Hacienda Oaks Nursing & Rehab

    1637 N King St, Seguin, TX 78155
    • Assisted Living
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    4.22·(105)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.5
    • Staff

      4.0
    • Meals

      3.2
    • Amenities

      2.4
    • Value

      3.0

    Pros

    • Compassionate and personable direct-care staff
    • Prompt attention to resident needs in positive care experiences
    • Supportive hospice and respite care
    • Positive rehabilitation experiences
    • Warm interactions with residents and families
    • Clean, welcoming spaces in positive visits
    • Positive dining experiences in some accounts
    • Social visits and holiday celebrations
    • Helpful electronic visitor check-in system

    Cons

    • Staffing shortages and high employee turnover
    • Inconsistent personal-care and incontinence support
    • Gaps in call-response and family communication
    • Inconsistent supervision and fall-prevention practices
    • Medication reconciliation and clinical oversight concerns
    • Housekeeping and building-maintenance inconsistencies
    • Variable meal quality and nutritional suitability
    • Administrative follow-through and care-transition gaps
    • Room-comfort and heating or cooling reliability concerns

    Summary of reviews

    Experiences at Hacienda Oaks are mixed. Some families describe attentive, compassionate care, including positive hospice, respite, rehabilitation, and short-term stays. Others raise concerns about basic care consistency, supervision, medication management, and responsiveness. Reports about personal care range from families who found residents consistently clean and comfortable to families concerned about grooming, incontinence support, and whether residents received timely assistance. One family also described repeated falls and questioned whether requested supervision was provided. These accounts suggest that care may vary across residents, shifts, or departments.

    Staff are frequently praised for being friendly, kind, and familiar with residents; some families also describe frequent updates and helpful communication. In contrast, other families report difficulty reaching staff by phone, delayed or incomplete responses, and challenges getting information about changes in a resident’s location or care. Staffing shortages and turnover are recurring concerns, alongside criticism of administrative availability, communication, and follow-through. One family reported that medications were stopped shortly after admission for rehabilitation, raising a specific concern about medication reconciliation and clinical oversight. Another described an abrupt discharge with limited explanation. These are family accounts and do not establish what occurred in every case.

    Dining feedback is inconsistent: some visitors enjoyed meals, while others questioned meal quality, texture, or nutritional suitability. Social visits and holiday gatherings are described positively, but the reviews provide limited detail about the range or regularity of organized activities. Facility observations also vary. Some visitors found the building and rooms clean and welcoming, while others described housekeeping concerns, maintenance needs, small rooms, and discomfort related to heating or cooling. The building is described as older in one positive account, which also emphasized the quality of care.

    A serious, individual account raised concerns about missing personal belongings and unauthorized use of a resident’s bank card after her death; the family said it made a police report. This is not enough to establish a facility-wide pattern, but families may wish to ask how valuables are inventoried and safeguarded. Another family raised concerns about locked unit doors and emergency access; this concern was not corroborated elsewhere in the supplied reviews. One submission consists mainly of general legal information and does not describe a specific facility experience.

    The review set may combine feedback about more than one provider: several entries explicitly refer to Walnut Springs or Avir at Walnut Springs rather than Hacienda Oaks. Those comments may not be attributable to Hacienda Oaks and should be verified before relying on them. One review also cites a CMS rating from 2018, which is historical and should not be taken as a current rating. Families considering Hacienda Oaks may want to ask about staffing levels and turnover, call-response procedures, medication-review processes, supervision plans, meal accommodations, maintenance, and family notification practices, and to assess current conditions in person.

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    Location

    Hacienda Oaks Nursing & Rehab is located at 1637 N King St, Seguin, TX, 78155.

    About Hacienda Oaks Nursing & Rehab

    Hacienda Oaks Nursing & Rehab sits in Seguin, Texas and offers care for seniors who need assisted living, skilled nursing, memory care, and independent living, so you'll see folks here who need different levels of help, whether they're pretty independent or they're dealing with more serious health problems. The place has 113 certified beds and usually about 99 residents, and the staff handles it all, from giving medicines to helping with bathing or dressing, and you'll see registered nurses, licensed practical nurses, and certified nurse aides working around the clock with a 24-hour call system, and they're the ones doing most of the hands-on care. They've got infection control and pressure sore prevention, offer flu and pneumonia shots for long-stay folks, and can deal with people who have medical needs like ER visits, ICU-level care, and med-surg needs, but they aren't part of a hospital and they don't have multi-facility ownership, being a for-profit partnership.

    You'll find they do accept Medicare and Medicaid, but they're not a continuing care retirement community, so if that's what you're looking for, this place isn't it, but you do get a sense of community with family and resident councils where people can talk about how things are going. The campus is fully sprinklered for safety, and they've got alarms and emergency alert systems, so there's attention paid to safety. When you get down to daily living, some rooms are private, with bathrooms, kitchens, cable TV, phones, air conditioning, and Wi-Fi, and for those who can't get around much, non-ambulatory care is available along with help for activities like eating, dressing, and getting around.

    Meals are prepared by a chef-one or two a day-restaurant-style, and they do take care of special diets, whether someone's diabetic or has allergies. There's laundry and housekeeping, so residents don't have to worry too much about chores, and transportation is available for getting out and about, and there's parking for those who need it. For activities, you'll find walking paths and gardens outdoors, and inside there's a fitness room, fitness programs, movie nights in the theater, an arts room, game room, library, spa and wellness area, and all sorts of programs every day to keep folks engaged and connected, and for people who like to stay busy, there's usually enough going on.

    The facility is licensed as a skilled nursing facility and nursing facility, with license #004049, and does serve folks over 55 or 62 in independent living, and care is tailored for each person's needs, which helps residents with different health conditions or memory issues. While they have no current info about the languages spoken besides English, and they're not accepting new patients right now, the staff focuses on keeping people safe, helping them stay as healthy and independent as possible, and making daily living as comfortable as they can, so that's pretty much what you can expect at Hacienda Oaks Nursing & Rehab.

    People often ask...

    Hacienda Oaks Nursing & Rehab offers assisted living and skilled nursing.

    There are 12 photos of Hacienda Oaks Nursing & Rehab on Mirador.

    The full address for this community is 1637 N King St, Seguin, TX 78155.

    No, Hacienda Oaks Nursing & Rehab does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000Rrog2AAB
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity113 residents
    LicenseeFannin County Hospital Authority
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    11

    Citations

    0

    Complaints

    1

    Years

    18 Nov 2025Inspection
    Identified deficiencies in assessment accuracy, continence care, respiratory care, food handling, policy on foods brought by visitors, drug labeling, and room size.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    24 Sept 2025Life Safety
    Identified deficiencies in outside areas, fire safety equipment maintenance, sprinkler system compliance, and wall/ceiling cleanliness.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Hacienda Oaks Nursing & Rehab. The information above has not been verified or approved by the owner or operator. For exact information, please contact Hacienda Oaks Nursing & Rehab directly. There is no cost for this service. We are compensated by the community you select.

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