Nursing homes in Guadalupe County, Texas

All 8 Medicare/Medicaid-certified nursing homes across 3 cities in Guadalupe County, with the government's own quality ratings, nurse staffing versus the state median, and any federal safety flags. We take no money from any facility.

nursing homes

carry an abuse flag

rated 1 star

3.20

median nurse hrs/day (TX: 3.27)

Among 8 rated homes in Guadalupe, 0 have a five-star CMS overall rating and 2 have one star. Local median nurse staffing is 3.20 hours per resident per day, compared with the Texas median of 3.27. 2 carry a federal abuse-warning flag. Open the report cards to compare staffing, inspections, fines, drug use, and preventable-harm measures before deciding.

What the CMS records show in Guadalupe County

Guadalupe County ranks 80 of 146 Texas counties we cover for median nurse staffing.
5 of 8 homes report fewer nurse hours than the Texas median of 3.27. The range runs from 2.79 hours per resident per day at Windsor Nursing And Rehabilitation Center Of Segui to 3.66 at Avir At Walnut Springs.
6 of 8 homes paid federal fines in roughly the last three years, about $281,123 in total; the most, $114,303, was at Silver Tree Nursing And Rehabilitation Center.
50% of homes here are for-profit, below the Texas share of 71%. How ownership tracks quality.
The largest operator here is Avir Health Group, with 3 of the 8 homes.
One home gives long-stay residents antipsychotic drugs at twice the Texas median (8.3%) or more: Avir At Walnut Springs (19.1%).

Cities:Seguin (5)

How to narrow 8 homes down

·The 8 homes below are ordered best-first by CMS overall rating, so start at the top. 1 of them are rated 4 or 5 stars.
·2 homes in Guadalupe County carry a federal abuse-warning flag. Open each report card's safety section before you tour.

Once you have a shortlist, our free nursing-home tour checklist covers the 30 questions to ask and the red flags to watch for on a visit.

All 8 homes in Guadalupe County

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-10-05. Educational information only, not advice. See our methodology.