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ElderCareCosts
SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Guadalupe Valley Nursing and Rehabilitation Center

1210 Eastwood Dr · Seguin, TX 78155 · 148 certified beds

8303799308

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1669422275. Look this up in the CMS NPPES registry (opens in a new tab)

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About Guadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center is a nursing home in Seguin, Texas. Its reported capacity is 148 beds. It is recorded as a nonprofit operator, part of Wellsential Health. Federal records list it as Medicare certified. Our copy of the inspection record holds 51 citations, the newest dated 27 March 2026. Federal enforcement records add 1 fine or payment denial action. Staffing reports put it at 3.13 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

48

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

49

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

50

Inspection history (51)

Records from June 2023 to March 2026.

  • January 16, 2025 · E

    Citation F0584

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0584 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0689

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0941

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0941 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0944

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0944 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0561

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0561 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0755

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0755 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0940

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0940 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program for all new and existing staff members. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0943

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0943 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0580

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0580 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0942

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0942 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0945

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0945 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0946

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0946 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0949

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0949 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0558

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • January 16, 2025 · D

    Citation F0947

    Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0947 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2025-01-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOV
  • December 13, 2024 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-12-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOV
  • December 13, 2024 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2024-12-13 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-12-16. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-12-13.GOV
  • August 30, 2024 · D

    Citation F0726

    Federal surveyors cited this nursing home on 2024-08-30 under CMS tag F0726 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-09-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-30.GOV
  • August 30, 2024 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2024-08-30 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-09-04. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-08-30.GOV

Penalties (1)

Total fines on file: $75,450

  • April 26, 2024 · Fine

    Citation FINE-112783

    CMS recorded a civil money penalty of $75,450 against this nursing home on 2024-04-26 (Fine ID: 112783). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-04-26.GOV

Staffing

Latest: 3.13 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.24 hrs/resident/day
  2. 2026-06-013.24 hrs/resident/day
  3. 2026-07-013.13 hrs/resident/day
  4. 2026-08-013.13 hrs/resident/day
  5. 2026Q13.13 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.11 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

Non profit

CMS Care Compare chain: Wellsential Health

Chain ID 670 · 67 facilities in chain (CMS)

  • Chain average overall rating: 2.7
  • Chain average health inspection rating: 2.9
  • Chain average staffing rating: 1.6
  • Chain average quality measure rating: 4.2

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "Non profit - Corporation".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

  4. Jul 24, 2026Ownership changed

    The source now records ownership as "Non profit - Corporation".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "Non profit".

    Reported by CMS nursing homes (ownership)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

Genworth CareScout Cost of Care Survey · 2025

This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.

Nursing Homes

Median · TX$5,627/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Seguin, with their own public records.

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A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.