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Last checked October 26, 2026 · 2,911 nursing homes and 3,257 assisted living licenses in 5 states · CMS data processed September 1, 2026

Home › Texas › Guadalupe County › Guadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center

1210 Eastwood Dr, Seguin, TX 78155 · CMS Certification Number (CCN) 455869

At a glance

CMS overall rating
★★☆☆☆ 2 of 5
Health inspection citations
52 in the last 3 inspection cycles (2 immediate jeopardy, 0 actual harm, 27 from complaints)
Fire safety citations
13
Fines (last 3 years)
1 fine, total $75,450
Payment denials
0
Most recent standard inspection
March 27, 2026
Official record
Medicare Care Compare page for this facility

Source: CMS Nursing Home Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

CMS star ratings

CMS rates every Medicare- and Medicaid-certified nursing home from 1 to 5 stars. Health inspection stars are relative to other homes in the same state: the top 10% get 5 stars and the bottom 20% get 1 star. CMS says to use the ratings together with other information, including a visit. Technical Users’ Guide

RatingThis facilityTexas averageU.S. average
Overall★★☆☆☆ 2 of 52.73
Health inspections★★☆☆☆ 2 of 52.82.8
Staffing★★☆☆☆ 2 of 51.92.9
Quality measures★★★★☆ 4 of 53.73.6
Long-stay quality★★★★★ 5 of 5Not publishedNot published
Short-stay quality★☆☆☆☆ 1 of 5Not publishedNot published

Averages: CMS State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Health inspections

Inspection cycleStandard survey dateHealth citationsFrom standard surveyFrom complaints
Cycle 1 (most recent)March 27, 202620713
Cycle 2January 16, 2025301614

CMS weighted health inspection score: 144.25 (lower is better; it counts citation severity, complaints and repeat revisits). Citations from infection control inspections: 3. How to read these citations

52 health citations across 11 inspection dates, newest first. The letter is CMS’s scope/severity code: A–C means potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, and J–L immediate jeopardy.

June 30, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/01/2026
B F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 07/01/2026
March 27, 2026: 7 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
D F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
E F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 03/28/2026
February 23, 2026: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/24/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 02/24/2026
December 10, 2025: 9 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/12/2025
E F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/13/2026
E F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/12/2025
E F-0759 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/12/2025
E F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/12/2025
D F-0726 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.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/13/2026
D F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/13/2026
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/13/2026
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 01/13/2026
June 6, 2025: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 06/07/2025
January 16, 2025: 16 citations (Standard)
SeverityTagWhat was citedTypeStatus
E F-0949 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Nursing and Physician Services Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0946 Provide training in compliance and ethics.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0945 Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0944 Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0942 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0941 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
E F-0584 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.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0561 Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
D F-0558 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/17/2025
December 13, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0761 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.
Pharmacy Service Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/16/2024
D F-0695 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 12/16/2024
August 30, 2024: 5 citations (Complaint)
SeverityTagWhat was citedTypeStatus
D F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/04/2024
D F-0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/04/2024
D F-0726 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.
Nursing and Physician Services Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/04/2024
D F-0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/04/2024
D F-0583 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 09/04/2024
April 26, 2024: 2 citations (Complaint)
SeverityTagWhat was citedTypeStatus
J F-0684 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/27/2024
J F-0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
Complaint Deficient, Provider has date of correction
Corrected 04/27/2024
December 15, 2023: 2 citations (Standard)
SeverityTagWhat was citedTypeStatus
D F-0805 Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Nutrition and Dietary Deficiencies
Standard Deficient, Provider has date of correction
Corrected 01/03/2024
D F-0641 Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Standard Deficient, Provider has date of correction
Corrected 12/22/2023
September 8, 2023: 3 citations (Complaint + Infection control)
SeverityTagWhat was citedTypeStatus
E F-0880 Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint + Infection control Deficient, Provider has date of correction
Corrected 09/11/2023
D F-0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Complaint + Infection control Deficient, Provider has date of correction
Corrected 09/11/2023
D F-0610 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint + Infection control Deficient, Provider has date of correction
Corrected 09/11/2023

Source: CMS Health Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Fire safety inspections

