GUADALUPE VALLEY NURSING AND REHABILITATION CENTER
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER is a 148-bed nursing home in SEGUIN, Texas. CMS has certified it for Medicare and Medicaid since 1990-03-30. It averages 124.8 residents a day.
What harm was found in the violations cited at GUADALUPE VALLEY NURSING AND REHABILITATION CENTER?
CMS lists 52 health-inspection deficiencies for GUADALUPE VALLEY NURSING AND REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-30.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-30 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2026-06-30 | F0641 | Ensure each resident receives an accurate assessment. | B |
| 2026-03-27 | F0558, F0812 | Reasonably accommodate the needs and preferences of each resident. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2026-03-27 | F0584, F0641, F0656, F0690, F0695 | 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. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe and appropriate respiratory care for a resident when needed. | D |
| 2026-02-23 | F0656, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-10 | F0755, F0759, F0761, F0842 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure medication error rates are not 5 percent or greater. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2025-12-10 | F0580, F0656, F0689, F0726, F0880 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / 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. / Provide and implement an infection prevention and control program. | D |
| 2025-06-06 | F0583, F0880 | Keep residents' personal and medical records private and confidential. / Provide and implement an infection prevention and control program. | D |
| 2025-01-16 | F0584, F0689, F0880, F0940, F0941, F0942, F0944, F0945, F0949 | 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. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | E |
| 2025-01-16 | F0558, F0561, F0580, F0755, F0943, F0946, F0947 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. / Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. / Provide training in compliance and ethics. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D |
| 2024-12-13 | F0695, F0761 | Provide safe and appropriate respiratory care for a resident when needed. / 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 |
| 2024-08-30 | F0583, F0690, F0726, F0842, F0880 | Keep residents' personal and medical records private and confidential. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-04-26 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2023-12-15 | F0641, F0805 | Ensure each resident receives an accurate assessment. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D |
| 2023-09-08 | F0880 | Provide and implement an infection prevention and control program. | E |
| 2023-09-08 | F0610, F0656 | Respond appropriately to all alleged violations. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
Why was GUADALUPE VALLEY NURSING AND REHABILITATION CENTER fined?
| Date | Type | Amount |
|---|---|---|
| 2024-04-26 | Fine | $75,450 |
How is GUADALUPE VALLEY NURSING AND REHABILITATION CENTER staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.13462 | 3.38539 |
| Total nursing staff turnover (%) | 48.1 | 55.3 |
| Average number of residents per day | 124.8 | 75.8 |
Who owns GUADALUPE VALLEY NURSING AND REHABILITATION CENTER, and what chain is it in?
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER is registered with CMS as Non profit - Corporation, operates under the legal business name MEDINA COUNTY HOSPITAL DISTRICT and belongs to the WELLSENTIAL HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MEDINA COUNTY HOSPITAL DISTRICT | since 06/01/2014 |
| MANAGING CONTROL - GOVERNING BODY | BAIRD, DANIEL, CARVAJAL, ANTONIO, CLAPP, BARBARA, CORTESE, DAREN, FROSCH, KEVIN, GIBSON, PATRICIA, GONZALES, VERONICA, HARDT, TIMOTHY, KAUFMAN, NICOLE, MANDELBAUM, ELLIOT | since 01/01/2025 |
| CORPORATE OFFICER | BAIN, WILLIAM, BELL, BILLIE, FROSCH, KEVIN, HARDT, TIMOTHY, JOHNSON, TONY, MANGOLD, MARY, WINDROW, ZACHARY, WINKLER, JUDY, YOUNG, CARLTON | since 01/27/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | ARANDA, EMANUEL, CHRISTIANSEN, KEITH, FLORES, ANTONIO, ROSS, KIMBERLY | since 01/01/2025 |
| ADP OF THE SNF | 1210 EASTWOOD DRIVE LLC, CSV RHEA MANAGEMENT HOLDCO, LLC, DWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, MEDINA COUNTY HOSPITAL DISTRICT, REG HG OPCO 1, LLC, REG HG OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY IHS CLINICAL CONSULTING, LLC, REGENCY IHS OF GUADALUPE VALLEY LLC, REGENCY IHS REHAB LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLC, ARANDA, EMANUEL, CHRISTIANSEN, KEITH, DEKOWSKI, DONOVAN, FLORES, ANTONIO, ROSS, KIMBERLY | since 01/01/2025 |
Were you or a family member harmed at GUADALUPE VALLEY NURSING AND REHABILITATION CENTER?