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Nursing homes in Guadalupe County, Texas
Guadalupe County, Texas, has 8 Medicare-certified nursing homes with 976 certified beds.
88% of them are rated 1 or 2 stars overall, a larger share than the state (48%). Inspectors recorded 345 health deficiencies over three cycles, 35.3 per 100 beds against 24.4 statewide.
Fines in the period covered total $281K across 11 fines.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Guadalupe County | Texas | US |
|---|---|---|---|
| Facilities | 8 | 1177 | 14690 |
| Rated 1–2 stars overall | 88% | 48% | 41% |
| Median overall rating | 2 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 35.3 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.3 | 3.3 | 3.7 |
| Fines listed | $281K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Walnut Springs | Seguin | 113 | 4 | 4 | 1 | 14 | 12.4 | — | 18 Nov 2025 |
| Avir At Schertzabuse icon | Schertz | 96 | 2 | 1 | 1 | 65 | 67.7 | $35K | 21 Mar 2026 |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | 148 | 2 | 2 | 2 | 52 | 35.1 | $75K | 30 Jun 2026 |
| Silver Tree Nursing and Rehabilitation Center | Schertz | 120 | 2 | 2 | 2 | 60 | 50.0 | $114K | 12 Jun 2026 |
| Trucare Living Centers - Selma | Selma | 128 | 2 | 3 | 1 | 25 | 19.5 | — | 26 Apr 2026 |
| Windsor Nursing and Rehabilitation Center of Segui | Seguin | 122 | 2 | 3 | 1 | 33 | 27.0 | $24K | 31 Jul 2025 |
| Avir At Seguinabuse icon | Seguin | 134 | 1 | 2 | 1 | 47 | 35.1 | $14K | 24 Jun 2026 |
| River Bend Healthcare | Seguin | 115 | 1 | 2 | 1 | 49 | 42.6 | $18K | 13 Feb 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 28 |
| F0880 | Provide and implement an infection prevention and control program. | 25 |
| F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | 17 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 16 |
| F0761 | 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. | 16 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 4 |
| Government | 3 |
| Non profit | 1 |
Chains present: Avir Health Group (3), Wellsential Health (2), Creative Solutions In Healthcare (1).
Questions and answers
How many nursing homes are in Guadalupe County, Texas?
8 Medicare-certified nursing homes with 976 certified beds.
Which nursing homes in Guadalupe County have the highest CMS ratings?
Avir At Walnut Springs (4 stars), Avir At Schertz (2 stars), Guadalupe Valley Nursing and Rehabilitation Center (2 stars)
How do Guadalupe County nursing homes compare with Texas?
88% are rated 1–2 stars overall against 48% statewide; citations run at 35.3 per 100 beds against 24.4 statewide.