x x
Jun 2026
Abhorrent treatment, abusive and understaffed, and refusing to give my grandma her medication.
Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr3.3(36 ratings)· Seguin average: 4.4
Part of Wellsential Health · 67 communities · 4.3★ average
1 / 4Quick Facts
- Total units
- 148
- Medicare rating
- 3 of 5
- Ownership
- Non profit, Corporation
- Certified beds
- 148
- Inspections
- View history (63 citations)
CMS Care Compare
What Families Think
Reviews for Guadalupe Valley Nursing and Rehabilitation Center are sharply divided, with some families praising attentive staff and physical therapy while others describe serious lapses in personal care, medication management, and responsiveness to call lights. The facility holds a 3.3 out of 5 rating from 36 Google reviews, reflecting this inconsistency in reported experiences.
The Good
- Therapy team helped residents regain strength and mobility
- Several staff members (Silvia, Bonnie, Natalie) praised for compassion
- One reviewer noted the facility was clean
- Front desk staff described as attentive and multitasking
The Bad
- Multiple reports of residents going days without a shower or bathing
- One report of medication mismanagement, including wrong-dose concerns
- One report of call lights going unanswered, leaving a resident in urine
- One report of medications not sent home at discharge
- One reviewer described supper meals as consistently poor quality
AI-generated from reviews and community data.
Guadalupe Valley Nursing and Rehabilitation Center is a senior living community in Seguin, Texas offering Skilled Nursing / Long Term Care. Amenities include Housekeeping, Emergency Call System and Private Bathroom. Families rate it 3.3 out of 5 across 36 reviews.
About Guadalupe Valley Nursing and Rehabilitation Center
Guadalupe Valley Nursing and Rehabilitation Center is a skilled nursing and long-term care facility in Seguin, Texas, licensed for 148 residents. It offers rehabilitation and ongoing nursing care for patients recovering from surgery or requiring extended medical support.
Families' experiences at the facility are markedly divided. Some describe responsive rehabilitation, one current resident credits the staff with helping her regain mobility after admission, moving from bedbound to independent wheelchair use. A recent admission notes staff cleanliness standards and attentive hygiene care. However, the majority of reviews document serious concerns: prolonged response times to call buttons (30–45 minutes reported), residents left in soiled conditions, delayed physician access, missed bathing and hygiene care, insufficient meal assistance, and staff appearing overwhelmed or disengaged. Communication barriers are also frequent, one family member living out of state reports difficulty reaching their loved one by phone, while another notes that administration calls go unreturned.
Staffing strain appears across multiple accounts, with one family observing that staff seem understaffed and overwhelmed. A few families specifically praised individual staff members for compassion, though these positive notes stand in contrast to widespread reports of neglect, rude interactions, and inattention to residents' basic needs and preferences.
The facility holds a 3.3 out of 5 Google rating across 36 reviews. Prospective families should visit in person, speak directly with current residents and their families, and clarify staffing levels and care protocols before admission.
Types of Care at Guadalupe Valley Nursing and Rehabilitation Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Emergency Call System
- Private Bathroom
- Wheelchair Accessible
Community Amenities
- 24-Hour Staff
- Housekeeping
- Medication Management
- On-Site Nurse (RN)
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Help Me ChooseReviews of Guadalupe Valley Nursing and Rehabilitation Center
3.3overall · 36 ratings combined
3.3★ on Google (36)
stacy johnson
Feb 2026
am compelled to share my experience with Guadalupe Valley Nursing & Rehab Center, where my mother was admitted following knee surgery. Unfortunately, the care she received was far from satisfactory and raised several concerns regarding her health and well-being. **Decline in Physical Activity** My mother’s physical activity declined rapidly during her stay. Instead of encouraging her to use the toilet as part of her rehabilitation, she was continuously placed in adult diapers. This approach undermined her therapy, as using the toilet should have been a fundamental part of her recovery process. **Neglected Personal Care** Before her admission, I ensured that my mother had all the necessary toiletries. Shockingly, after two weeks, none of these items had been utilized. Her clothes were often dirty, which is unacceptable for any care facility. During one visit, I found her pants pulled halfway up and her shirt bunched up, with her door and curtain wide open, compromising her privacy and dignity. **Medication Mismanagement** There were serious issues regarding her medication. My mother appeared to be over-medicated, and on one occasion, I caught a nurse just before she administered the wrong medication. Dr. Flores frequently adjusted her medication, treating her as if she were a scientific experiment rather than a patient. When my mother began experiencing hallucinations as a side effect, instead of reducing the narcotics, the doctor increased them, which only exacerbated her condition. **Staff Accountability** The only staff member I felt I could trust was Keith, who seemed genuinely dedicated to the patients. Meanwhile, the facility's administrator, EJ, failed to follow through on any promises made regarding her care. Other nurses like Bonnie and Stacy showed competence, but they were not enough to redeem the overall experience. **Conclusion** Given these issues, I cannot recommend Guadalupe Valley Nursing & Rehab Center to anyone looking for quality care for their loved ones. The lack of attention to personal hygiene, medication management, and overall patient dignity is concerning. My experience leads me to advise others to seek alternative facilities for long term care or rehabilitation.
