Guadalupe Valley Nursing And Rehabilitation Center
1210 Eastwood Dr, Seguin, TX 78155 · Guadalupe County
Non-profit · 148 certified beds · 84% occupancy · (830) 379-9308
The U.S. government (CMS) rates Guadalupe Valley Nursing And Rehabilitation Center 2 out of 5 stars overall — below average. Its nurse staffing is 4% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.13 nurse hours per resident per day. 4% below the Texas median of 3.27.
Nursing staff turnover: 48.1% · RN turnover: 37.5%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0558 · Mar 27, 2026Corrected Mar 28, 2026
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Mar 27, 2026Corrected Mar 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0755 · Dec 10, 2025ComplaintCorrected Dec 12, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0759 · Dec 10, 2025ComplaintCorrected Dec 12, 2025
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Dec 10, 2025ComplaintCorrected Dec 12, 2025
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
- Potential for harmTag F0842 · Dec 10, 2025ComplaintCorrected Jan 13, 2026
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
- Potential for harmTag F0584 · Mar 27, 2026Corrected Mar 28, 2026
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
- Potential for harmTag F0641 · Mar 27, 2026Corrected Mar 28, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Mar 27, 2026Corrected Mar 28, 2026
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
- Potential for harmTag F0690 · Mar 27, 2026Corrected Mar 28, 2026
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
Showing the 10 most recent and serious of 50 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Wellsential Health chain (68 facilities), chain average overall rating 2.6★.