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.
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).
Last yrNowTrend
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).
Last yrNowTrend
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
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 9 health deficiencies.
See what inspectors found
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.