Nursing homes in Seguin, TX
5 Medicare- or Medicaid-certified facilities in Seguin, of which 1 currently carries the federal abuse flag. Guadalupe County overall has 8 certified facilities (county average rating 2/5). Across the 5 rated facilities here the average CMS overall rating is 2/5, against 2.65/5 across the 1,160 rated facilities elsewhere in Texas.
Local staffing, inspection dates and questions to ask →
In Seguin
How to read this table: "Overall" is the CMS star rating, which combines inspections, staffing, and quality measures from resident assessments and claims; "Inspection" is the on-site health inspection rating — the most independent signal, and the one CMS grades on a curve against other facilities in the same state. Flags are federal abuse citations and Special Focus status.
| Facility | Location | Overall | Inspection | Staffing | Flags | Fines (3y) | Beds |
|---|---|---|---|---|---|---|---|
| Avir at Seguin | Seguin | ★☆☆☆☆ | 2/5 | 1/5 | abuse | $13,877 | 134 |
| Avir at Walnut Springs | Seguin | ★★★★☆ | 4/5 | 1/5 | — | 113 | |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | ★★☆☆☆ | 2/5 | 2/5 | $75,450 | 148 | |
| River Bend Healthcare | Seguin | ★☆☆☆☆ | 2/5 | 1/5 | $18,225 | 115 | |
| Windsor Nursing and Rehabilitation Center of Segui | Seguin | ★★☆☆☆ | 3/5 | 1/5 | $24,499 | 122 |
What to check in Seguin
These figures cover the 5 facilities in this city, excluding nearby alternatives. They describe published records, not current vacancies or a recommendation.
All bars start at zero. Exact values and supporting details remain below.
Both averages use the same 5 facilities, with equal weight per facility. 0 facilities are excluded because one or both values are unavailable. These are CMS case-mix-adjusted measures, not the hours any individual resident is guaranteed to receive.
Weekend staffing is lower than the all-week figure at 5 of these 5. Ask how weekend coverage and response times are maintained. This difference alone does not establish unsafe care.
- How recent is the inspection evidence? CMS marks 0 facilities here as having a most recent health inspection more than two years ago in this release. Ask for the latest inspection report and what has changed since it.
- Can the facility accept your payment arrangement? 5 of 5 facilities here are listed with Medicaid certification. Certification does not establish an available bed, your eligibility or the amount you will owe. Confirm directly and request an itemized written quote.
Check the facility-level figures behind this summary
| Facility | All-week hours | Weekend hours | Latest standard health survey |
|---|---|---|---|
| Avir at Seguin | 2.96 | 2.74 | Jul 31, 2025 |
| Avir at Walnut Springs | 3.69 | 2.96 | Nov 18, 2025 |
| Guadalupe Valley Nursing and Rehabilitation Center | 3.07 | 2.69 | Mar 27, 2026 |
| River Bend Healthcare | 3.41 | 2.96 | Feb 13, 2026 |
| Windsor Nursing and Rehabilitation Center of Segui | 2.54 | 2.19 | Jul 31, 2025 |
Hours use the same adjusted basis as the chart. A dash means unavailable. Survey dates are the latest standard health surveys reported in this CMS file; complaint investigations may have different dates. Calculation and verification details.
Nearby alternatives (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Legend Oaks Healthcare and Rehabilitation - New Br | 11.6 mi | New Braunfels, TX | ★★★☆☆ | 3/5 | |
| Avir at New Braunfels | 12.1 mi | New Braunfels, TX | ★☆☆☆☆ | 1/5 | abuse |
| Sundance Inn Health Center | 13.4 mi | New Braunfels, TX | ★★☆☆☆ | 2/5 | abuse |
| Eden Home | 14.3 mi | New Braunfels, TX | ★★★☆☆ | 3/5 | |
| Kirkwood Manor | 14.5 mi | New Braunfels, TX | ★★☆☆☆ | 2/5 | |
| Cypress Healthcare and Rehabilitation Center | 18.1 mi | San Marcos, TX | ★☆☆☆☆ | 1/5 | |
| Avir at Luling | 18.5 mi | Luling, TX | ★★☆☆☆ | 1/5 | |
| Silver Tree Nursing and Rehabilitation Center | 18.6 mi | Schertz, TX | ★★☆☆☆ | 2/5 | |
| Country Care Manor | 18.6 mi | La Vernia, TX | ★★★★☆ | 4/5 |
Distances are straight-line from the Seguin area, based on CMS-published coordinates — driving distance will be longer. Inspection quality varies a lot even within one county: check each facility's page for what inspectors actually found.