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Memory care

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER

0.00 reviews · 0 verifiedSEGUIN, TXLic. 455869
Signals
JKLRecent citation with immediate-jeopardy / high severity (J/K/L)Source: CMS Health Citations
FINECMS fine: $75,450Source: CMS Penalties
VBP-SLow SNF VBP readmission measure score (0.0)Source: CMS SNF VBP (PDC)
VBP-RElevated VBP readmission rate (22.8%)Source: CMS SNF VBP (PDC)
VBPLower SNF VBP program ranking (#13,244)Source: CMS SNF VBP (PDC)
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About

Guadalupe Valley Nursing and Rehabilitation Center in Seguin, TX, offers a range of skilled nursing and rehabilitation services. The facility provides 7-day admissions and specialized care including cardiac, pulmonary, and stroke care, along with physical, speech, and occupational therapy. Amenities include private and semi-private rooms, WiFi, cable services, recreational activities, a beauty salon, transportation, and an outdoor courtyard. The center also features a secure memory support unit for female residents. Hospice and home health services are available to support patients' quality of life and independence.

Amenities
Transportation & ShoppingGeneral Transportation Services
TherapiesOn-Site Rehabilitation Services
Fitness & Wellness ProgramsSalon Services
Outside AmenitiesGarden
CMS Care CompareView on Medicare.gov →
Medicare overall
3/5Medicare.gov Care Compare stars are shown for context only. They are never part of the Unbeatable composite score.
Staffing (PBJ)
2.48 total HPRDRN 0.44 · weekend 97%Oct 2025 – Dec 2025
Survey history
14 inspections64 deficiencies on record
Federal IDs
CCN 455869

Overall: 3/5 · Health: 2/5 · Staffing: 2/5 · QM: 5/5

Unbeatable ratings come only from verified family, staff, and professional reviews on this site. CMS stars, staffing, and citations are public regulatory signals — useful for context, not blended into our score.

Recent inspections
Fire safetyMar 2026 · STATE FIRE MARSHAL4 deficiencies
  • K-211SS FKeep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-321SS EEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-353SS EInspect, test, and maintain automatic sprinkler systems.
  • K-355SS EProperly select, install, inspect, or maintain portable fire extinguishes.
Health surveyMar 2026 · CMS7 deficiencies
  • F-558SS EReasonably accommodate the needs and preferences of each resident.
  • F-584SS DHonor 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.
  • F-641SS DEnsure each resident receives an accurate assessment.
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-695SS DProvide safe and appropriate respiratory care for a resident when needed.
  • F-812SS EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Health surveyFeb 2026 · CMS2 deficiencies
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-842SS DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Health surveyDec 2025 · CMS9 deficiencies
  • F-580SS DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-656SS DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-689SS DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-726SS DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  • F-755SS EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-759SS EEnsure medication error rates are not 5 percent or greater.
  • F-761SS EEnsure 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.
  • F-842SS ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-880SS DProvide and implement an infection prevention and control program.
Health surveyJun 2025 · CMS2 deficiencies
  • F-583SS DKeep residents' personal and medical records private and confidential.
  • F-880SS DProvide and implement an infection prevention and control program.
Fire safetyJan 2025 · STATE FIRE MARSHAL7 deficiencies
  • K-211SS EKeep aisles, corridors, and exits free of obstruction in case of emergency.
  • K-271SS EHave exits that are accessible at all times.
  • K-321SS EEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-324SS DProvide properly protected cooking facilities.
  • K-341SS FInstall a fire alarm system that can be heard throughout the facility.
  • K-372SS EEnsure smoke barriers are constructed to a 1 hour fire resistance rating.
  • K-741SS EHave posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Health surveyJan 2025 · CMS16 deficiencies
  • F-558SS DReasonably accommodate the needs and preferences of each resident.
  • F-561SS DHonor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  • F-580SS DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-584SS EHonor 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.
  • F-689SS EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-755SS DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • F-880SS EProvide and implement an infection prevention and control program.
  • F-940SS EDevelop, implement, and/or maintain an effective training program for all new and existing staff members.
  • F-941SS EDevelop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
  • F-942SS EEnsure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
  • F-943SS DGive their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
  • F-944SS EConduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
  • F-945SS EInclude as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
  • F-946SS DProvide training in compliance and ethics.
  • F-947SS DEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
  • F-949SS EProvide behavior health training consistent with the requirements and as determined by a facility assessment.
Health surveyDec 2024 · CMS2 deficiencies
  • F-695SS DProvide safe and appropriate respiratory care for a resident when needed.
  • F-761SS DEnsure 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.
Health surveyAug 2024 · CMS5 deficiencies
  • F-583SS DKeep residents' personal and medical records private and confidential.
  • F-690SS DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  • F-726SS DEnsure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  • F-842SS DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-880SS DProvide and implement an infection prevention and control program.
Health surveyApr 2024 · CMS2 deficiencies
  • F-580SS JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  • F-684SS JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
Fire safetyDec 2023 · STATE FIRE MARSHAL2 deficiencies
  • K-321SS EEnsure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  • K-918SS FHave generator or other power source capable of supplying service within 10 seconds.
Health surveyDec 2023 · CMS2 deficiencies
  • F-641SS DEnsure each resident receives an accurate assessment.
  • F-805SS DEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Showing 12 of 14 inspections.
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Ownership

Operated by WELLSENTIAL HEALTH (independent) since 1990.

  1. Jun 2014
    operator transition — MEDINA COUNTY HOSPITAL DISTRICT
    5% OR GREATER DIRECT OWNERSHIP INTEREST (100%) — MEDINA COUNTY HOSPITAL DISTRICT
Contact

1210 EASTWOOD DR
SEGUIN, TX 78155

8303799308wellsentialhealth.org/location/guadalupe-valley-nursing-rehabilitation-center
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