Federal inspection record · CMS data as of October 1, 2026
Guadalupe Valley Nursing And Rehabilitation Center
1210 Eastwood Dr, Seguin, TX · (830) 379-9308
- Certified beds
- 148
- Residents per day
- 136
- Ownership
- Non-Profit
- Chain
- Wellsential Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- March 30, 1990
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Guadalupe Valley Nursing And Rehabilitation Center carries 111 inspection points. That is fewer than 30% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
49 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Rights11E
- E
Reasonably accommodate the needs and preferences of each resident.
- D
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.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- E
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.
- E
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- D
Keep residents' personal and medical records private and confidential.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning9E
- B
Ensure each resident receives an accurate assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
Quality of Life and Care7E
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Infection Control6E
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- D
Provide and implement an infection prevention and control program.
Pharmacy Service5E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- E
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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
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.
Administration5E
- E
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- E
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- E
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
- E
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- D
Provide training in compliance and ethics.
Nursing and Physician Services3D
- D
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.
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- D
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.
Nutrition and Dietary2E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Inspection history
2026-03-27
20 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (7 deficiencies)
2025-01-16
20 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (6 deficiencies)
2023-12-15
9 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 5 min of nursing staff time a day, 18 min of it from a registered nurse.
This home
3 h 5 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 46% of nursing staff and 55% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$60,360 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-04-26 | Fine | $60,360 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts worse | 2.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.7 pts better | 0.3 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3 pts better | 99.4% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine3 pts better | 100.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.5% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 0.8% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.5 pts worse | 4.4% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10 pts worse | 27.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication2.1 pts better | 7.7% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened4.5 pts better | 8.4% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.9 pts better | 10.9% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.2% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.6 pts better | 0.2% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.3 pts worse | 16.8% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.9 pts better | 2.8% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.4 pts better | 98.1% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.7 pts worse | 14.9% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine4.1 pts better | 89.5% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.6 pts better | 15.9% | 25.5% | 23.4% |
·
Who owns and runs it
42 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Medina County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| 1210 Eastwood Drive LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Aranda, Emanuel | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Aranda, Emanuel | Adp Of The SNF · Individual | 0% | 1 facilities |
| Bain, William | Corporate Officer · Individual | 0% | 4 facilities |
| Baird, Daniel | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Bell, Billie | Corporate Officer · Individual | 0% | 7 facilities |
| Carvajal, Antonio | Managing Control - Governing Body · Individual | 0% | 28 facilities |
| Christiansen, Keith | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Christiansen, Keith | Adp Of The SNF · Individual | 0% | 1 facilities |
| Clapp, Barbara | Managing Control - Governing Body · Individual | 0% | 69 facilities |
| Cortese, Daren | Managing Control - Governing Body · Individual | 0% | 58 facilities |
| Csv Rhea Management Holdco, LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Dekowski, Donovan | Adp Of The SNF · Individual | 0% | 69 facilities |
| Dwd Tx Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Flores, Antonio | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Flores, Antonio | Adp Of The SNF · Individual | 0% | 2 facilities |
| Frosch, Kevin | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Frosch, Kevin | Corporate Officer · Individual | 0% | 4 facilities |
| Gibson, Patricia | Managing Control - Governing Body · Individual | 0% | 57 facilities |
| Gonzales, Veronica | Managing Control - Governing Body · Individual | 0% | 27 facilities |
| Hardt, Timothy | Managing Control - Governing Body · Individual | 0% | 4 facilities |
| Hardt, Timothy | Corporate Officer · Individual | 0% | 4 facilities |
| Jack And Nancy Dwyer Workforce Development Center Inc | Adp Of The SNF · Organization | 0% | 68 facilities |
| Johnson, Tony | Corporate Officer · Individual | 0% | 3 facilities |
| Kaufman, Nicole | Managing Control - Governing Body · Individual | 0% | 28 facilities |
| Mandelbaum, Elliot | Managing Control - Governing Body · Individual | 0% | 61 facilities |
| Mangold, Mary | Corporate Officer · Individual | 0% | 2 facilities |
| Medina County Hospital District | Adp Of The SNF · Organization | 0% | 6 facilities |
| Reg Hg Opco 1, LLC | Adp Of The SNF · Organization | 0% | 19 facilities |
| Reg Hg Opco LLC | Adp Of The SNF · Organization | 0% | 39 facilities |
| Reg Operator Holdco LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Regency Ihs Clinical Consulting, LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Ihs Of Guadalupe Valley LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Regency Ihs Rehab LLC | Adp Of The SNF · Organization | 0% | 68 facilities |
| Regency Integrated Health Services LLC | Adp Of The SNF · Organization | 0% | 70 facilities |
| Regency Texas Holdings LLC | Adp Of The SNF · Organization | 0% | 63 facilities |
| Ross, Kimberly | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Ross, Kimberly | Adp Of The SNF · Individual | 0% | 1 facilities |
| Windrow, Zachary | Corporate Officer · Individual | 0% | 4 facilities |
| Winkler, Judy | Corporate Officer · Individual | 0% | 4 facilities |
| Young, Carlton | Corporate Officer · Individual | 0% | 4 facilities |
·
Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke8F
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Provide properly protected cooking facilities.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Egress3F
- F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Have exits that are accessible at all times.
Miscellaneous1E
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
·
Other homes nearby
-
Windsor Nursing And Rehabilitation Center Of Segui
Seguin, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 2 h 37 min
- Fines
- $24,499
-
River Bend Healthcare
Seguin, TX · The Ensign Group
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 23 min
- Fines
- $18,225
-
Avir at Seguin
Seguin, TX · Avir Health Group · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 2 min
- Fines
- $13,877