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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasGuadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center

1210 Eastwood Dr, Seguin, TX 781558303799308
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
4/5
Beds
148
certified
1 fine(s) totaling $75,450

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 148 certified beds with an average of 131.8 residents per day (89% occupancy)

• Last health inspection found 27 deficiencies (inspected Jan 16, 2025)

• Has been fined a total of $75,450 across 1 fine(s)

• Total nursing staff: 3.14 hours per resident per day

• Staff turnover rate: 44.2%

• Part of the Wellsential Health chain (67 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
148
Avg Residents/Day
131.8
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 30, 1990
Sprinklers
Yes
Council
Resident
County
Guadalupe
Last Inspection
Jan 16, 2025
Deficiencies (Cycle 1)
27
Weighted Score
170.3
Infection Citations
7

Deficiency Citations (55)

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
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
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 6, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0561Potential for Harm

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

Survey: Jan 16, 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: Jan 16, 2025Corrected: 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: Jan 16, 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: Jan 16, 2025Corrected: 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: Jan 16, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0940Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 1
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: 1
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: 1
F0943Potential for Harm

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0944Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 1
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: 1
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0949Potential for Harm

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

Survey: Jan 16, 2025Corrected: NoCycle: 1
F0695Potential for Harm

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

Survey: Dec 13, 2024Corrected: NoCycle: 2
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 13, 2024Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 30, 2024Corrected: NoCycle: 2

+ 25 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 Aide2.01 hrs
National avg: 2.35 hrs
LPN0.79 hrs
National avg: 0.86 hrs
RN0.33 hrs
National avg: 0.68 hrs
Total Nursing3.14 hrs
National avg: 3.89 hrs
Weekend Total2.78 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
44.2%
RN Turnover
28.6%
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 (15)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2014
REGENCY IHS OF GUADALUPE VALLEY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2018
BELL, BILLIEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJun 3, 2023
BAIN, WILLIAMCORPORATE DIRECTORIndividualN/AMay 23, 2011
CARTER KRIEGER, LORICORPORATE DIRECTORIndividualN/AJul 20, 2020
HARDT, TIMOTHYCORPORATE DIRECTORIndividualN/AJan 27, 2020
JOHNSON, TONYCORPORATE DIRECTORIndividualN/ANov 26, 2012
WINDROW, ZACHARYCORPORATE DIRECTORIndividualN/ANov 26, 2012
WINKLER, JUDYCORPORATE DIRECTORIndividualN/AMay 1, 2004
YOUNG, CARLTONCORPORATE DIRECTORIndividualN/AMay 1, 2006
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023
FROSCH, KEVINCORPORATE OFFICERIndividualN/AFeb 1, 2010
BELL, BILLIEW-2 MANAGING EMPLOYEEIndividualN/AJun 3, 2023
FROSCH, KEVINW-2 MANAGING EMPLOYEEIndividualN/AFeb 1, 2010
LIMMER, JAMESW-2 MANAGING EMPLOYEEIndividualN/AOct 12, 2020

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Avir at Seguin

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Walnut Springs Health and Rehabilitation

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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.
Has Guadalupe Valley Nursing and Rehabilitation Center had any health inspection violations?▾
Guadalupe Valley Nursing and Rehabilitation Center had 27 deficiency citations in its most recent health inspection (Jan 16, 2025). The facility has been fined a total of $75,450 across 1 fine(s). It also has 7 infection control citation(s).
What are the staffing levels at Guadalupe Valley Nursing and Rehabilitation Center?▾
Guadalupe Valley Nursing and Rehabilitation Center provides 3.14 total nursing staff hours per resident per day, including 0.33 RN hours, 0.79 LPN hours, and 2.01 nurse aide hours. The total staff turnover rate is 44.2%.
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 131.8 residents per day, resulting in approximately 89% 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, there are 4 other nursing homes in Seguin, Texas with an average rating of 2.2/5. You can compare all facilities on the Seguin nursing homes page.

Part of Wellsential Health

This chain operates 67 facilities. View all →