Windsor Nursing and Rehabilitation Center of Segui

Name: Windsor Nursing and Rehabilitation Center of Segui
Address: 1219 EASTWOOD DR, Seguin, TX, 78155, US
Telephone: 8303797777

1219 Eastwood Dr, Seguin, TX 78155 · Guadalupe County · 122 certified beds · avg 98 residents/day · certified since Aug 10, 1994

Part of chain: WELLSENTIAL HEALTH (67 facilities, chain avg rating 2.7★)

3/5

Health inspection rating (on-site)

Serious findings on record

$24,499

Fines, last 3 years

2.54

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, repeated · Apr 21, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.

Corrected: Apr 22, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · May 24, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: May 25, 2024 (Deficient, Provider has date of correction)

All citations in the current public record (33)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 31, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 31, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 24, 2024	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
May 24, 2024	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
May 24, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 24, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 24, 2024	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
May 24, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
May 24, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
May 24, 2024	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
May 24, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 24, 2024	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Apr 21, 2024	▲ K · Immediate jeopardy, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 21, 2024	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Apr 21, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 22, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Mar 22, 2023	E · Potential for harm, repeated	The facility did not develop, carry out, or maintain an effective training program for all new and existing staff members.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Mar 22, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not dispose of garbage and refuse properly.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Mar 22, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	13	0	E
2024	13	2	K ▲
2025	7	0	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $24,499.

Date	Type	Amount / length
May 24, 2024	Fine	$3,341
Apr 21, 2024	Fine	$21,158

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.54	3.46	3.95	bottom 4% in Texas; bottom 4% in the U.S.
Registered Nurse hours	0.23	0.44	0.69	bottom 13% in Texas; bottom 4% in the U.S.
Weekend total nurse staffing	2.19	3.04	3.50	bottom 3% in Texas; bottom 3% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.13	0.34	0.48	bottom 6% in Texas; bottom 3% in the U.S.
Total nursing staff turnover (%)	38.9	55.3	45.8	top 18% in Texas; top 34% in the U.S.
RN turnover (%)	33.3	54.6	42.9	top 20% in Texas; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.79, RN 0.25, weekend 2.40. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 3/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
CSV Rhea Management Holdco, LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
DWD TX Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Jack and Nancy Dwyer Workforce Development Center INC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Reg Bridge Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Reg HG Opco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Reg Operator Holdco LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Regency Ihs of Windsor Seguin, LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	01/01/2015
Regency Integrated Health Services LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Regency Texas Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	01/01/2015
Val Verde County Hospital District	Organization	5% or Greater Direct Ownership Interest	100%	01/01/2015
1219 Eastwood Drive LLC	Organization	ADP of the SNF	NOT APPLICABLE	01/01/2015
Baird, Daniel	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/13/2021
Carpenter, Chrissa	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
Carvajal, Antonio	Individual	Managing Control - Governing Body	NOT APPLICABLE	05/16/2024
Chartrand, Daniel	Individual	Corporate Officer	NOT APPLICABLE	05/19/2014
Clapp, Barbara	Individual	Managing Control - Governing Body	NOT APPLICABLE	06/01/2021
Cortese, Daren	Individual	Managing Control - Governing Body	NOT APPLICABLE	08/10/2021
Dekowski, Donovan	Individual	ADP of the SNF	NOT APPLICABLE	10/01/2018
Diaz, Cris	Individual	Corporate Officer	NOT APPLICABLE	05/25/2022
Flores, Antonio	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Guadalupe Valley Nursing and Rehabilitation Center	0.0 mi	Seguin, TX	★★☆☆☆	2/5
River Bend Healthcare	0.2 mi	Seguin, TX	★☆☆☆☆	2/5
Avir at Seguin	0.2 mi	Seguin, TX	★☆☆☆☆	2/5	abuse
Avir at Walnut Springs	1.5 mi	Seguin, TX	★★★★☆	4/5
Legend Oaks Healthcare and Rehabilitation - New Br	13.0 mi	New Braunfels, TX	★★★☆☆	3/5
Avir at New Braunfels	13.4 mi	New Braunfels, TX	★☆☆☆☆	1/5	abuse
Sundance Inn Health Center	14.7 mi	New Braunfels, TX	★★☆☆☆	2/5	abuse
Kirkwood Manor	15.5 mi	New Braunfels, TX	★★☆☆☆	2/5
Eden Home	15.5 mi	New Braunfels, TX	★★★☆☆	3/5
Country Care Manor	18.6 mi	La Vernia, TX	★★★★☆	4/5
Silver Tree Nursing and Rehabilitation Center	18.7 mi	Schertz, TX	★★☆☆☆	2/5
Avir at Luling	19.0 mi	Luling, TX	★★☆☆☆	1/5

Compare this facility with the 3 closest →

All facilities in Seguin →

Facility data as of CMS processing date 2026-08-01. CCN 675380.

The Care File

Visit checklist — Windsor Nursing and Rehabilitation Center of Segui

1219 Eastwood Dr, Seguin, TX 78155 · 8303797777

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $24,499

Most serious findings on record:

▲ Apr 21, 2024 (F-0689, Immediate jeopardy, repeated): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ May 24, 2024 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675380 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)