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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.