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Nursing homeFAID #12219

Guadalupe Valley Nursing and Rehabilitation Center

1210 EASTWOOD DR, SEGUIN, TX, 78155
(830) 379-9308
wellsentialhealth.org/location/guadalupe-valley-nursing-rehabilitation-center
148 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo of GUADALUPE VALLEY NURSING AND REHABILITATION CENTER
Photo via Google · Guadalupe Valley Nursing and Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
148
CMS facility ID
455869
Care type
Nursing home
County
Guadalupe
Facility name
Guadalupe Valley Nursing and Rehabilitation Center
Street address
1210 EASTWOOD DR
City / state / ZIP
Seguin, TX 78155
Phone
(830) 379-9308
Website
wellsentialhealth.org/location/guadalupe-valley-nursing-rehabilitation-center

About this facility — Guadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Seguin, Texas. It is licensed for 148 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 11 senior care facilities in Seguin and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Guadalupe Valley Nursing and Rehabilitation Center 65 times across 17 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $75,450 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Wellsential Health
Ownership type
Non profit - Corporation

Registered owners & officers

Medina County Hospital District
Direct owner · Additional disclosable party — 100% stake — since 2014
1210 Eastwood Drive Llc
Additional disclosable party — since 2018
Aranda, Emanuel
Operational control · Additional disclosable party — since 2025
Bain, William
Officer — since 2011
Baird, Daniel
Governing body — since 2021
Bell, Billie
Officer — since 2023
Carvajal, Antonio
Governing body — since 2024
Christiansen, Keith
Operational control · Additional disclosable party — since 2025
Clapp, Barbara
Governing body — since 2021
Cortese, Daren
Governing body — since 2021
Csv Rhea Management Holdco, Llc
Additional disclosable party — since 2018
Dekowski, Donovan
Additional disclosable party — since 2018
Dwd Tx Holdings Llc
Additional disclosable party — since 2018
Flores, Antonio
Operational control · Additional disclosable party — since 2025
Frosch, Kevin
Governing body · Officer — since 2010
Gibson, Patricia
Governing body — since 2021
Gonzales, Veronica
Governing body — since 2024
Hardt, Timothy
Governing body · Officer — since 2020
Jack and Nancy Dwyer Workforce Development Center Inc
Additional disclosable party — since 2018
Johnson, Tony
Officer — since 2012
Kaufman, Nicole
Governing body — since 2021
Mandelbaum, Elliot
Governing body — since 2025
Mangold, Mary
Officer — since 2023
Reg Hg Opco 1, Llc
Additional disclosable party — since 2018
Reg Hg Opco Llc
Additional disclosable party — since 2018
Reg Operator Holdco Llc
Additional disclosable party — since 2018
Regency Ihs Clinical Consulting, Llc
Additional disclosable party — since 2018
Regency Ihs of Guadalupe Valley Llc
Additional disclosable party — since 2018
Regency Ihs Rehab Llc
Additional disclosable party — since 2018
Regency Integrated Health Services Llc
Additional disclosable party — since 2018
Regency Texas Holdings Llc
Additional disclosable party — since 2018
Ross, Kimberly
Operational control · Additional disclosable party — since 2025
Windrow, Zachary
Officer — since 2012
Winkler, Judy
Officer — since 2004
Young, Carlton
Officer — since 2006

Regulatory standing

Licensed / certified since
1990-03-30
CMS overall rating
2 of 5 stars
Health deficiencies
20 at the last standard inspection
Federal fines
$75,450 total
Last standard inspection
2026-03-27
Nurse staffing
3.1 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$214 per day (≈ $6,510/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
75% Medicaid · 4% Medicare · 21% private/other
Occupancy
88% (fiscal year 2023)
Vs. state median
23% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
148
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-30Health inspectionComplaint-triggered2 citations
F-0641
B · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-07-01
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2026-07-01
2026-03-27Health inspection7 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-03-28
F-0584
D · No harm found
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 2026-03-28
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-03-28
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-03-28
F-0690
D · No harm found
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 2026-03-28
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-03-28
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-28
12 earlier / fire-safety inspections (56 citations)
2026-02-23Health inspectionComplaint-triggered2 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-02-24
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-02-24
2025-12-10Health inspectionComplaint-triggered9 citations
F-0580
D · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-13
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-13
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-01-13
F-0726
D · No harm foundFrom a 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 2026-01-13
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-12
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-12-12
F-0761
E · No harm foundFrom a 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 2025-12-12
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-13
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-12-12
2025-06-06Health inspectionComplaint-triggered2 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-06-07
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-06-07
2025-01-16Health inspection16 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-01-17
F-0561
D · No harm found
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2025-01-17
F-0580
D · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-01-17
F-0584
E · No harm found
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 2025-01-17
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-01-17
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-01-17
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-01-17
F-0940
E · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-01-17
F-0941
E · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-01-17
F-0942
E · No harm found
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-01-17
F-0943
D · No harm found
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2025-01-17
F-0944
E · No harm found
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2025-01-17
F-0945
E · No harm found
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2025-01-17
F-0946
D · No harm found
Provide training in compliance and ethics.
Corrected 2025-01-17
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-01-17
F-0949
E · No harm found
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-01-17
2024-12-13Health inspectionComplaint-triggered2 citations
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-12-16
F-0761
D · No harm foundFrom a 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 2024-12-16
2024-08-30Health inspectionComplaint-triggered5 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2024-09-04
F-0690
D · No harm foundFrom a complaint
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 2024-09-04
F-0726
D · No harm foundFrom a 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 2024-09-04
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-09-04
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-09-04
2024-04-26Health inspectionComplaint-triggered2 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-27
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-27
2023-12-15Health inspection2 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2023-12-22
F-0805
D · No harm foundFood safety
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-01-03
2023-09-08Health inspectionComplaint-triggeredInfection control3 citations
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2023-09-11
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-11
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-09-11
2026-03-27Fire-safety inspection4 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2026-03-28
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-03-28
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-03-28
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2026-03-28
2025-01-16Fire-safety inspectionComplaint-triggered7 citations
K-0211
E · No harm foundFrom a complaint
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-02-05
K-0271
E · No harm foundFrom a complaint
Have exits that are accessible at all times.
Corrected 2025-02-17
K-0321
E · No harm foundFrom a complaint
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-02-05
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-02-05
K-0341
F · No harm foundFrom a complaint
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-02-17
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-02-05
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2025-02-05
2023-12-15Fire-safety inspection2 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-22
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-22

Federal penalties

2024-04-26Fine$75,450
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455869.

Visitor reviews

What people say on Google.
3.437 ratings on Google
★stacy johnson · 2026-02-18 · via Google

“am compelled to share my experience with Guadalupe Valley Nursing & Rehab Center, where my mother was admitted following knee surgery. Unfortunately, the care she received was far from satisfactory and raised several concerns regarding her health and well-being. **Decline in Physical Activity** My mother’s physical activity declined rapidly during her stay. Instead of encouraging her to use the t…”

★★★★★Amanda Jones the Beautiful · 2025-09-24 · via Google

“Visited this facility for the first time and was greeted by Silvia at the front desk. She is FANTASTIC! Well dressed and what a multi tasker! She’s also a CNA here and based off of my interaction with her, she has compassion on her patients ❤️”

★★★★★Blushhues · 2025-02-05 · via Google

“This facility cares about their residents. My loved one came here and was treated kindly. We liked how clean it was. Bonnie was attentive and answered questions. Natalie was very caring and helpful. The therapy team and nurses helped my mom gain her gain her health back..”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 65 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered