Hearth Record

Guadalupe Valley Nursing and Rehabilitation Center

A nursing home in Seguin, Texas 78155

1210 Eastwood Dr, Seguin, Texas 78155. (830) 379-9308.

CMS’s own record, on Care Compare

Watch and the shortlist are kept with a free account, on every device. Your watch list. CMS’s own record is on Care Compare.

The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 49 citations in 10 months of the last 36. Last cited Jun 2026. Most serious: no actual harm, potential for more than minimal harm (D). Every month

Each figure’s source sits beside it, in its section below.

What these words mean7
Star ratings
CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
Inspection (survey)
A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
Deficiency, citation, violation
What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
Scope and severity (A to L)
CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
Nurse staffing hours
The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
Fines and payment denials
A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
Capacity
The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.

What did inspectors find?

20 health citations at the latest inspection cycle

The Texas average is 9.6.

Last standard inspection Mar 27, 2026.

Most serious in three years: D: no actual harm, potential for more than minimal harm.

Source:

CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

When those citations happened

49 citations in 10 months of the last 36. Last cited Jun 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.

49 citations by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

Hearth Record drew this from the dates and levels in the source’s own records.

All 49 citations in the last three years

Grouped by inspection, newest first. Each carries , from A, the least serious, to L, the most. 24 came from complaint inspections.

Source:

CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Jun 30, 2026: complaint inspection2 citations

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. B: no actual harm, potential for minimal harm. From a complaint. Correction date, as CMS recorded it: Jul 1, 2026.

Mar 27, 2026: standard inspection7 citations

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 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.

    Rule F0584. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 2026.

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 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.

    Rule F0690. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 2026.

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 2026.

  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Rule F0812. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Mar 28, 2026.

Feb 23, 2026: complaint inspection2 citations

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 24, 2026.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Feb 24, 2026.

Dec 10, 2025: complaint inspection9 citations

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2026.

  • Develop and implement a complete care plan that meets all the resident’s needs, with timetables and actions that can be measured.

    Rule F0656. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2026.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2026.

  • 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.

    Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2026.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 12, 2025.

  • Ensure medication error rates are not 5 percent or greater.

    Rule F0759. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 12, 2025.

  • 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.

    Rule F0761. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 12, 2025.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. E: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jan 13, 2026.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 12, 2025.

Jun 6, 2025: complaint inspection2 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 7, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Jun 7, 2025.

Jan 16, 2025: standard inspection16 citations

  • Reasonably accommodate the needs and preferences of each resident.

    Rule F0558. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Honor the resident’s right to and the facility must promote and facilitate resident self-determination through support of resident choice.

    Rule F0561. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 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.

    Rule F0584. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Rule F0689. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Rule F0755. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Provide and implement an infection prevention and control program.

    Rule F0880. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Rule F0940. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

    Rule F0941. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

    Rule F0942. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

    Rule F0943. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Rule F0944. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Rule F0945. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Provide training in compliance and ethics.

    Rule F0946. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

    Rule F0947. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

  • Provide behavior health training consistent with the requirements and as determined by a facility assessment.

    Rule F0949. E: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 17, 2025.

Dec 13, 2024: complaint inspection2 citations

  • Provide safe and appropriate respiratory care for a resident when needed.

    Rule F0695. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 16, 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.

    Rule F0761. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Dec 16, 2024.

Aug 30, 2024: complaint inspection5 citations

  • Keep residents’ personal and medical records private and confidential.

    Rule F0583. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 4, 2024.

  • Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Rule F0690. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 4, 2024.

  • 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.

    Rule F0726. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 4, 2024.

  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Rule F0842. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 4, 2024.

  • Provide and implement an infection prevention and control program.

    Rule F0880. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Sep 4, 2024.

Apr 26, 2024: complaint inspection2 citations

  • Immediately tell the resident, the resident’s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

    Rule F0580. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 27, 2024.

  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Rule F0684. D: no actual harm, potential for more than minimal harm. From a complaint. Correction date, as CMS recorded it: Apr 27, 2024.

Dec 15, 2023: standard inspection2 citations

  • Ensure each resident receives an accurate assessment.

    Rule F0641. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Dec 22, 2023.

  • Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Rule F0805. D: no actual harm, potential for more than minimal harm. Correction date, as CMS recorded it: Jan 3, 2024.

Is it certified, and in good standing?

  • Certified for Medicare and Medicaid since Mar 30, 1990.
  • Not on CMS’s special focus list.
  • No abuse icon from CMS.
  • No change of ownership in the last 12 months.
  • CMS lists its ownership as non profit, corporation.
  • 148 certified beds.
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Has it been fined or penalized?

