D
Harmony Care at Brookshire
38/100 score
0.54 hrs RN staffing
19 deficiencies
Avir at Sealy
1401 Eagle Lake Road, Sealy, TX 77474
Operator
GUADALUPE COUNTY HOSPITAL BOARD · 26 facilities
- Provider number (CCN)
- 676166
- Certification
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified beds
- 90
- Phone
- (979) 885-2937
- CMS data as of
- July 1, 2026
C
What the records show
CMS rates Avir at Sealy 4 out of 5 stars overall, with 4 of 5 for health inspections, 1 of 5 for staffing, 5 of 5 for quality measures. Federal inspectors cited 18 health deficiencies across the last three survey cycles, most recently surveyed in 2025. CMS lists no fines or payment denials for this facility in the covered period.
Facility Assessment
This facility is operated by GUADALUPE COUNTY HOSPITAL BOARD, which scores 18 points below the national average. This facility staffs below 0.55 RN hours per resident day — the level the 2024 federal rule, repealed in February 2026, would have required.
Reviews, Ratings and Official Records
This page reviews Avir at Sealy using federal government records — CMS star ratings, health-inspection findings, staffing data and enforcement actions. NursingHomeGrade does not collect, host or publish resident or family testimonials, and no star rating below is a consumer review score.
Below the repealed 0.55 hr RN benchmark — average inspection record.
Ratings and Grade Breakdown
|
RN Staffing
Registered nurse time each resident receives daily. 2024 federal benchmark: 0.55 hrs. Repealed February 2026.
|
0.39 — Below the repealed 0.55 hr benchmark |
The 0.55 hour RN standard was repealed effective February 2, 2026 and is not currently enforced. We still grade against it. Why |
|
|
Health Deficiencies (last 3 survey cycles)
Violations found during federal inspections, with how many remain open and how many involved actual harm.
|
Total
18
Outstanding
0
Actual harm or worse (G–L)
0
|
|
CMS Ratings
Federal five-star ratings published by CMS. These are regulatory ratings, not consumer review scores.
|
Overall: ★★★★☆ (4/5)
Health inspection: ★★★★☆ (4/5)
Quality: ★★★★★ (5/5)
Staffing: ★☆☆☆☆ (1/5)
|
|
NursingHomeGrade Score
|
61/100 |
Loaded into NursingHomeGrade on August 7, 2026. This is the load date, not the date CMS published the underlying survey data — see release dates.
CMS scores each facility from one to five stars — one is in the bottom fifth of facilities in its state on health inspections, five is in the top tenth. Our own A–F grade is a separate 0–100 score built from staffing hours, inspection citations, and the severity and correction status of those citations, weighted as described in our grading methodology.
Staffing Compared With State and National Levels
| This facility | 0.39 hrs |
|---|---|
| TX median | 0.38 hrs |
| National average | 0.69 hrs |
Total nursing staff turnover: 78.9%
Staffing figures are the values CMS published in its file processed July 1, 2026, drawn from payroll-based journal reporting.
Inspection Records Covered
- Most recent standard health survey: March 21, 2025.
- Citations shown below span 3 recorded inspection cycles.
- Survey dates on file range from October 26, 2022 to April 17, 2026.
Source records: CMS Care Compare profile for provider 676166 ↗ · the federal files we load and when.
Inspection Deficiencies
Health inspections identify violations of federal standards. Severity ranges from no actual harm (A–F) to immediate jeopardy (J–L).
18 deficiencies found. 18 corrected. None involved actual harm.
Most recent inspection (March 21, 2025)
E
Potential harm — pattern
F0727
Status: Corrected
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 — Deficient, Provider has date of correction, corrected March 23, 2025
C
No harm — widespread
F0732
Status: Corrected
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected March 23, 2025
E
Potential harm — pattern
F0808
Status: Corrected
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected May 6, 2026
F
Potential harm — widespread
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected March 23, 2025
Inspection cycle 2 (January 11, 2024)
D
Potential harm — isolated
F0770
Status: Corrected
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024
D
Potential harm — isolated
F0880
Status: Corrected
Provide and implement an infection prevention and control program.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024
E
Potential harm — pattern
F0727
Status: Corrected
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 — Deficient, Provider has date of correction, corrected January 18, 2024
C
No harm — widespread
F0814
Status: Corrected
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024
D
Potential harm — isolated
F0755
Status: Corrected
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected January 18, 2024
Inspection cycle 3 (October 26, 2022)
F
Potential harm — widespread
F0865
Status: Corrected
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies — Deficient, Provider has date of correction, corrected November 15, 2022
F
Potential harm — widespread
F0868
Status: Corrected
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies — Deficient, Provider has date of correction, corrected November 15, 2022
F
Potential harm — widespread
F0882
Status: Corrected
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection Control Deficiencies — Deficient, Provider has date of correction, corrected November 24, 2022
F
Potential harm — widespread
F0727
Status: Corrected
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 — Deficient, Provider has date of correction, corrected November 15, 2022
E
Potential harm — pattern
F0730
Status: Corrected
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies — Deficient, Provider has date of correction, corrected November 16, 2022
E
Potential harm — pattern
F0812
Status: Corrected
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected November 15, 2022
D
Potential harm — isolated
F0801
Status: Corrected
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies — Deficient, Provider has date of correction, corrected November 24, 2022
E
Potential harm — pattern
F0761
Status: Corrected
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.
Pharmacy Service Deficiencies — Deficient, Provider has date of correction, corrected November 18, 2022
E
Potential harm — pattern
F0689
Status: Corrected
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies — Deficient, Provider has date of correction, corrected November 24, 2022
Fines and Enforcement Actions
CMS lists no fines and no payment denials for Avir at Sealy in the enforcement records covering the last three years, as published in the file processed July 1, 2026.
Ownership and Contact Information
- Facility name
- Avir at Sealy
- Legal business name
- GUADALUPE COUNTY HOSPITAL BOARD
- Address
- 1401 Eagle Lake Road, Sealy, TX 77474
- Phone
- (979) 885-2937
- Provider number (CCN)
- 676166
- Ownership type
- For profit - Corporation
- Operator
- GUADALUPE COUNTY HOSPITAL BOARD · 26 facilities
- Medicare/Medicaid certified since
- July 1, 2007
- Official record
- CMS Care Compare profile ↗
- Details verified against CMS data dated
- July 1, 2026
The federal nursing-home files publish no email address for certified facilities, so none is listed here. We do not guess or construct contact addresses. Contact details above are reproduced from CMS Provider Information; call the facility to confirm before relying on them.
How We Stay Independent
NursingHomeGrade is strictly independent. We do not accept payments from facilities. Our grades are calculated solely from federal CMS datasets.
Learn about our data methodology →Nearby facilities in Sealy
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Sources and Methodology
- CMS Provider Information (file processed July 1, 2026) — ratings, staffing, ownership, certification and contact details. Dataset 4pq5-n9py ↗
- CMS Health Deficiencies — inspection citations, scope and severity, correction status. Dataset r5ix-sfxw ↗
- CMS Ownership — owning and managing organisations. Dataset y2hd-n93e ↗
The NursingHomeGrade score is our own calculation from these federal files — it is not a CMS rating and not a consumer review score. See exactly how the score is calculated · full methodology · source files and load dates.
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