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Medicare-certifiedSkilled Nursing

Guadalupe Valley Nursing and Rehabilitation Center

(830) 379-9308

About Guadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center in Seguin, Texas provides compassionate skilled nursing and rehabilitation care when your loved one needs professional medical support and recovery services. Our experienced team focuses on restoring independence and quality of life.

Community at a glance

Capacity

148 residents

Location

Seguin, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

1210 EASTWOOD DR, Seguin, Texas 78155

(830) 379-9308

Medicare inspection record

From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov

At its most recent standard inspection, on March 27, 2026, state inspectors cited 20 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 8 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.

Medicare fined Guadalupe Valley Nursing and Rehabilitation Center once in the last three years, $75,450 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 8 minutesBelow the Texas average
Registered nurse time per resident, per day24 minutesBelow the Texas average
Nursing staff who left in the past year48%Below the Texas average

1 administrator has left the home in the past year.

Inspections

49 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

June 30, 2026 · Complaint investigation · 2 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jul 1, 2026
  • Ensure each resident receives an accurate assessment.

    Minimal harm or risk, a pattern (level B)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 1, 2026

March 27, 2026 · Standard inspection · 7 citations

  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 28, 2026
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Mar 28, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 28, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Mar 28, 2026
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 28, 2026
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 28, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 28, 2026
February 23, 2026 · Complaint investigation · 2 citations+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 24, 2026
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 24, 2026
December 10, 2025 · Complaint investigation · 9 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 13, 2026
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 12, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 12, 2025
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 12, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Jan 13, 2026
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jan 13, 2026
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Dec 12, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jan 13, 2026
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jan 13, 2026
June 6, 2025 · Complaint investigation · 2 citations+
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Jun 7, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Jun 7, 2025
January 16, 2025 · Standard inspection · 16 citations+
  • Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jan 17, 2025
  • Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jan 17, 2025
  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jan 17, 2025
  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 17, 2025
  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jan 17, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jan 17, 2025
  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Risk of harm, no one hurt, a pattern (level E)AdministrationCorrected Jan 17, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlCorrected Jan 17, 2025
  • 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.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jan 17, 2025
  • Reasonably accommodate the needs and preferences of each resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 17, 2025
  • Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 17, 2025
  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jan 17, 2025
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jan 17, 2025
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jan 17, 2025
  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesCorrected Jan 17, 2025
  • Provide training in compliance and ethics.

    Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jan 17, 2025
December 13, 2024 · Complaint investigation · 2 citations+
  • Provide safe and appropriate respiratory care for a resident when needed.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 16, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Dec 16, 2024
August 30, 2024 · Complaint investigation · 5 citations+
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Sep 4, 2024
  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Sep 4, 2024
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Sep 4, 2024
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Sep 4, 2024
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Sep 4, 2024
April 26, 2024 · Complaint investigation · 2 citations+
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Apr 27, 2024
  • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Immediate danger to residents, a few residents (level J)Resident RightsFrom a complaintCorrected Apr 27, 2024
December 15, 2023 · Standard inspection · 2 citations+
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Dec 22, 2023
  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jan 3, 2024

Fines and payment denials

1 fine totaling $75,450 in the last three years.

  • April 26, 2024Fine: $75,450

About the home, per Medicare

Ownership
Non profit - Corporation
Legal business name
Medina County Hospital District
Medicare-certified beds
148
Average residents per day
125
Accepts
Medicare and Medicaid
First certified
March 30, 1990
Part of a chain
Wellsential Health, 67 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Both
Sprinklers in all required areas
Yes
CMS Certification Number
455869

Location

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1210 EASTWOOD DRSeguin, TX 78155

10 other communities within 10 miles

Senior living near Seguin

Questions about Guadalupe Valley Nursing and Rehabilitation Center

How did Guadalupe Valley Nursing and Rehabilitation Center do on its last inspection?+

State inspectors visited on March 27, 2026 and cited 20 health deficiencies, 13 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Guadalupe Valley Nursing and Rehabilitation Center?+

Nurses and aides spend 3 hours 8 minutes with each resident per day, including 24 minutes from registered nurses. 48% of nursing staff left over the past year.

Has Guadalupe Valley Nursing and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Guadalupe Valley Nursing and Rehabilitation Center once in the last three years, totaling $75,450.

Does Medicare cover skilled nursing?+

Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.

How much does a nursing home cost?+

A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.

What is the CMS star rating?+

Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.

Senior living in Seguin Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026