  • 1 fine in the last three years, $60,360 in all.
  • No Medicare payment denials in the last three years.
  • 24 citations in the last three years came from complaint inspections.
Source:

CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

Fines and payment denials, newest first
DateKindAmount
Apr 26, 2024Fine$60,360

Who does the caring?

3.09 nurse hours per resident per day

The Texas average is 3.42.

CMS publishes staffing about four months after the fact.

Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

Staffing measures
MeasureThis homeTexas average
Nurse hours per resident per day3.093.42
Of which registered nurses0.300.44
At weekends2.672.99
Nursing staff turnover46.4%50.8%
Registered nurse turnover54.5%49.8%
Administrators who left1Not given

Who owns it?

  • Medina County Hospital District owns 100% directly since Jun 1, 2014.
  • 28 owners or officers are people: Judy N Winkler (corporate officer, 0%); Zachary Robert Windrow (corporate officer, 0%); Carlton E Young (corporate officer, 0%); Tony B Johnson (corporate officer, 0%); Patricia Gibson (on the governing body (managing control)); Barbara B Clapp (on the governing body (managing control)); Emanuel Aranda (runs it (operational or managerial control)); Emanuel Aranda (additional disclosable party (controls, leases property to, or provides services to the home)); Kevin Frosch (corporate officer); Kevin Frosch (on the governing body (managing control)); Antonio Carvajal (on the governing body (managing control)); Antonio A Flores (runs it (operational or managerial control)); Antonio A Flores (additional disclosable party (controls, leases property to, or provides services to the home)); Veronica Gonzales (on the governing body (managing control)); Keith Christiansen (runs it (operational or managerial control)); Keith Christiansen (additional disclosable party (controls, leases property to, or provides services to the home)); Nicole Kaufman (on the governing body (managing control)); William T Bain (corporate officer, 0%); Mary Mangold (corporate officer, 0%); Daniel S Baird (on the governing body (managing control)); Timothy S Hardt (corporate officer); Timothy S Hardt (on the governing body (managing control)); Donovan R Dekowski (additional disclosable party (controls, leases property to, or provides services to the home)); Kimberly Ross (runs it (operational or managerial control)); Kimberly Ross (additional disclosable party (controls, leases property to, or provides services to the home)); Daren A Cortese (on the governing body (managing control)); Billie Bell (corporate officer, 0%); Elliot J Mandelbaum (on the governing body (managing control)).
  • Part of Wellsential Health (67 homes in CMS’s data).
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, All Owners. Checked Nov 5, 2026. Updated monthly.

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

Organisations CMS lists
OrganisationRoleShareSince
Medina County Hospital DistrictOwns 5% or more directly100%Jun 1, 2014
Csv Rhea Management Holdco, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Regency IHS Rehab LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Regency Texas Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
1210 Eastwood Drive LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Jack and Nancy Dwyer Workforce Development Center Inc.Additional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Reg Operator Holdco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Reg Hg Opco LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Reg Hg Opco 1, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Dwd TX Holdings LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Regency IHS of Guadalupe Valley LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Regency Integrated Health Services LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018
Medina County Hospital DistrictAdditional disclosable party (controls, leases property to, or provides services to the home)Jan 15, 2026
Regency IHS Clinical Consulting, LLCAdditional disclosable party (controls, leases property to, or provides services to the home)Oct 1, 2018

How do residents fare?

  • CMS rates its quality measures 5 of 5 (Texas average 3.8).
Source:

CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.

CMS’s star ratings, from 1 to 5
MeasureRating
Overall rating2 of 5
Health inspections2 of 5
Staffing1 of 5
Quality measures5 of 5

How does it compare nearby?

  • Among the 12 nearest homes, within 18.7 miles, this one had the 2nd most health citations at the latest inspection cycle (20; the middle value was 12.5).
Source:

CMS, Provider Information. Released Oct 28, 2026. Updated monthly.

The 12 nearest, by straight-line distance
PlaceMiles awayCitations, latest cycle
Guadalupe Valley Nursing and Rehabilitation Center This nursing home20
Windsor Nursing and Rehabilitation Center of Segui0.07
River Bend Healthcare0.212
Avir at Seguin0.213
Avir at Walnut Springs1.57
Legend Oaks Healthcare and Rehabilitation - New Br13.08
Avir at New Braunfels13.426
Sundance Inn Health Center14.710
Kirkwood Manor15.514
Eden Home15.515
Country Care Manor18.65
Silver Tree Nursing and Rehabilitation Center18.718

What the record doesn’t say

  • Complaints that didn’t lead to a citation aren’t published.
  • Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
  • CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
  • Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.

Sources

  • Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).

    Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

  • Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).

    Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).

If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.

Source:

This copy of the record was made on Nov 5, 2026.

From the home

The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.

Paid listing

None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the home”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

1 of 4

Every fact names its source.

Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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