Guadalupe Valley Nursing and Rehabilitation Center

CMS ratings and facility information

Guadalupe Valley Nursing and Rehabilitation Center is a Medicare-certified nursing facility in Seguin, Guadalupe County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating	2 of 5 stars
Health inspection rating	2 of 5
Staffing rating	2 of 5
Quality measures rating	4 of 5
Certified beds	148
Ownership	Non profit - Corporation
CMS certification number	455869

Staffing

Total nurse hours per resident day	3.13
RN hours per resident day	0.4
Nurse aide hours per resident day	1.88
Total nursing staff turnover percent	48.1
RN turnover percent	37.5

Resident outcome measures

Measure	Value	Unit	Period
Hospitalizations	2.41	events_per_1000_resident_days	20250101-20251231
Emergency-department visits	0.45	events_per_1000_resident_days	20250101-20251231
Falls with major injury	2.83	percent	2025Q2-2026Q1
Pressure ulcers	2.42	percent	2025Q2-2026Q1
Urinary tract infections	0.21	percent	2025Q2-2026Q1
Antipsychotic medication use	6.91	percent	2025Q2-2026Q1

Health inspection citations

Survey date	Tag	Citation	Severity
2026-03-27	0558	Reasonably accommodate the needs and preferences of each resident.	E
2026-03-27	0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E
2026-03-27	0584	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.	D
2026-03-27	0641	Ensure each resident receives an accurate assessment.	D
2026-03-27	0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D
2026-03-27	0690	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D
2026-03-27	0695	Provide safe and appropriate respiratory care for a resident when needed.	D
2025-01-16	0584	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.	E
2025-01-16	0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	E
2025-01-16	0880	Provide and implement an infection prevention and control program.	E
2025-01-16	0940	Develop, implement, and/or maintain an effective training program for all new and existing staff members.	E
2025-01-16	0941	Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.	E
2025-01-16	0942	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	E
2025-01-16	0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.	E
2025-01-16	0945	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.	E
2025-01-16	0949	Provide behavior health training consistent with the requirements and as determined by a facility assessment.	E
2025-01-16	0558	Reasonably accommodate the needs and preferences of each resident.	D
2025-01-16	0561	Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	D
2025-01-16	0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D
2025-01-16	0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D
2025-01-16	0943	Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.	D
2025-01-16	0946	Provide training in compliance and ethics.	D
2025-01-16	0947	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D
2023-12-15	0641	Ensure each resident receives an accurate assessment.	D
2023-12-15	0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D

Penalties

Date	Type	Amount
2024-04-26	Fine	,450

Ownership records

Name	Type	Role
MEDINA COUNTY HOSPITAL DISTRICT	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST
BAIRD, DANIEL	Individual	MANAGING CONTROL - GOVERNING BODY
CARVAJAL, ANTONIO	Individual	MANAGING CONTROL - GOVERNING BODY
CLAPP, BARBARA	Individual	MANAGING CONTROL - GOVERNING BODY
CORTESE, DAREN	Individual	MANAGING CONTROL - GOVERNING BODY
FROSCH, KEVIN	Individual	MANAGING CONTROL - GOVERNING BODY
GIBSON, PATRICIA	Individual	MANAGING CONTROL - GOVERNING BODY
GONZALES, VERONICA	Individual	MANAGING CONTROL - GOVERNING BODY
HARDT, TIMOTHY	Individual	MANAGING CONTROL - GOVERNING BODY
KAUFMAN, NICOLE	Individual	MANAGING CONTROL - GOVERNING BODY
MANDELBAUM, ELLIOT	Individual	MANAGING CONTROL - GOVERNING BODY
BAIN, WILLIAM	Individual	CORPORATE OFFICER
BELL, BILLIE	Individual	CORPORATE OFFICER
FROSCH, KEVIN	Individual	CORPORATE OFFICER
HARDT, TIMOTHY	Individual	CORPORATE OFFICER
JOHNSON, TONY	Individual	CORPORATE OFFICER
MANGOLD, MARY	Individual	CORPORATE OFFICER
WINDROW, ZACHARY	Individual	CORPORATE OFFICER
WINKLER, JUDY	Individual	CORPORATE OFFICER
YOUNG, CARLTON	Individual	CORPORATE OFFICER
ARANDA, EMANUEL	Individual	OPERATIONAL/MANAGERIAL CONTROL
CHRISTIANSEN, KEITH	Individual	OPERATIONAL/MANAGERIAL CONTROL
FLORES, ANTONIO	Individual	OPERATIONAL/MANAGERIAL CONTROL
ROSS, KIMBERLY	Individual	OPERATIONAL/MANAGERIAL CONTROL
1210 EASTWOOD DRIVE LLC	Organization	ADP OF THE SNF
CSV RHEA MANAGEMENT HOLDCO, LLC	Organization	ADP OF THE SNF
DWD TX HOLDINGS LLC	Organization	ADP OF THE SNF
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC	Organization	ADP OF THE SNF
MEDINA COUNTY HOSPITAL DISTRICT	Organization	ADP OF THE SNF
REG HG OPCO 1, LLC	Organization	ADP OF THE SNF
REG HG OPCO LLC	Organization	ADP OF THE SNF
REG OPERATOR HOLDCO LLC	Organization	ADP OF THE SNF
REGENCY IHS CLINICAL CONSULTING, LLC	Organization	ADP OF THE SNF
REGENCY IHS OF GUADALUPE VALLEY LLC	Organization	ADP OF THE SNF
REGENCY IHS REHAB LLC	Organization	ADP OF THE SNF
REGENCY INTEGRATED HEALTH SERVICES LLC	Organization	ADP OF THE SNF
REGENCY TEXAS HOLDINGS LLC	Organization	ADP OF THE SNF
ARANDA, EMANUEL	Individual	ADP OF THE SNF
CHRISTIANSEN, KEITH	Individual	ADP OF THE SNF
DEKOWSKI, DONOVAN	Individual	ADP OF THE SNF
FLORES, ANTONIO	Individual	ADP OF THE SNF
ROSS, KIMBERLY	Individual	ADP OF THE SNF

Compare nursing homes in Guadalupe County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.