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Nursing homes in Selma, TX

Selma has one Medicare- or Medicaid-certified nursing home. Because a single option is rarely a real choice, the table below also lists the 12 closest of 59 certified facilities within 20 miles — see all of Texas →. Guadalupe County overall has 8 certified facilities (county average rating 2/5). Across the one rated facility here the average CMS overall rating is 2/5, against 2.65/5 across the 1,164 rated facilities elsewhere in Texas.

Compare with the closest alternatives →

Local staffing, inspection dates and questions to ask →

In Selma and within 20 miles

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.

FacilityLocationOverallInspectionStaffingFlagsFines (3y)Beds
Trucare Living Centers - SelmaSelma★★☆☆☆3/51/5—128
Advanced Rehabilitation & Healthcare of Live OakLive Oak, TX · 2.6 mi★★★☆☆2/53/5—123
Avir at SchertzSchertz, TX · 2.9 mi★★☆☆☆1/51/5abuse—96
San Antonio Wellness & RehabilitationSan Antonio, TX · 3.2 mi★★☆☆☆2/52/5—154
Avir at ConverseConverse, TX · 4.0 mi★☆☆☆☆2/51/5—100
Silver Tree Nursing and Rehabilitation CenterSchertz, TX · 4.4 mi★★☆☆☆2/52/5—120
Army Residence CommunitySan Antonio, TX · 4.8 mi★★★★★5/54/5no Medicaid—91
Crestway Nursing & RehabilitationSan Antonio, TX · 4.9 mi★☆☆☆☆1/51/5—120
Windcrest Nursing and RehabilitationWindcrest, TX · 6.4 mi★☆☆☆☆2/51/5—180
Avir at HeritageSan Antonio, TX · 6.6 mi★★★☆☆4/51/5—150
Northeast Rehabilitation and Healthcare CenterSan Antonio, TX · 9.0 mi★☆☆☆☆1/52/5—120
The EnclaveSan Antonio, TX · 9.3 mi★☆☆☆☆2/51/5—142
Broadway Nursing & RehabilitationSan Antonio, TX · 10.0 mi★☆☆☆☆2/51/5—237

What to check in Selma

These figures cover the 1 facility in this city, excluding nearby alternatives. They describe published records, not current vacancies or a recommendation.

Nurse staffing in SelmaAdjusted hours per resident per day · Source: CMS, 2026-08-01
All-week averageWeekend average
One facility with both values
All-week average: 3.48
Weekend average: 2.92

All bars start at zero. Exact values and supporting details remain below.

Both averages use the same 1 facility, 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 1 of these 1. Ask how weekend coverage and response times are maintained. This difference alone does not establish unsafe care.

Check the facility-level figures behind this summary
FacilityAll-week hoursWeekend hoursLatest standard health survey
Trucare Living Centers - Selma3.482.92Feb 13, 2026

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.

Distances are straight-line from the Selma 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.

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