Guadalupe Valley Nursing and Rehabilitation Center sits in the Seguin area and offers skilled nursing care along with a range of support services for seniors. There's help for bathing, dressing, medication management, and transfers, with a focus on both long-term and short-term rehabilitation, especially after hospital stays, illness, or surgery. This place has nursing care from 12 to 16 hours a day and always has a 24-hour call system set up so help is nearby, plus the staff can speak Spanish, which comes in handy for residents who need it. Meal service includes restaurant-style dining, a professional chef, and options for special diets like kosher, vegetarian, diabetic, and allergy-sensitive, with meals available all day, so no one has to eat at a set time if they don't want to.
Residents have private rooms with bathrooms, kitchenettes, cable TV, Wi-Fi, telephones, air conditioning, and wheelchair-accessible showers. The facility offers private and semi-private rooms, and there's plenty of common areas indoors and outside for relaxing, visiting, or joining activities like arts, games, movie nights, devotional gatherings, outdoor programs, and even a spa or wellness room. The grounds have walking paths and outdoor courtyards, and there's scheduled transportation for appointments or outings.
Guadalupe Valley Nursing and Rehabilitation Center houses 148 certified beds, but only 18 are certified for use as of June 2025, and accepts Medicaid and Medicare. The facility is non-profit and owned by Medina County Hospital District, with management by Regency IHS Of Guadalupe Valley LLC since 2018 and affiliation with Wellsential Health. Specialized care options include ventilator support, dialysis, Alzheimer's and dementia care, a secure female-only memory support unit, behavior health services, and focused orthopedic care through the Progression Orthopedic Rehab Units and Transitional Care Units for smoother transitions from hospital to home. They also offer cardiac, pulmonary, stroke, wound, and respiratory care.
There's a steady roster of daily activities, fitness programs, resident-run events, and therapy like physical, occupational, and speech therapy, with a beauty salon, fitness room, library, arts room, and game room for leisure or social time. Housekeeping, emergency alert systems, move-in help, and transportation for errands or appointments aim to make daily life simpler. Respite stays and hospice support are available too, so families can get relief when they need it and residents who need extra comfort in their final days can get it.
The staff here work to make residents feel comfortable and safe, but inspection reports show ongoing issues, including 46 deficiencies like infection prevention, accident hazards, and behavioral health training, with five related to infection control. The nurse turnover rate is 53.7%, which is just above the state rate, and residents get 2.79 nursing hours per day on average, which is lower than what's commonly provided statewide. Still, the facility keeps adding new amenities and programs designed to support wellness and satisfaction, letting residents enjoy neighborhood attractions or quiet days at home. There's always an attempt to balance care with a welcoming environment, shaped by its commitment to help seniors in whatever way each individual needs.
