024 Health · 1 finding
    • Not serious Scope/severity E Complaint

      F0839 Administration Deficiencies

      Employ staff that are licensed, certified, or registered in accordance with state laws.

      Corrected Apr 22, 2024 · CMS health inspection

11. May 5, 2023 Health · 20 findings
    • Not serious Scope/severity D

      F0553 Resident Rights Deficiencies

      Allow resident to participate in the development and implementation of his or her person-centered plan of care.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0570 Resident Rights Deficiencies

      Assure the security of all personal funds of residents deposited with the facility.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0578 Resident Rights Deficiencies

      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.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Develop and implement policies and procedures to prevent abuse, neglect, and theft.

      Corrected May 9, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0657 Resident Assessment and Care Planning Deficiencies

      Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0727 Nursing and Physician Services Deficiencies

      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.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0760 Pharmacy Service Deficiencies

      Ensure that residents are free from significant medication errors.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0847 Administration Deficiencies

      Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0850 Administration Deficiencies

      Hire a qualified full-time social worker in a facility with more than 120 beds.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0921 Environmental Deficiencies

      Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0941 Administration Deficiencies

      Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0942 Resident Rights Deficiencies

      Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0944 Administration Deficiencies

      Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0946 Administration Deficiencies

      Provide training in compliance and ethics.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0949 Administration Deficiencies

      Provide behavior health training consistent with the requirements and as determined by a facility assessment.

      Corrected May 12, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Jun 16, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Jun 16, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Jun 16, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• ALLEN, GARY — adp of the snf, NOT APPLICABLE, since 03/01/2025
• DAGAN, AMITAI — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/22/2025
• FREUND, NOCHUM — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• GANN, KODY — corporate officer, NOT APPLICABLE, since 03/01/2025
• GOLDBERGER, ABRAHAM — individual is an owner, partner or trustee of any adp of the snf, NOT APPLICABLE, since 04/22/2025
• TRAVITSKY, AARON — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• 1215 ASHBY OPCO, LLC — adp of the snf, NOT APPLICABLE, since 04/22/2025
• 1215 ASHBY OPCO, LLC — operational/managerial control, NOT APPLICABLE, since 03/01/2025
• 1215 ASHBY PROPERTY OWNER, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• 1215 ASHBY PROPERTY OWNER, LLC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• GUADALUPE COUNTY HOSPITAL BOARD — 5% or greater direct ownership interest, 100%, since 02/01/2015
• WELLTOWER INC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• WELLTOWER INC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER NNN GROUP, LLC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER NNN GROUP, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025
• WELLTOWER OP, LLC — 5% or greater security interest, NOT APPLICABLE, since 03/01/2025
• WELLTOWER OP, LLC — adp of the snf, NOT APPLICABLE, since 03/01/2025