Guadalupe Valley Nursing and Rehabilitation Center
Nursing Home · Seguin, TX
CMS certification number455869
Contact & location
1210 Eastwood DRSeguin, TX 78155
Guadalupe County
- Phone
- (830) 379-9308
- ZIP code
- 78155 – all care providers
Facility details
- Certified beds
- 148
- Residents per day
- 124.8 (84% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Medina County Hospital District
- Chain
- Wellsential Health (67 facilities, avg 2.7★)
- Medicare certified since
- March 30, 1990
- Participates in
- Medicare and Medicaid
- Council
- Both council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.13 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.40 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.86 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.88 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.75 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 48.1 (state 55.3 · U.S. 45.8)%
- RN turnover
- 37.5 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- March 27, 2026
- Health deficiencies (last cycle)
- 20.0 (state 9.3 · U.S. 9.3)
- From complaints
- 13
- Infection control citations
- 3
- Citations on record (3 years)
- 52 health · 13 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-06-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-01 |
| 2026-06-30 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
B No actual harm, potential for minimal harm |
Corrected 2026-07-01 |
| 2026-03-27 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-27 | 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. F0584 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-27 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-27 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-03-27 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-28 |
| 2026-02-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-24 |
| 2026-02-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-02-24 |
| 2025-12-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-10 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-10 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-12-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-13 |
| 2025-12-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-13 |
| 2025-12-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-13 |
| 2025-12-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-13 |
| 2025-12-10 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-01-13 |
| 2025-12-10 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-12 |
| 2025-06-06 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-07 |
| 2025-06-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-07 |
| 2025-01-16 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. F0940 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. F0941 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. F0942 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. F0944 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. F0949 · Administration Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. F0561 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. F0943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Provide training in compliance and ethics. F0946 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2025-01-16 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. F0947 · Nursing and Physician Services Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-17 |
| 2024-12-13 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-16 |
| 2024-12-13 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-12-16 |
| 2024-08-30 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-08-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-08-30 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-08-30 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-08-30 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-09-04 |
| 2024-04-26 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-27 |
| 2024-04-26 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-27 |
| 2023-12-15 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-12-22 |
| 2023-12-15 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-01-03 |
| 2023-09-08 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-09-11 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $75,450 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-04-26 | Fine | $75,450 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Medina County Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| 1210 Eastwood Drive LLC (organization) | Administrator · NOT APPLICABLE | |
| Aranda, Emanuel (individual) | Administrator · NOT APPLICABLE | |
| Christiansen, Keith (individual) | Administrator · NOT APPLICABLE | |
| CSV Rhea Management Holdco, LLC (organization) | Administrator · NOT APPLICABLE | |
| Dekowski, Donovan (individual) | Administrator · NOT APPLICABLE | |
| DWD TX Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Flores, Antonio (individual) | Administrator · NOT APPLICABLE | |
| Jack and Nancy Dwyer Workforce Development Center INC (organization) | Administrator · NOT APPLICABLE | |
| Medina County Hospital District (organization) | Administrator · NOT APPLICABLE | |
| Reg HG Opco 1, LLC (organization) | Administrator · NOT APPLICABLE | |
| Reg HG Opco LLC (organization) | Administrator · NOT APPLICABLE | |
| Reg Operator Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs Clinical Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs of Guadalupe Valley LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs Rehab LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Integrated Health Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Texas Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Ross, Kimberly (individual) | Administrator · NOT APPLICABLE | |
| Bain, William (individual) | Corporate Officer · NOT APPLICABLE | |
| Bell, Billie (individual) | Corporate Officer · NOT APPLICABLE | |
| Frosch, Kevin (individual) | Corporate Officer · NOT APPLICABLE | |
| Hardt, Timothy (individual) | Corporate Officer · NOT APPLICABLE | |
| Johnson, Tony (individual) | Corporate Officer · NOT APPLICABLE | |
| Mangold, Mary (individual) | Corporate Officer · NOT APPLICABLE | |
| Windrow, Zachary (individual) | Corporate Officer · NOT APPLICABLE | |
| Winkler, Judy (individual) | Corporate Officer · NOT APPLICABLE | |
| Young, Carlton (individual) | Corporate Officer · NOT APPLICABLE | |
| Baird, Daniel (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Carvajal, Antonio (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Clapp, Barbara (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cortese, Daren (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Frosch, Kevin (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gibson, Patricia (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gonzales, Veronica (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Hardt, Timothy (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kaufman, Nicole (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Mandelbaum, Elliot (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Aranda, Emanuel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Christiansen, Keith (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Flores, Antonio (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Ross, Kimberly (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Guadalupe Valley Nursing and Rehabilitation Center?
Guadalupe Valley Nursing and Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Guadalupe Valley Nursing and Rehabilitation Center have?
It has 148 certified beds and cares for about 125 residents per day.
Has Guadalupe Valley Nursing and Rehabilitation Center been fined?
Yes. CMS lists 1 penalty totaling $75,450 in the last three years.
Who owns Guadalupe Valley Nursing and Rehabilitation Center?
It is part of Wellsential Health and is classified as non profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Guadalupe Valley Nursing and Rehabilitation Center?
(830) 379-9308. The facility is located at 1210 Eastwood DR, Seguin, TX 78155.
Other nursing homes in Seguin
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Windsor Nursing and Rehabilitation Center of Segui
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Avir at Seguin
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River Bend Healthcare
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.