13 fire safety citations across 3 inspection dates
DateSeverityTagWhat was citedStatus
03/27/2026EK-0355Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/28/2026
03/27/2026EK-0353Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/28/2026
03/27/2026EK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 03/28/2026
03/27/2026FK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 03/28/2026
01/16/2025EK-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Miscellaneous Deficiencies
Deficient, Provider has date of correction
Corrected 02/05/2025
01/16/2025EK-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 02/05/2025
01/16/2025FK-0341Install a fire alarm system that can be heard throughout the facility.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 02/17/2025
01/16/2025DK-0324Provide properly protected cooking facilities.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 02/05/2025
01/16/2025EK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 02/05/2025
01/16/2025EK-0271Have exits that are accessible at all times.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 02/17/2025
01/16/2025EK-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Deficient, Provider has date of correction
Corrected 02/05/2025
12/15/2023FK-0918Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Deficient, Provider has date of correction
Corrected 12/22/2023
12/15/2023EK-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Deficient, Provider has date of correction
Corrected 12/22/2023

Automatic sprinklers in all required areas: Yes. CMS does not count fire safety citations in the health inspection star rating.

Source: CMS Fire Safety Deficiencies: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Penalties

DateTypeFine amountPayment denial
April 26, 2024Fine$75,450—

Source: CMS Penalties: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Staffing

MeasureThis facilityTexas averageU.S. average
Total nurse staff hours per resident per day3.133.393.86
Registered nurse (RN) hours per resident per day0.40.430.69
LPN/LVN hours per resident per day0.86Not publishedNot published
Nurse aide hours per resident per day1.88Not publishedNot published
Total nurse staff hours per resident per day, weekends2.75Not publishedNot published
RN hours per resident per day, weekends0.27Not publishedNot published
Total nursing staff turnover (%)48.155.345.8
Registered nurse turnover (%)37.5Not publishedNot published
Administrators who have left1Not publishedNot published

Reported hours come from the Payroll-Based Journal (PBJ) staffing data that facilities submit to CMS each quarter.

Source: CMS Provider Information; State and US Averages: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Facility details

Legal business name
Medina County Hospital District
Ownership type
Non profit - Corporation
Chain
Wellsential Health (67 facilities)
Ownership changed in last 12 months
No
Certified beds
148
Average residents per day
124.8
Participates in
Medicare and Medicaid
Located inside a hospital
No
Continuing care retirement community
No
Resident and family council
Both
First approved for Medicare/Medicaid
March 30, 1990
County/parish
Guadalupe

Source: CMS Provider Information: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Owners and managers reported to CMS

42 ownership and management records
NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%undefined undefined, NaN
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
CARVAJAL, ANTONIOMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
FROSCH, KEVINMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
GONZALES, VERONICAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
HARDT, TIMOTHYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
KAUFMAN, NICOLEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEundefined undefined, NaN
BAIN, WILLIAMCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
BELL, BILLIECORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
FROSCH, KEVINCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
HARDT, TIMOTHYCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
JOHNSON, TONYCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
MANGOLD, MARYCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
WINDROW, ZACHARYCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
WINKLER, JUDYCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
YOUNG, CARLTONCORPORATE OFFICERIndividualNOT APPLICABLEundefined undefined, NaN
ARANDA, EMANUELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
CHRISTIANSEN, KEITHOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
FLORES, ANTONIOOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
ROSS, KIMBERLYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEundefined undefined, NaN
1210 EASTWOOD DRIVE LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
CSV RHEA MANAGEMENT HOLDCO, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
DWD TX HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
MEDINA COUNTY HOSPITAL DISTRICTADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REG HG OPCO 1, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REG HG OPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REG OPERATOR HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REGENCY IHS OF GUADALUPE VALLEY LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
REGENCY TEXAS HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEundefined undefined, NaN
ARANDA, EMANUELADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
CHRISTIANSEN, KEITHADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
DEKOWSKI, DONOVANADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
FLORES, ANTONIOADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN
ROSS, KIMBERLYADP OF THE SNFIndividualNOT APPLICABLEundefined undefined, NaN

Source: CMS Ownership: data.cms.gov · data as of September 1, 2026 · last checked October 26, 2026

Check it yourself

Page built from CMS data files processed September 1, 2026 (CMS refreshes monthly). Last checked October 26, 2026. Not a ranking or endorsement.