Guadalupe Valley Nursing and Rehabilitation Center
Nursing Home Facility
1210 Eastwood Drive, Seguin, TX 78155
Guadalupe Valley Nursing Center is a 150-bed skilled nursing facility located in Seguin, Texas within a quarter mile of GRMC hospital. Approximately forty per cent of the staff has been here for over five years including the therapy staff. The facility also has a 32-bed all female secure unit that specializing in dementia.
Operated by Genesis HealthCare, which runs 507 communities in our directory.
With 148 beds, Guadalupe Valley Nursing and Rehabilitation Center is one of the larger communities in the area, senior care communities in Seguin average about 73 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 84% of its licensed beds. That is above the Seguin average of roughly 69%.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in March 2026 and recorded 20 deficiencies.
Residents receive about 3.1 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 48%.
The community is located in Guadalupe County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 52 problems at Guadalupe Valley Nursing and Rehabilitation Center. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 27 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $75,450.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, a pattern
Resident Rights
Reasonably accommodate the needs and preferences of each resident.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
Show 12 more
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, a pattern
Pharmacy Service
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.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Nursing and Physician Services
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.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Minimal harm or the potential for it, a pattern
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Guadalupe Valley Nursing and Rehabilitation Center offers assisted living, nursing home care, hospice care, respite care, and senior living.
Facility details
- Organization type for-profit limited liability corporation
- Beds / units 148
- Occupancy 84%
- Nursing hours per resident/day 3.1
- Annual staff turnover 48%
- Last health inspection March 2026
Resident & family reviews
No one has shared a review of Guadalupe Valley Nursing and Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.