Windsor Nursing And Rehabilitation Center Of Seguin
1219 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
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 122 · avg 101 residents/day
- Total nursing staff turnover
- 32.4% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $34,249 total
State licensing & capacity
- License number
- 143763
- Service type
- Medicare/medicaid
- Licensed capacity
- 122 beds
- Bed type breakdown
- 14 Medicare-only · 108 Medicaid/Medicare
- Current license effective
- January 1, 2025
- Current license expires
- January 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Val Verde County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Windsor Seguin Llc
- Administrator
- Albert Saldana
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.
Parent entity
Jack And Nancy Dwyer Workforce Development Center Inc
Disclosed owners (32 on record)
- Regency Ihs of Windsor Seguin, Llc
Adp of The Snf · since 2025
- Regency Integrated Health Services Llc
Adp of The Snf · since 2025
- Val Verde County Hospital District
Adp of The Snf · since 2025
- Aimee Ruiz
Adp of The Snf · since 2025
- Antonio a Flores
Operational/managerial Control · since 2025
- Chrissa Carpenter
Adp of The Snf · since 2025
+ 26 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 33)
- D0880·Jul 31, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·Jul 31, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0755·Jul 31, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D0690·Jul 31, 2025
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.
- D0657·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0645·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- D0641·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- G0689·May 24, 2024Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20242 fines · $24K
- 20231 fine · $9,750
Most recent events
- May 24, 2024Fine · $3,341
- Apr 21, 2024Fine · $21K
- Mar 22, 2023Fine · $9,750
Largest single fine on record: $21K.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Jul 31, 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
Windsor Nursing And Rehabilitation Center of Seguin is a 122-bed Medicare/Medicaid nursing home in Seguin, TX, operated under a hospital district license and managed by Regency IHS. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier. On the positive side, nursing staff turnover is exceptionally low: roughly 3 in 10 left in the past year, compared to a Texas median of 5 in 10. Three CMS fines totaling $34,249 have 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 1 star — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 167 minutes of nursing care per day, about 74 minutes less than at a facility that reaches the 4-star staffing threshold in Texas. Registered nurse time is 12 minutes per resident per day, well below the 37-minute mark that separates 4-star facilities in Texas. Beyond the raw minutes, residents here require more hands-on care than average — more dependent or more medically complex — so those hours stretch thinner than the numbers alone suggest.
Nursing staff turnover tells a different story. Roughly 3 in 10 nursing staff left in the past year — below the Texas 25th-percentile cutoff of 42%, meaning staff here are more stable than about three-quarters of nursing homes in the state. A long-stay resident is less likely to cycle through unfamiliar caregivers than at most Texas facilities.
CMS has issued 3 fines totaling $34,249 since the facility's data window. The state median for fines among facilities that receive any is $20,699; this facility's total runs above that figure. About 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here average 2.4 minutes per resident per day less than weekday hours — ask how many nurses and aides are on the floor on a typical Saturday or Sunday.
Registered nurse coverage
Reported RN time is 12 minutes per resident per day; ask how many hours a registered nurse is physically present in the building on a given shift.
What the three fines were for
Three CMS fines totaling $34,249 have been issued — ask staff to walk you through what each citation found and what changed afterward.
How care plans are reviewed
The quality-measures rating for short stays is 2 stars despite a stable staff team — ask how often care plans are updated and who leads that review.
Relationship between hospital district and management company
The facility is licensed under Val Verde County Hospital District but day-to-day operations are managed by Regency IHS — ask how decisions about staffing and care standards are made between the two entities.
Resident Council meeting access
The facility has a Resident Council but no Family Council — ask how family members can raise concerns formally and how often they receive feedback.
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.