Guadalupe Valley Nursing and Rehabilitation Center
Nursing home in Seguin, Texas, CMS certification number 455869
1210 Eastwood Dr, Seguin, TX 78155 · Guadalupe County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 148
- Certified for
- Medicare and Medicaid
- Last standard inspection
- March 27, 2026
- Deficiencies at that inspection
- 20
- Fines in 3 years
- $60,360 (1)
Does Guadalupe Valley Nursing and Rehabilitation Center take Medicare and Medicaid?
Yes to both. Guadalupe Valley Nursing and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 3 of 5 |
Nurse staffing hours and turnover
These are the hours Guadalupe Valley Nursing and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.09
- Registered nurse hours
- 0.30
- Licensed practical nurse hours
- 0.87
- Nurse aide hours
- 1.91
- Weekend total hours
- 2.67
- Nursing staff turnover
- 46.4%
- Registered nurse turnover
- 54.5%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on March 27, 2026 and cited 20 deficiencies, plus 13 from complaint visits.
The visit before, on January 16, 2025, found 16.
Infection control citations: 0.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Guadalupe Valley Nursing and Rehabilitation Center 1 time in the past 3 years, for $60,360 in total.
Beds and residents
On an average day 135.9 residents live here, about 92% of its 148 certified beds.
- Certified beds
- 148
- Average residents per day
- 135.9
- Certified since
- March 30, 1990
- Resident or family council
- Both
Who owns Guadalupe Valley Nursing and Rehabilitation Center
- Legal business name
- Medina County Hospital District
- Ownership type
- Non profit - Corporation
- Chain
- 67 homes nationally under Wellsential Health, 2.8-star chain average
Other nursing homes near Guadalupe Valley Nursing and Rehabilitation Center
- Windsor Nursing and Rehabilitation Center of Segui1219 Eastwood Dr, Seguin 78155
- River Bend Healthcare1339 Eastwood Dr., Seguin 78155
- Avir at Seguin1215 Ashby, Seguin 78155
- Avir at Walnut Springs1637 N King St, Seguin 78155
- Legend Oaks Healthcare and Rehabilitation - New Br2468 FM 1101, New Braunfels 78130
See also all nursing homes in Seguin.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 5 in Seguin, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Guadalupe Valley Nursing and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Guadalupe Valley Nursing and Rehabilitation Center
What is the CMS star rating of Guadalupe Valley Nursing and Rehabilitation Center?
2 out of 5 stars overall.
Does Guadalupe Valley Nursing and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Guadalupe Valley Nursing and Rehabilitation Center?
20 cited at the last standard visit.
Who owns Guadalupe Valley Nursing and Rehabilitation Center?
Medina County Hospital District, non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.