Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr, Seguin, TX 78155 · (830) 379-9308
Non profit - Corporation · 148 certified beds
Guadalupe Valley Nursing and Rehabilitation Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in March 2026, found 7 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $75,450 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on March 27, 2026 found 7 citations. What an inspection citation means
- Reasonably accommodate the needs and preferences of each resident.March 27, 2026 · 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 · 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 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.March 27, 2026 · F0641 · 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.March 27, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.March 27, 2026 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.March 27, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 24 citations.
- Ensure each resident receives an accurate assessment.June 30, 2026 · F0641 · Level of harm: Potential for minimal harm · Residents affected: Some
- Provide and implement an infection prevention and control program.June 30, 2026 · 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.February 23, 2026 · F0656 · 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.February 23, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.December 10, 2025 · F0580 · 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.December 10, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.December 10, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 10, 2025 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 10, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure medication error rates are not 5 percent or greater.December 10, 2025 · F0759 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.December 10, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.December 10, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.December 10, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.June 6, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.June 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.December 13, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.December 13, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Keep residents' personal and medical records private and confidential.August 30, 2024 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.August 30, 2024 · F0690 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.August 30, 2024 · F0726 · 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.August 30, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.August 30, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.April 26, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.April 26, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
Fines and payment denials
- Fine of $75,450April 26, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.13 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.40 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.86 | 0.95 | 0.86 |
| Nurse aides | 1.88 | 2.01 | 2.32 |
| Total nursing staff turnover | 48.1% | 55.3% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 148 |
| Average residents per day | 124.8 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at Walnut Springs Seguin · ★★★★★ 4 out of 5 stars
- Windsor Nursing and Rehabilitation Center of Segui Seguin · ★★★★★ 2 out of 5 stars
- Avir at Seguin Seguin · ★★★★★ 1 out of 5 stars
- River Bend Healthcare Seguin · ★★★★★ 1 out of 5 stars
- Trucare Living Centers - Selma Schertz · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Guadalupe Valley Nursing and Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.