Guadalupe Valley Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Guadalupe Valley Nursing and Rehabilitation Center is a 148-bed nonprofit nursing home in Seguin, Texas, part of Wellsential Health. In the CMS August 2026 release it reported 1.88 nurse aide hours per resident per day, 6% below the Texas average of 2.00, and 48.1% nursing staff turnover (Texas average 55.3%).
Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood DrSeguin, TX 78155
Guadalupe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Guadalupe Valley Nursing and Rehabilitation Center, nurse aides logged 1.88 hours per resident per day, 6% below the Texas average. With about 125 residents a day, that works out to roughly 235 aide hours a day, or about 29 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.88 | 2.00 | 2.32 |
| Licensed practical nurses | 0.86 | 0.95 | 0.86 |
| Registered nurses | 0.40 | 0.43 | 0.69 |
| All nursing staff | 3.13 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.75 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
48.1% of nursing staff at Guadalupe Valley Nursing and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 37.5%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Mar 27, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 20 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $75,450 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 26, 2024 | Fine | $75,450 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Guadalupe Valley Nursing and Rehabilitation Center holds 2 of 5 overall; the Texas average is 2.6.
About Guadalupe Valley Nursing and Rehabilitation Center
- Ownership: Non profit - Corporation
- Chain: Wellsential Health, 67 homes
- Legal name: Medina County Hospital District
- Medicare and Medicaid certified since: Mar 30, 1990
- Councils: resident and family councils
- Area: urban
Nursing homes near Guadalupe Valley Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Windsor Nursing and Rehabilitation Center of Segui Seguin | 0.0 | 122 | 1.85 | 2.79 | 38.9% | 2 | $24,499 |
| River Bend Healthcare Seguin | 0.2 | 115 | 2.11 | 3.39 | — | 1 | $18,225 |
| Avir at Seguin Seguin · abuse citation | 0.2 | 134 | 1.91 | 2.88 | 60.8% | 1 | $13,877 |
| Avir at Walnut Springs Seguin | 1.5 | 113 | 2.20 | 3.66 | 57.7% | 4 | None |
| Legend Oaks Healthcare and Rehabilitation - New BR New Braunfels | 13.0 | 126 | 2.15 | 3.30 | 49.5% | 3 | None |
| Avir at New Braunfels New Braunfels · abuse citation | 13.4 | 154 | 2.15 | 3.36 | 73.7% | 1 | $163,819 |
| Sundance Inn Health Center New Braunfels · abuse citation | 14.7 | 128 | 1.92 | 3.58 | 47.1% | 2 | $6,364 |
| Kirkwood Manor New Braunfels | 15.5 | 162 | 1.96 | 3.17 | 42.3% | 2 | $29,026 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.