Nursing Homes 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.