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HomeTexasGuadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center

1210 Eastwood Dr, Seguin, TX 781558303799308WebsiteGoogle Maps
3.4on Google(35 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
4/5
Beds
148
certified
1 fine(s) totaling $75,450

How Guadalupe Valley Nursing and Rehabilitation Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.13 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.40 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
48.1%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.13 hours per resident per day, below the state average of 3.39.
Staff turnover is 48.1%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
30
deficiency citations
Inspected Jan 16, 2025
Most recent cycle
18
deficiency citations
Inspected Mar 27, 2026
The most recent cycle recorded 12 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Guadalupe County 65+
24,746
14.2% of county
County Population
173,828
Guadalupe County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Guadalupe Valley Nursing and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Seguin, Texas with 148 certified beds. It has been operating since 1990. Its overall CMS rating is 2 out of 5.

Beds
148
Avg Residents/Day
124.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 30, 1990
Sprinklers
Yes
Council
Both
County
Guadalupe
Last Inspection
Mar 27, 2026
Deficiencies (Cycle 1)
18
Weighted Score
141.3
Infection Citations
3

Deficiency Citations (50)

F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0584Potential for 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.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0690Potential for Harm

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

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Mar 27, 2026Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Feb 23, 2026Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Feb 23, 2026Corrected: NoCycle: 1
F0755Potential for Harm

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

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0842Potential for Harm

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

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0689Potential for Harm

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

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0726Potential for Harm

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Dec 10, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Jun 6, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 6, 2025Corrected: NoCycle: 2
F0584Potential for 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.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0689Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0940Potential for Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0941Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0942Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0944Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0945Potential for Harm

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0949Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jan 16, 2025Corrected: NoCycle: 2

+ 20 more deficiencies

Total Fines
$75,450
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineApr 26, 2024
$75,450

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.88 hrs
National avg: 2.32 hrs
LPN0.86 hrs
National avg: 0.86 hrs
RN0.40 hrs
National avg: 0.69 hrs
Total Nursing3.13 hrs
National avg: 3.86 hrs
Weekend Total2.75 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
48.1%
RN Turnover
37.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (42)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2014
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 13, 2021
CARVAJAL, ANTONIOMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 16, 2024
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 1, 2021
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 10, 2021
FROSCH, KEVINMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 1, 2010
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 1, 2021
GONZALES, VERONICAMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 16, 2024
HARDT, TIMOTHYMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 27, 2020
KAUFMAN, NICOLEMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 10, 2021
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2025
BAIN, WILLIAMCORPORATE OFFICERIndividualN/AMay 23, 2011
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023
FROSCH, KEVINCORPORATE OFFICERIndividualN/AFeb 1, 2010
HARDT, TIMOTHYCORPORATE OFFICERIndividualN/AJan 27, 2020
JOHNSON, TONYCORPORATE OFFICERIndividualN/ANov 26, 2012
MANGOLD, MARYCORPORATE OFFICERIndividualN/AAug 31, 2023
WINDROW, ZACHARYCORPORATE OFFICERIndividualN/ANov 26, 2012
WINKLER, JUDYCORPORATE OFFICERIndividualN/AMay 1, 2004
YOUNG, CARLTONCORPORATE OFFICERIndividualN/AMay 1, 2006
ARANDA, EMANUELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AFeb 10, 2025
CHRISTIANSEN, KEITHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
FLORES, ANTONIOOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
ROSS, KIMBERLYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
1210 EASTWOOD DRIVE LLCADP OF THE SNFOrganizationN/AOct 1, 2018
CSV RHEA MANAGEMENT HOLDCO, LLCADP OF THE SNFOrganizationN/AOct 1, 2018
DWD TX HOLDINGS LLCADP OF THE SNFOrganizationN/AOct 1, 2018
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCADP OF THE SNFOrganizationN/AOct 1, 2018
MEDINA COUNTY HOSPITAL DISTRICTADP OF THE SNFOrganizationN/AJan 15, 2026
REG HG OPCO 1, LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REG HG OPCO LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REG OPERATOR HOLDCO LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY IHS OF GUADALUPE VALLEY LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY TEXAS HOLDINGS LLCADP OF THE SNFOrganizationN/AOct 1, 2018
ARANDA, EMANUELADP OF THE SNFIndividualN/AFeb 10, 2025
CHRISTIANSEN, KEITHADP OF THE SNFIndividualN/AJan 1, 2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualN/AOct 1, 2018
FLORES, ANTONIOADP OF THE SNFIndividualN/AJan 1, 2025
ROSS, KIMBERLYADP OF THE SNFIndividualN/AJan 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Guadalupe Valley Nursing and Rehabilitation Center and nearby alternatives.

All Texas facilities
Guadalupe Valley Nursing and Rehabilitation Center
Seguin, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $75,450
Windsor Nursing and Rehabilitation Center of Segui
Seguin, TX0 ft
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $24,499
River Bend Healthcare
Seguin, TX1,056 ft
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $18,225
Avir at Seguin
Seguin, TX1,056 ftAbuse flag
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $13,877
Avir at Walnut Springs
Seguin, TX1.5 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Legend Oaks Healthcare and Rehabilitation - New Br
New Braunfels, TX13.0 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Avir at New Braunfels
New Braunfels, TX13.4 miAbuse flag
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $163,819
FacilityDistanceCMSHealthStaffingRecorded fines
Guadalupe Valley Nursing and Rehabilitation Center
Seguin, TX · Current facility
—2/52/52/5$75,450
Windsor Nursing and Rehabilitation Center of Segui
Seguin, TX
0 ft2/53/51/5$24,499
River Bend Healthcare
Seguin, TX
1,056 ft1/52/51/5$18,225
Avir at Seguin
Seguin, TX
1,056 ft1/52/51/5$13,877
Avir at Walnut Springs
Seguin, TX
1.5 mi4/54/51/5None recorded
Legend Oaks Healthcare and Rehabilitation - New Br
New Braunfels, TX
13.0 mi3/53/52/5None recorded
Avir at New Braunfels
New Braunfels, TX
13.4 mi1/51/52/5$163,819

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Guadalupe Valley Nursing and Rehabilitation Center?▾
Guadalupe Valley Nursing and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Guadalupe Valley Nursing and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Guadalupe Valley Nursing and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Guadalupe Valley Nursing and Rehabilitation Center had any health inspection violations?▾
Guadalupe Valley Nursing and Rehabilitation Center had 18 deficiency citations in its most recent health inspection (Mar 27, 2026). The current CMS dataset records 1 fine(s) totaling $75,450. It also has 3 infection control citation(s).
What are the staffing levels at Guadalupe Valley Nursing and Rehabilitation Center?▾
Guadalupe Valley Nursing and Rehabilitation Center provides 3.13 total nursing staff hours per resident per day, including 0.40 RN hours, 0.86 LPN hours, and 1.88 nurse aide hours. The total staff turnover rate is 48.1%.
How many beds does Guadalupe Valley Nursing and Rehabilitation Center have?▾
Guadalupe Valley Nursing and Rehabilitation Center has 148 certified beds with an average of 124.8 residents per day, resulting in approximately 84% occupancy. The facility is Non profit - Corporation owned and is part of the Wellsential Health chain.
Are there other nursing homes near Guadalupe Valley Nursing and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Seguin. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Guadalupe Valley Nursing and Rehabilitation Center?▾
On Google Maps, Guadalupe Valley Nursing and Rehabilitation Center has a rating of 3.4 out of 5 based on 35 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Wellsential Health

This chain operates 68 facilities. View all →