Nursing homes › Texas › Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr, Seguin, TX 78155 · 8303799308 · 148 certified beds
Per CMS filings, this facility is affiliated with Wellsential Health, a group operating 68 facilities in 1 states. Group record: average rating 2.6/5, 8 abuse citation icons, 0 facilities on the Special Focus list, $2,494,675 in federal fines. This facility rates below its group average (2.6/5).
Total nurse staffing: 3.13 (Texas median: 3.27). RN hours: 0.40. Weekend total: 2.75. Nursing staff turnover: 48%.
All-time on record: 50 deficiency citations, including 2 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-03-27 | Reasonably accommodate the needs and preferences of each resident. | E | Health | corrected 2026-03-28 |
| 2026-03-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-03-28 |
| 2026-03-27 | 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 | Health | corrected 2026-03-28 |
| 2026-03-27 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-03-28 |
| 2026-03-27 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2026-03-28 |
| 2026-03-27 | 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 | Health | corrected 2026-03-28 |
| 2026-03-27 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2026-03-28 |
| 2026-02-23 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-02-24 |
| 2026-02-23 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-02-24 |
| 2025-12-10 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-12-12 |
| 2025-12-10 | Ensure medication error rates are not 5 percent or greater. | E | complaint | corrected 2025-12-12 |
| 2025-12-10 | 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. | E | complaint | corrected 2025-12-12 |
| 2025-12-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2026-01-13 |
| 2025-12-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2026-01-13 |
| 2025-12-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-01-13 |
| 2025-12-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | complaint | corrected 2026-01-13 |
| 2025-12-10 | 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. | D | complaint | corrected 2026-01-13 |
| 2025-12-10 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-12-12 |
| 2025-06-06 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-06-07 |
| 2025-06-06 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-06-07 |
| 2025-01-16 | 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 | Health | corrected 2025-01-17 |
| 2025-01-16 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E | Health | corrected 2025-01-17 |
| 2025-01-16 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-01-17 |
| 2025-01-16 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Health | corrected 2025-01-17 |
| 2025-01-16 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Health | corrected 2025-01-17 |
| 2025-01-16 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2025-01-17 |
| 2025-01-16 | Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | D | Health | corrected 2025-01-17 |
| 2025-01-16 | Provide training in compliance and ethics. | D | Health | corrected 2025-01-17 |
| 2025-01-16 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2025-01-17 |
| 2024-12-13 | Provide safe and appropriate respiratory care for a resident when needed. | D | complaint | corrected 2024-12-16 |
| 2024-12-13 | 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. | D | complaint | corrected 2024-12-16 |
| 2024-08-30 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2024-09-04 |
| 2024-08-30 | 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 | complaint | corrected 2024-09-04 |
| Date | Type | Amount |
|---|---|---|
| 2024-04-26 | Fine | $75,450 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2014 |
| BAIRD, DANIEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/13/2021 |
| CARVAJAL, ANTONIO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/16/2024 |
| CLAPP, BARBARA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2021 |
| CORTESE, DAREN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/10/2021 |
| FROSCH, KEVIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2010 |
| GIBSON, PATRICIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/01/2021 |
| GONZALES, VERONICA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/16/2024 |
| HARDT, TIMOTHY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/27/2020 |
| KAUFMAN, NICOLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/10/2021 |
| MANDELBAUM, ELLIOT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2025 |
| BAIN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/23/2011 |
| BELL, BILLIE | Corporate Officer | Individual | NOT APPLICABLE | since 06/03/2023 |
| FROSCH, KEVIN | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2010 |
| HARDT, TIMOTHY | Corporate Officer | Individual | NOT APPLICABLE | since 01/27/2020 |
| JOHNSON, TONY | Corporate Officer | Individual | NOT APPLICABLE | since 11/26/2012 |
| MANGOLD, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| WINDROW, ZACHARY | Corporate Officer | Individual | NOT APPLICABLE | since 11/26/2012 |
| WINKLER, JUDY | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2004 |
| YOUNG, CARLTON | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2006 |
| ARANDA, EMANUEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 02/10/2025 |
| CHRISTIANSEN, KEITH | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| FLORES, ANTONIO | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| ROSS, KIMBERLY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455869. Corrections: data@carerecords.org.