Windsor Nursing and Rehabilitation Center of Segui
1219 Eastwood Dr · Seguin, TX · 78155 · 8303797777
122 certified beds Government - Hospital district Chain: Wellsential Health
- 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
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
RN staffing in the bottom 10% nationally
0.22 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.82 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.82 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.22 | 0.55–0.75 |
| Weekend hours / resident-day | 2.43 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 2 · $24,499 |
Inspection citations (33 in the current record)
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Potential for harm · D July 31, 2025
Ensure each resident receives an accurate assessment.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 1, 2025 · Resident Assessment and Care Planning
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Potential for harm · D July 31, 2025
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 August 1, 2025 · Quality of Life and Care
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Potential for harm · D July 31, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected August 1, 2025 · Pharmacy Service
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Potential for harm · D July 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 1, 2025 · Nutrition and Dietary
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Potential for harm · D July 31, 2025
Provide and implement an infection prevention and control program.
Corrected August 1, 2025 · Infection Control
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Actual harm · G May 24, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 25, 2024 · Quality of Life and Care
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Potential for harm · D May 24, 2024
Ensure each resident receives an accurate assessment.
Corrected May 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · D May 24, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 25, 2024 · Resident Assessment and Care Planning
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Potential for harm · E May 24, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected May 25, 2024 · Pharmacy Service
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Potential for harm · D May 24, 2024
Ensure that residents are free from significant medication errors.
Corrected May 25, 2024 · Pharmacy Service
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Potential for harm · E May 24, 2024
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 May 25, 2024 · Pharmacy Service
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Potential for harm · E May 24, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 25, 2024 · Nutrition and Dietary
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Potential for harm · E May 24, 2024
Provide and implement an infection prevention and control program.
Corrected May 25, 2024 · Infection Control
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No harm found · C May 24, 2024
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected May 25, 2024 · Resident Rights
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Immediate jeopardy · K April 21, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 22, 2024 · Quality of Life and Care
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Potential for harm · D April 21, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E April 21, 2024 · 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 April 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 22, 2023
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected April 14, 2023 · Resident Rights
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Potential for harm · D March 22, 2023
Keep residents' personal and medical records private and confidential.
Corrected April 14, 2023 · Resident Rights
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Potential for harm · D March 22, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 14, 2023 · Resident Assessment and Care Planning
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Potential for harm · D March 22, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 14, 2023 · Quality of Life and Care
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Potential for harm · D March 22, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 14, 2023 · 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 |
|---|---|---|
| May 24, 2024 | Fine | $3,341 |
| April 21, 2024 | Fine | $21,158 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675380 · certified since August 10, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.