Nursing HomeInspections

Windsor Nursing and Rehabilitation Center of Segui

Nursing home in Seguin, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (830) 379-7777Send a messageMap ↗

Public-record details

Address
1219 Eastwood Dr, Seguin, TX 78155
Phone
(830) 379-7777
Listed under
Government-owned
Medicare CCN
675380
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
122
Average residents per day
98
Ownership
Government, hospital district
Legal business name
Val Verde County Hospital District
Chain
Wellsential Health (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 10, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675380. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 31, 2025. CMS lists 33 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 22, 2023 to Jul 31, 2025): 4 from complaint inspections, 2 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 31, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Provide 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
Jul 31, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 31, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 31, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
May 24, 2024Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights		C
Potential for minimal harm, widespread
May 24, 2024Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 24, 2024Develop 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
May 24, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 24, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 33. 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 2 fines totalling $24,499 in the last three years.

May 24, 2024Fine: $3,341
Apr 21, 2024Fine: $21,158

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
2.79 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.85 hours
Total nurse staffing on weekends
2.40 hours
Nursing staff turnover (yearly)
39%
RN turnover (yearly)
33%
Administrators who left in the past year
0

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)Guadalupe Valley Nursing and Rehabilitation Center1210 Eastwood Dr · Seguin, TX 78155 · (830) 379-9308 · Nonprofit52 health citations in 3 inspection cycles · last standard inspection Mar 27, 2026 · $75,450 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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