Guadalupe Valley Nursing And Rehabilitation Center
1210 Eastwood Dr, Seguin, TX, 78155
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 148 · avg 128 residents/day
- Total nursing staff turnover
- 40.4% — lower than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 44.4% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $75,450 total
- Infection control citations
- 3
Medicare certification
- CMS Certification Number
- 455869
- Certified beds
- 148 beds · avg 128 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Medina County Hospital District
- Chain affiliation
- Wellsential Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 68 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (35 on record)
- Medina County Hospital District
Adp of The Snf · since 2026
- Emanuel Aranda
Operational/managerial Control · since 2025
- Antonio a Flores
Operational/managerial Control · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Keith Christiansen
Operational/managerial Control · since 2025
- Kimberly Ross
Operational/managerial Control · since 2025
+ 29 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 51)
- E0812·Mar 27, 2026
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0695·Mar 27, 2026
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Mar 27, 2026
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0656·Mar 27, 2026
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0641·Mar 27, 2026
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0584·Mar 27, 2026
Resident Rights Deficiencies
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.
- E0558·Mar 27, 2026
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0842·Feb 23, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20241 fine · $75K
Most recent events
- Apr 26, 2024Fine · $75K
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Mar 27, 2026. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Guadalupe Valley Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.