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Data / Nursing homes / Texas / Guadalupe Valley Nursing and Rehabilitation Center

Guadalupe Valley Nursing and Rehabilitation Center, Seguin, TX: 2 star rating, fined $60,360 across 1 fine

Guadalupe Valley Nursing and Rehabilitation Center in Seguin, TX is owned by Medina County Hospital District, is rated 2 of 5 stars by Medicare, and was fined $60,360 across 1 fine in the three years to October 1, 2026. CMS lists 49 health citations from inspections in that time, the latest survey on June 30, 2026, and none of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet every facility this owner runsGet nursing homes in Texas
Address
1210 Eastwood Dr, Seguin, TX 78155
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measure rating
5 of 5
Certified beds
148
Residents per day
136 on average
Ownership type
Nonprofit, corporation
Legal business name
Medina County Hospital District
Chain
Wellsential Health, 67 facilities
Fines
$60,360 across 1 fine, three years to October 1, 2026
Payment denials
0
Health citations
49, of which 0 with actual harm or immediate jeopardy
Latest survey
June 30, 2026
CMS Certification Number
455869
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
April 26, 2024Fine$60,360Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
June 30, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 1, 2026data.cms.gov
June 30, 2026F641Ensure each resident receives an accurate assessment.B: pattern, minimal harm potentialCorrectedJuly 1, 2026data.cms.gov
March 27, 2026F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 27, 2026F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 27, 2026F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 27, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 27, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 27, 2026F584Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
March 27, 2026F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 28, 2026data.cms.gov
February 23, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
February 23, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 24, 2026data.cms.gov
December 10, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
December 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2026data.cms.gov
December 10, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
December 10, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
December 10, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 12, 2025data.cms.gov
December 10, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2026data.cms.gov
December 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2026data.cms.gov
December 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2026data.cms.gov
December 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 13, 2026data.cms.gov
June 6, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2025data.cms.gov
June 6, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 7, 2025data.cms.gov
January 16, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F946Provide training in compliance and ethics.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F944Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F584Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
January 16, 2025F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 17, 2025data.cms.gov
December 13, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 16, 2024data.cms.gov
December 13, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 16, 2024data.cms.gov
August 30, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2024data.cms.gov
August 30, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2024data.cms.gov
August 30, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2024data.cms.gov
August 30, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2024data.cms.gov
August 30, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedSeptember 4, 2024data.cms.gov
April 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
April 26, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 27, 2024data.cms.gov
December 15, 2023F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 3, 2024data.cms.gov
December 15, 2023F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 22, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 28 individual or personal trusts (14 managers, 9 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Medina County Hospital DistrictDirect owner100%June 1, 2014data.cms.gov
1210 Eastwood Drive LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
CSV Rhea Management HOLDCO, LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
DWD TX Holdings LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Jack and Nancy Dwyer Workforce Development Center IncAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Medina County Hospital DistrictAdditional disclosable partyNot listedJanuary 15, 2026data.cms.gov
Reg HG OPCO 1, LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Reg HG OPCO LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Reg Operator HOLDCO LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Ihs Clinical Consulting, LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Ihs of Guadalupe Valley LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Ihs Rehab LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Integrated Health Services LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Texas Holdings LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.