Nursing homes in Seguin, TX
Seguin, TX has 5 Medicare-certified nursing homes. None has a 5-star overall rating, and 4 have been fined in the last three years.
Medicare data updated October 2026. Sorted by Medicare's overall rating.
| Nursing home | Overall rating | Health inspections | Staffing | Quality measures | Beds | Fines |
|---|---|---|---|---|---|---|
| Avir at Walnut Springs1637 N King St · For profit - Corporation | ★★★★★ 4 out of 5 stars | ★★★★★ 4 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 5 out of 5 stars | 113 | None |
| Windsor Nursing and Rehabilitation Center of Segui1219 Eastwood Dr · Government - Hospital district | ★★★★★ 2 out of 5 stars | ★★★★★ 3 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 4 out of 5 stars | 122 | 2 ($24,499) |
| Guadalupe Valley Nursing and Rehabilitation Center1210 Eastwood Dr · Non profit - Corporation | ★★★★★ 2 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 4 out of 5 stars | 148 | 1 ($75,450) |
| Avir at Seguin1215 Ashby · For profit - Corporation Cited for abuse | ★★★★★ 1 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 4 out of 5 stars | 134 | 1 ($13,877) |
| River Bend Healthcare1339 Eastwood Dr. · Government - Hospital district | ★★★★★ 1 out of 5 stars | ★★★★★ 2 out of 5 stars | ★★★★★ 1 out of 5 stars | ★★★★★ 4 out of 5 stars | 115 | 2 ($18,225) |
How to read the ratings. Medicare's overall rating starts from the health inspection rating, which compares each home with others in Texas, then moves up or down a star for very high or very low staffing and quality measure ratings. Ratings are one source among several: Medicare suggests visiting too. How to read a nursing home's star ratings
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Recent inspection problems in Seguin
Citations from each home's latest standard inspection and from complaint inspections in the last three years, newest first. What an inspection citation means
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.July 22, 2026 · Avir at Seguin · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.July 14, 2026 · Avir at Seguin · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 14, 2026 · Avir at Seguin · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.July 14, 2026 · Avir at Seguin · F0921 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.June 30, 2026 · Guadalupe Valley Nursing and Rehabilitation Center · F0641 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide and implement an infection prevention and control program.June 30, 2026 · Guadalupe Valley Nursing and Rehabilitation Center · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 24, 2026 · Avir at Seguin · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Reasonably accommodate the needs and preferences of each resident.March 27, 2026 · Guadalupe Valley Nursing and Rehabilitation Center · F0558 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 27, 2026 · Guadalupe Valley Nursing and Rehabilitation Center · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 27, 2026 · Guadalupe Valley Nursing and Rehabilitation Center · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Questions about nursing homes in Seguin
Which nursing home in Seguin has the highest Medicare rating?
Avir at Walnut Springs has the highest overall rating in Seguin: 4 stars out of 5.
How many nursing homes in Seguin have been fined?
4 of the 5 have been fined in the last three years, $132,051 in all. The most was $75,450, at Guadalupe Valley Nursing and Rehabilitation Center.
Does Medicare flag any nursing homes in Seguin?
Avir at Seguin was cited for abuse. Medicare marks homes with a history of serious problems and homes recently cited for abuse.
Which nursing home in Seguin is the largest?
Guadalupe Valley Nursing and Rehabilitation Center, with 148 certified beds.
Data from Medicare (CMS), updated October 2026, from Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.