Nursing HomeInspections

Guadalupe Valley Nursing and Rehabilitation Center

Nursing home in Seguin, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (830) 379-9308Send a messageMap ↗

Public-record details

Address
1210 Eastwood Dr, Seguin, TX 78155
Phone
(830) 379-9308
Listed under
Nonprofit
Medicare CCN
455869
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
148
Average residents per day
125
Ownership
Nonprofit, corporation
Legal business name
Medina County Hospital District
Chain
Wellsential Health (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 30, 1990
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident and family councils
Sprinklers in all required areas
Yes

CMS certification number 455869. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Mar 27, 2026. CMS lists 52 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 8, 2023 to Jun 30, 2026): 27 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 30, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection		B
Potential for minimal harm, pattern
Jun 30, 2026Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 27, 2026Honor 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.
Resident Rights		D
Potential for more than minimal harm, isolated
Mar 27, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 27, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Mar 27, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 27, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Mar 27, 2026Reasonably accommodate the needs and preferences of each resident.
Resident Rights		E
Potential for more than minimal harm, pattern
Mar 27, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Feb 23, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 23, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 10, 2025Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 52. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $75,450 in the last three years.

Apr 26, 2024Fine: $75,450

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.13 hours
Registered nurse (RN) time per resident per day
0.40 hours
Nurse aide time per resident per day
1.88 hours
Total nurse staffing on weekends
2.75 hours
Nursing staff turnover (yearly)
48%
RN turnover (yearly)
38%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Seguin

Avir at Walnut Springs1637 N King St · Seguin, TX 78155 · (830) 379-3784 · For-profit14 health citations in 3 inspection cycles · last standard inspection Nov 18, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Windsor Nursing and Rehabilitation Center of Segui1219 Eastwood Dr · Seguin, TX 78155 · (830) 379-7777 · Government-owned33 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $24,499 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Avir at Seguin1215 Ashby · Seguin, TX 78155 · (830) 379-1606 · For-profit47 health citations in 3 inspection cycles · last standard inspection Jul 31, 2025 · $13,877 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)CMS abuse iconRiver Bend Healthcare1339 Eastwood Dr · Seguin, TX 78155 · (830) 379-3900 · Government-owned49 health citations in 3 inspection cycles · last standard inspection Feb 13, 2026 · $18,225 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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