Windsor Nursing and Rehabilitation Center of Segui
Medicare-certified1219 EASTWOOD DR, Seguin, TX 78155
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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.
Capacity
148 residents
Location
Seguin, TX
Status
Listed in a public registry
1210 EASTWOOD DR, Seguin, Texas 78155
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.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 8 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 24 minutesBelow the Texas average |
| Nursing staff who left in the past year | 48%Below the Texas average |
1 administrator has left the home in the past year.
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.
Ensure each resident receives an accurate assessment.
March 27, 2026 · Standard inspection · 7 citations
Reasonably accommodate the needs and preferences of each resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure each resident receives an accurate assessment.
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.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Provide safe and appropriate respiratory care for a resident when needed.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure medication error rates are not 5 percent or greater.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Keep residents' personal and medical records private and confidential.
Provide and implement an infection prevention and control program.
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Provide and implement an infection prevention and control program.
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.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Provide training in compliance and ethics.
Provide safe and appropriate respiratory care for a resident when needed.
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.
Keep residents' personal and medical records private and confidential.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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.
Provide and implement an infection prevention and control program.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure each resident receives an accurate assessment.
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
1 fine totaling $75,450 in the last three years.
1210 EASTWOOD DRSeguin, TX 78155
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State inspectors visited on March 27, 2026 and cited 20 health deficiencies, 13 of them from complaint investigations. The Texas average is 9.4.
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.
Yes. Medicare fined Guadalupe Valley Nursing and Rehabilitation Center once in the last three years, totaling $75,450.
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.
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.
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.