REMARKABLE HEALTHCARE OF SEGUIN
1339 EASTWOOD DR, SEGUIN, TX 78155 · CCN 676274
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- Government - Hospital district
- Certified beds
- 115
- Avg residents/day
- 72.4
- Phone
- 8303793900
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 | 2024-12-04 | 18 | 9.1 | 9.5 | +8.9 worse |
| 2 | 2023-10-27 | 18 | 9.4 | 9.8 | +8.6 worse |
| 3 | 2022-09-09 | 21 | 8.1 | 9.3 | +12.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 2 |
| Resident assessment and care planning | 4 |
| Resident rights | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 4 |
| Administration | 3 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.20 | — |
| RN staffing (reported) | 0.26 | — |
| Total nurse staffing (adjusted) | 3.18 | — |
Fines & penalties
- Total fines
- $22,994
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Inspection citations (57)2 actual harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-11-25 · Health · corrected 2025-12-22
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-25 · Health · corrected 2025-12-22
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.2025-10-24 · Health · corrected 2025-11-21
Potential for more than minimal harm
- GF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-10-24 · Health · corrected 2024-12-30
Actual harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-04 · Health · corrected 2024-12-30
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.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-12-04 · Health · corrected 2024-12-30
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.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-12-04 · Health · corrected 2024-12-30
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.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- EF0944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.2024-12-04 · Health · corrected 2024-12-30
Potential for more than minimal harm
- EF0946Provide training in compliance and ethics.2024-12-04 · Health · corrected 2024-12-30
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.2024-11-13 · Health · corrected 2024-10-03
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2024-07-03 · Health · corrected 2024-07-20
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.2024-07-03 · Health · corrected 2024-07-20
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-05-01 · Health · corrected 2024-05-05
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-01 · Health · corrected 2024-05-05
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-01 · Health · corrected 2024-05-05
Actual harm
- DF0808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.2024-02-15 · Health · corrected 2024-03-01
Potential for more than minimal harm
- DF0810Provide special eating equipment and utensils for residents who need them and appropriate assistance.2024-02-15 · Health · corrected 2024-03-01
Potential for more than minimal harm
- EF0910Ensure resident rooms meet each resident's needs.2024-01-06 · Health · corrected 2024-02-01
Potential for more than minimal harm
- EF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-10-27 · Health · corrected 2023-11-15
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.2023-10-27 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2023-10-27 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0637Assess the resident when there is a significant change in condition2023-10-27 · Health · corrected 2023-11-30
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.2023-10-27 · Health · corrected 2023-11-15
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-10-27 · Health · corrected 2023-12-31
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-10-27 · Health · corrected 2023-11-17
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.2023-10-27 · Health · corrected 2023-12-15
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2023-10-27 · Health · corrected 2023-11-30
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2023-10-27 · Health · corrected 2023-11-15
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.2023-10-27 · Health · corrected 2023-11-30
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.2023-10-27 · Health · corrected 2023-12-31
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2023-10-06 · Health · corrected 2023-10-13
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.2023-10-06 · Health · corrected 2023-10-13
Potential for more than minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2022-09-09 · Health · corrected 2022-10-03
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2022-09-09 · Health · corrected 2022-09-10
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2022-09-09 · Health · corrected 2022-10-03
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0687Provide appropriate foot care.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-09-09 · Health · corrected 2022-10-11
Potential for more than minimal harm
- EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2022-09-09 · Health · corrected 2022-10-31
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.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- DF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- EF0803Ensure 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.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- EF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2022-09-09 · 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.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2022-09-09 · Health · corrected 2022-10-31
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2024-03-01 |
| RIVER BEND OPCO LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-20 |
| LOCKHART, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| MARTIN, CHRISTOPHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-16 |
| RANKIN, DEREK | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-03-01 |
| THOMPSON, JOHNNY | Individual | CORPORATE DIRECTOR | — | 2024-05-01 |
Other facilities in SEGUIN
| Name | Overall | Beds |
|---|---|---|
| Avir at Walnut Springs | ★★★★☆ | 113 |
| GUADALUPE VALLEY NURSING AND REHABILITATION CENTER | ★★☆☆☆ | 148 |
| WINDSOR NURSING AND REHABILITATION CENTER OF SEGUI | ★★☆☆☆ | 122 |
| Avir at Seguin | ★☆☆☆☆ | 134 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.