Nursing home report
SEGUIN, TX · Medicare-certified · 148 beds
Guadalupe Valley Nursing and Rehabilitation Center in Seguin, TX has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating despite 5-star quality measures. Reported nurse staffing is 3.24 hours per resident day, below the 4.1-hour federal benchmark, and there were $0 fines in the last 24 months.
Health inspections
Staffing
3.2397 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2397.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2022 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited December 2025 — limited pattern, potential for harm.
F-Tag 842 — 42 CFR §483.70 — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
F-Tag 755 — 42 CFR §483.45 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 2 health deficiencies.
Health inspection found 9 health deficiencies.
Health inspection found 2 health deficiencies.
On record with Medicare: 1 fine · $75,450 in total fines.
Federal fine
Apr 26, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
