What is the overall CMS rating of GUADALUPE VALLEY NURSING AND REHABILITATION CENTER?

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER has a 2-star overall rating from CMS, based on health inspections, staffing, and quality measures.

How many deficiency citations does GUADALUPE VALLEY NURSING AND REHABILITATION CENTER have?

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER has 55 health inspection citations recorded across the most recent three CMS inspection cycles. 2 are classified as "immediate jeopardy" (the most serious CMS severity level).

Has GUADALUPE VALLEY NURSING AND REHABILITATION CENTER been fined by CMS?

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER has accumulated $75,450 in CMS fines across 1 separate penalties in the current three-year window.

Starfile / Texas

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER

Q: Who owns GUADALUPE VALLEY NURSING AND REHABILITATION CENTER?

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER is affiliated with the WELLSENTIAL HEALTH chain, which operates 67 facilities nationally. See the facility's ownership section for the full CMS Form 855A ownership disclosure.

1210 EASTWOOD DR, SEGUIN, TX 78155 · CCN 455869

Ratings

Overall: ★★☆☆☆ 2
Health inspection: ★★☆☆☆ 2
Quality measures: ★★★★☆ 4
Staffing: ★★☆☆☆ 2

Facility

Ownership type: Non profit - Corporation
Certified beds: 148
Avg residents/day: 131.8
Phone: 8303799308

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle	Inspection date	This facility	Texas avg	National avg	vs state
1	2025-01-16	27	9.1	9.5	+17.9 worse
2	2023-12-15	11	9.4	9.8	+1.6 worse
3	2022-10-14	17	8.1	9.3	+8.9 worse

Cycle 1 deficiencies by category

Category	Deficiencies
Abuse, neglect, exploitation	1
Quality of life and care	2
Resident assessment and care planning	2
Nursing and physician services	2
Resident rights	7
Pharmacy service	4
Administration	5
Infection control	4

Staffing (hours per resident per day)

Metric	This facility	Turnover
Total nurse staffing (reported)	3.14	44.2%
RN staffing (reported)	0.33	28.6%
Total nurse staffing (adjusted)	3.37	—

Fines & penalties

Total fines: $75,450
Number of fines: 1
Number of penalties: 1
Payment denials: 0

Chain

Chain: WELLSENTIAL HEALTH
Facilities in chain: 67
Chain avg overall: 2.80 / 5

Inspection citations (55)2 immediate jeopardy

DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-12-10 · Health · corrected 2026-01-13
Potential for more than minimal harm
DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-10 · Health · corrected 2026-01-13
Potential for more than minimal harm
DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-10 · Health · corrected 2026-01-13
Potential for more than minimal harm
DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2025-12-10 · Health · corrected 2026-01-13
Potential for more than minimal harm
EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-10 · Health · corrected 2025-12-12
Potential for more than minimal harm
EF0759Ensure medication error rates are not 5 percent or greater.2025-12-10 · Health · corrected 2025-12-12
Potential for more than minimal harm
EF0761Ensure 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.2025-12-10 · Health · corrected 2025-12-12
Potential for more than minimal harm
EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-12-10 · Health · corrected 2026-01-13
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2025-12-10 · Health · corrected 2025-12-12
Potential for more than minimal harm
DF0583Keep residents' personal and medical records private and confidential.2025-06-06 · Health · corrected 2025-06-07
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2025-06-06 · Health · corrected 2025-06-07
Potential for more than minimal harm
DF0558Reasonably accommodate the needs and preferences of each resident.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0584Honor 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.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0880Provide and implement an infection prevention and control program.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0946Provide training in compliance and ethics.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
EF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-01-16 · Health · corrected 2025-01-17
Potential for more than minimal harm
DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-13 · Health · corrected 2024-12-16
Potential for more than minimal harm
DF0761Ensure 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.2024-12-13 · Health · corrected 2024-12-16
Potential for more than minimal harm
DF0583Keep residents' personal and medical records private and confidential.2024-08-30 · Health · corrected 2024-09-04
Potential for more than minimal harm
DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-08-30 · Health · corrected 2024-09-04
Potential for more than minimal harm
DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-08-30 · Health · corrected 2024-09-04
Potential for more than minimal harm
DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-08-30 · Health · corrected 2024-09-04
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2024-08-30 · Health · corrected 2024-09-04
Potential for more than minimal harm
JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-04-26 · Health · corrected 2024-04-27
Immediate jeopardy
JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-04-26 · Health · corrected 2024-04-27
Immediate jeopardy
DF0641Ensure each resident receives an accurate assessment.2023-12-15 · Health · corrected 2023-12-22
Potential for more than minimal harm
DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-12-15 · Health · corrected 2024-01-03
Potential for more than minimal harm
DF0610Respond appropriately to all alleged violations.2023-09-08 · Health · corrected 2023-09-11
Potential for more than minimal harm
DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-08 · Health · corrected 2023-09-11
Potential for more than minimal harm
EF0880Provide and implement an infection prevention and control program.2023-09-08 · Health · corrected 2023-09-11
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2023-06-30 · Health · corrected 2023-07-19
Potential for more than minimal harm
DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-29 · Health · corrected 2023-05-26
Potential for more than minimal harm
DF0610Respond appropriately to all alleged violations.2023-04-29 · Health · corrected 2023-05-26
Potential for more than minimal harm
EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-04-29 · Health · corrected 2023-05-26
Potential for more than minimal harm
DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-04-29 · Health · corrected 2023-05-26
Potential for more than minimal harm
DF0641Ensure each resident receives an accurate assessment.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
DF0761Ensure 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.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
DF0880Provide and implement an infection prevention and control program.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm
EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2022-10-14 · Health · corrected 2022-10-31
Potential for more than minimal harm

Ownership

Owner	Type	Role	Percent	Since
MEDINA COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100%	2014-06-01
REGENCY IHS OF GUADALUPE VALLEY LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	—	2018-10-01
BELL, BILLIE	Individual	OPERATIONAL/MANAGERIAL CONTROL	—	2023-06-03
BAIN, WILLIAM	Individual	CORPORATE DIRECTOR	—	2011-05-23
CARTER KRIEGER, LORI	Individual	CORPORATE DIRECTOR	—	2020-07-20
HARDT, TIMOTHY	Individual	CORPORATE DIRECTOR	—	2020-01-27
JOHNSON, TONY	Individual	CORPORATE DIRECTOR	—	2012-11-26
WINDROW, ZACHARY	Individual	CORPORATE DIRECTOR	—	2012-11-26
WINKLER, JUDY	Individual	CORPORATE DIRECTOR	—	2004-05-01
YOUNG, CARLTON	Individual	CORPORATE DIRECTOR	—	2006-05-01
BELL, BILLIE	Individual	CORPORATE OFFICER	—	2023-06-03
FROSCH, KEVIN	Individual	CORPORATE OFFICER	—	2010-02-01
BELL, BILLIE	Individual	W-2 MANAGING EMPLOYEE	—	2023-06-03
FROSCH, KEVIN	Individual	W-2 MANAGING EMPLOYEE	—	2010-02-01
LIMMER, JAMES	Individual	W-2 MANAGING EMPLOYEE	—	2020-10-12

Other facilities in SEGUIN

Name	Overall	Beds
Avir at Walnut Springs	★★★★☆	113
WINDSOR NURSING AND REHABILITATION CENTER OF SEGUI	★★☆☆☆	122
Avir at Seguin	★☆☆☆☆	134
REMARKABLE HEALTHCARE OF SEGUIN	★☆☆☆☆	115

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.