Senior Care in Seguin, TX

Avir At Walnut Springs is a 113-bed nursing home in Seguin, Texas, licensed since 1971 and currently operating at roughly 58% of capacity. CMS rates it 4 stars overall, with 5-star quality-measure scores for both long-stay and short-stay residents. The standout gap is a 1-star staffing rating — the lowest tier — against otherwise strong outcomes. Managed by 1637 N King St Opco LLC under a Fannin County Hospital Authority license.

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.

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.

Avir At Seguin is a 134-bed nursing home in Seguin, Texas, operated by Seguin Nursing Operations LLC under a hospital district license. CMS rates it 1 star overall — the lowest rating — with substantiated findings of resident abuse or neglect in the past 36 months. Staffing is also 1-star, and the facility is running at roughly 46% of its licensed beds. The license is active through February 2028.

River Bend Healthcare is a 115-bed nursing home in Seguin (Guadalupe County) operated by a hospital district and licensed for Medicare and Medicaid. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing score and a 2-star health inspection score. Quality-of-care measures rate 4 stars. The facility is running at about 63% of licensed capacity, with 72 of 115 beds occupied on an average day.

Seguin Assisted Living LLC is a 60-bed Type A assisted living facility in Seguin, Guadalupe County, licensed to the operator of the same name under administrator Karen Taylor. The active license runs through August 2028. The facility does not hold memory-care certification. All 60 beds are standard assisted living; no Medicaid or Medicare beds are on record.

Argent Court Seguin is a Type B assisted living facility in Seguin (Guadalupe County), Texas, licensed for 56 residents and operated by Argent Court Management LLC. The active license runs through January 2027. No memory care is offered. All 56 beds are private-pay licensed; no Medicaid or Medicare beds are listed.

Rehab Without Walls Neuro Rehabilitation is a 16-bed Type B assisted living facility in Seguin, Guadalupe County, licensed to Tangram Rehabilitation Network, Inc. The name and neuro-rehabilitation focus suggest a specialized population, though licensed capacity is small. The active license runs through October 2028. No memory-care certification is on file.

Rescare Premier Tangram Behavioral Program North Campus is a 16-bed Type B assisted-living facility in Seguin, Guadalupe County, operated by Tangram Rehabilitation Network, Inc. Type B facilities are licensed to serve residents who need staff assistance during nighttime hours or who may need evacuation help. The license is active through October 2026. The facility carries no memory-care certification.

Rehab Without Walls Neuro Rehabilitation is a Type A assisted-living facility in Seguin, Guadalupe County, licensed for 6 residents and operated by Brightspring Health Services, Inc. It carries no memory-care certification. The active license runs through October 2028. With only 6 licensed beds, available space is limited.