Amanda Jones the Beautiful
Sep 2025
Visited this facility for the first time and was greeted by Silvia at the front desk. She is FANTASTIC! Well dressed and what a multi tasker! She’s also a CNA here and based off of my interaction with her, she has compassion on her patients ❤️
Zackary Dearing
Sep 2025
They don't answer the phones besides that, it's an okay place
Jann Hayes
Aug 2025
My husband had no "choice" in being placed in your facility, neither he nor I was consulted regarding his placement there. While there he was left to lay in his bed 24/7,no call lights were answered when he needed to get up to the bathroom so thusly was left laying in urine. I've been a nurse for 55yrs an just recently retired when we moved here 2 1/2 yrs ago. Once he was placed in your facility a doctor who didn't know him was thusly in charge of his care and refused to listen to me regarding taking him home where I and my adult children and grandchildren who lived in our home could care for him 100% better than he had in your facility. We saw him getting weaker everyday he was there and was afraid he'd never get out. Within 24 hrs of being home he was getting up and walking with very little assistance and could smile for the first time in a week. There were other issues while there that need mentioning. His roomate had his TV on EXTRA loud day and night. He got very little sleep the whole time he was there. The staff was made aware of the problem so they did turn it off when he fell asleep but when he would wake up during the night he'd turn it back on. The food was good at lunch but suppers were pretty bad to disgusting most days. Being post op he needed to eat, especially proteins,but was never offered protein drinks between meals. The June 25th supper was memorable as the most disgusting tray of food. It consisted of a cheese sandwich on mushy bread that wasn't toasted except for a minute portion of the bread that looked to be an attempt at toasting. There was a bowl of overcooked vegetables that you could't really tell what kind they were. My son saw it and went to Wendy's and brought him a decent meal. I can still see the satisfied look on his face. In the 6 days he was there he had no bath/shower or given soap water and towels to clean himself each day. When someone is incontinent of urine he should have been washed up and given fresh gown and linens. I found it hard to believe that in these modern times that fresh linen isn't put on each bed daily. I guess nursing care sadly isn't what it use to be. There was one staff that didn't even work on his hall happened by and when asked about his having to lay in a dirty bed she quickly came back with clean linen and fixed the bed. I think her name is Claire.
Government Inspection History
11 inspection visits in the last three years, 63 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Mar 27, 2026Fire Safety StandardHealth Standard11 citations
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Mar 28, 2026
Reasonably accommodate the needs and preferences of each resident.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2026
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2026
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2026
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Mar 28, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2026
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2026
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Mar 28, 2026
Feb 23, 2026Health Complaint2 citations
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 24, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 24, 2026
Dec 10, 2025Health Complaint9 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Dec 12, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Jan 13, 2026
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 12, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 13, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 13, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 13, 2026
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jan 13, 2026
Jun 6, 2025Health Complaint2 citations
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 7, 2025
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jun 7, 2025
Jan 16, 2025Fire Safety ComplaintFire Safety StandardHealth Standard23 citations
Install a fire alarm system that can be heard throughout the facility.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Feb 17, 2025
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2025
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 5, 2025
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.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jan 17, 2025
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 5, 2025
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 5, 2025
Have exits that are accessible at all times.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 17, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Provide training in compliance and ethics.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 17, 2025
Provide properly protected cooking facilities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 5, 2025
Dec 13, 2024Health Complaint2 citations
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 16, 2024
Provide safe and appropriate respiratory care for a resident when needed.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 16, 2024
Aug 30, 2024Health Complaint5 citations
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 4, 2024
Apr 26, 2024Health Complaint2 citations
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 27, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 27, 2024
Dec 15, 2023Fire Safety StandardHealth Standard4 citations
Have generator or other power source capable of supplying service within 10 seconds.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Dec 22, 2023
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Dec 22, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jan 3, 2024
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Dec 22, 2023
Nov 22, 2023Infection ControlNo citations
Sep 8, 2023Health ComplaintInfection Control3 citations
Provide and implement an infection prevention and control program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 11, 2023
Respond appropriately to all alleged violations.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Sep 11, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Guadalupe Valley Nursing and Rehabilitation Center offer?
Guadalupe Valley Nursing and Rehabilitation Center offers Skilled Nursing / Long Term Care.
Where is Guadalupe Valley Nursing and Rehabilitation Center located?
Guadalupe Valley Nursing and Rehabilitation Center is located at 1210 Eastwood Dr in Seguin, Texas.
What do families say about Guadalupe Valley Nursing and Rehabilitation Center?
Reviews for Guadalupe Valley Nursing and Rehabilitation Center are sharply divided, with some families praising attentive staff and physical therapy while others describe serious lapses in personal care, medication management, and responsiveness to call lights. The facility holds a 3.3 out of 5 rating from 36 Google reviews, reflecting this inconsistency in reported experiences.
How did Guadalupe Valley Nursing and Rehabilitation Center do on recent health and safety inspections?
Guadalupe Valley Nursing and Rehabilitation Center had 11 government inspection visits in the last three years, with 63 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Guadalupe Valley Nursing and Rehabilitation Center?
Submit the Request Information form on this page to connect with Guadalupe Valley Nursing and Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Guadalupe Valley Nursing and Rehabilitation Center? Claim this listing to update photos, pricing, and details. It's free.
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