Guadalupe Valley Nursing And Rehabilitation Center
1210 EASTWOOD DR, Seguin, TX, 78155
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation · Chain: Wellsential Health
- Certified beds
- 148 · avg 132 residents/day
- Total nursing staff turnover
- 44.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 28.6% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $75,450 total
- Infection control citations
- 7
State licensing & capacity
- License number
- 142733
- Service type
- Medicare/medicaid
- Licensed capacity
- 148 beds
- Bed type breakdown
- 31 Medicare-only · 117 Medicaid/Medicare
- Current license effective
- July 1, 2024
- Current license expires
- July 1, 2027
- Initial license date
- March 30, 1990
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Medina County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Guadalupe Valley, Llc
- Administrator
- Jeffrey J Burton
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 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 April 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 55)
- D0880·Dec 10, 2025Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Dec 10, 2025Complaint
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.
- E0761·Dec 10, 2025Complaint
Pharmacy Service Deficiencies
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.
- E0759·Dec 10, 2025Complaint
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0755·Dec 10, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0726·Dec 10, 2025Complaint
Nursing and Physician Services Deficiencies
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.
- D0689·Dec 10, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Dec 10, 2025Complaint
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.
Federal penalties
By year
- 20241 fine · $75K
Most recent events
- Apr 26, 2024Fine · $75K
Fire-safety citations
11 Life-Safety-Code citations on file. Most recent: Jan 16, 2025. 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 Mar 1, 2026.
About this community
Guadalupe Valley Nursing And Rehabilitation Center is a 148-bed nursing home in Seguin, TX, operated under a hospital district license and managed by Regency IHS of Guadalupe Valley. CMS rates it 2 stars overall, with a 2-star health inspection score and 2-star staffing rating. Quality-of-care measures for long-stay residents rate 5 stars. One CMS fine of $75,450 has been issued.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Residents receive about 188 minutes of nursing care per day — roughly 53 minutes less than at a 4-star-staffing facility in Texas. Residents here also tend to need more hands-on care than at a typical facility — more dependent or less mobile on average — so those 188 minutes stretch thinner than the number alone suggests.
RN turnover runs low: about 3 in 10 registered nurses left in the past year, below the state's 25th-percentile cutoff — better than roughly three-quarters of nursing homes in Texas on that measure.
One administrator has left in the past year — a level of leadership transition that can affect day-to-day consistency for residents.
CMS recorded one fine totaling $75,450. That is roughly 3.6 times the Texas median fine of $20,699, and about 30% of Texas facilities received no fines at all in the same period.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator tenure
With one administrator change recorded in the past year, ask how long the current administrator has been in place and what leadership continuity looks like day to day.
The $75,450 fine
CMS issued one fine totaling $75,450 — ask what the deficiency was, how it was corrected, and whether follow-up inspections have closed it out.
Weekend staffing levels
Reported weekend nursing hours run lower than the weekly average; ask how many nursing staff are on the floor on a typical Saturday or Sunday.
Resident Council access
A Resident Council meets here but no Family Council is listed; ask how families raise concerns and how quickly they can expect a response.
Care plan review process
Long-stay quality measures rate 5 stars while overall and staffing ratings are 2 stars; ask how often care plans are reviewed and who participates in those meetings.
Bed availability and waitlist
With 131.8 residents per day against 148 licensed beds — about 89% occupancy — ask whether a specific bed type or unit has a waitlist.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.