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Nursing home report

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER

SEGUIN, TX · Medicare-certified · 148 beds

In good standing
Non-profitChain member
Data as of July 1, 2026
2 of 5 overall

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER in Seguin, TX has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and a 4-star quality measures rating. Reported nurse staffing is 3.13 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

3.1346 hrs/resident/day

Quality measures

Last inspection: March 27, 2026Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1346.

Staffing detail

Registered nurses
0.40
Licensed practical nurses
0.86
Nurse aides
1.88
Weekend nursing
2.75

Hours per resident per day.

Total staff turnover: 48%
Registered nurse turnover: 38%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.9%7%Worsening

Residents with a fall causing major injury

2.4%4.2%Worsening

Residents with pressure ulcers (bedsores)

0.7%4.3%Worsening

Residents with a urinary tract infection

0%0%No change

Residents who lost too much weight

0%6.4%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

10.8%14.8%Worsening

Residents whose ability to walk got worse

1.8%13%Worsening

Long-stay residents on antianxiety or sleep medication

22%32.6%Worsening

Short-stay residents newly given an antipsychotic

2.3%3%Worsening

Residents with a long-term catheter

0%0.7%Worsening

Residents with new or worsening incontinence

9.5%23.2%Worsening

Residents with depressive symptoms

3.2%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

99.2%100%Improving

Short-stay residents given the seasonal flu vaccine

93.3%

Short-stay residents given the pneumonia vaccine

95.6%97.2%Improving

What the inspectors found

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.

View the original federal record

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.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: J

The nursing home failed to reasonably accommodate each resident’s needs and preferences. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 558 — 42 CFR §483.10 — S/S: E

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

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.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 9 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $75,450 in total fines.

  • Federal fine

    Apr 26, 2024

    $75,450

Operator & ownership

Ownership
Non profit - Corporation
Chain
Part of WELLSENTIAL HEALTH · 68 homes · 2.6 stars avg
Occupancy
124.8 residents on an average day (84% of 148 beds)
Resident voice
Resident & family councils
Medicare history
Certified for 36 years

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.