Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr · Seguin, TX · 78155 · 8303799308
148 certified beds Non profit - Corporation Chain: Wellsential Health
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.24 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 2.88 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | 1 · $75,450 |
Inspection citations (51 in the current record)
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Potential for harm · E March 27, 2026
Reasonably accommodate the needs and preferences of each resident.
Corrected March 28, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected March 28, 2026 · Resident Rights
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Potential for harm · D March 27, 2026
Ensure each resident receives an accurate assessment.
Corrected March 28, 2026 · Resident Assessment and Care Planning
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Potential for harm · D March 27, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 28, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 27, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 28, 2026 · Quality of Life and Care
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Potential for harm · D March 27, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 28, 2026 · Quality of Life and Care
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Potential for harm · E March 27, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 28, 2026 · Nutrition and Dietary
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Potential for harm · D February 23, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 24, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 23, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected February 24, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 10, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 13, 2026 · Resident Rights
-
Potential for harm · D December 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 13, 2026 · Quality of Life and Care
-
Potential for harm · D December 10, 2025 · found via complaint
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.
Corrected January 13, 2026 · Nursing and Physician Services
-
Potential for harm · E December 10, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · E December 10, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · E December 10, 2025 · found via complaint
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.
Corrected December 12, 2025 · Pharmacy Service
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Potential for harm · E December 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 13, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D December 10, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 12, 2025 · Infection Control
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Potential for harm · D June 6, 2025 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected June 7, 2025 · Resident Rights
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Potential for harm · D June 6, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected June 7, 2025 · Infection Control
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Potential for harm · D January 16, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 17, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected January 17, 2025 · Resident Rights
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Potential for harm · D January 16, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 17, 2025 · Resident Rights
-
Potential for harm · E January 16, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 17, 2025 · Resident Rights
-
Potential for harm · E January 16, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 17, 2025 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 26, 2024 | Fine | $75,450 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455869 · certified since March 30, 1990. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.