Hacienda Oaks Nursing & Rehab

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

    Compassionate staff, clean facility, recommended

    I was very pleased with the compassionate, attentive staff and the clean, welcoming facility. Communication was strong-staff were prompt after my hospital discharge, kept us updated, and focused on resident comfort and grooming. Visits were joyful with friendly conversations and a warm, resident-focused atmosphere. Overall, I feel my loved one was well cared for and I would recommend this home.

    Loved one of resident
    Jul 2026

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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

    4.24·(103)

    Overall rating

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

      3.4
    • Staff

      4.0
    • Meals

      3.2
    • Amenities

      2.4
    • Value

      3.0

    Pros

    • Compassionate hospice and nursing team
    • Caring CNAs and bedside caregivers
    • Responsive hospice communication and frequent updates
    • Helpful front-desk support
    • Quick admission and intake for some residents
    • Clean, well-maintained areas reported by some families
    • Favorable CMS quality metrics and local ranking

    Cons

    • Inconsistent assistance with activities-of-daily-living (feeding, toileting)
    • Delayed response to call lights and resident requests
    • Inconsistent medication and pain-management follow-through
    • Staffing shortages and high employee turnover
    • Leadership and family-communication deficiencies
    • Gaps in fall-prevention and transfer safety
    • Aging physical plant and maintenance needs
    • Variable sanitation and cleanliness standards
    • Inconsistent discharge and placement communication
    • Workplace-culture and staff-support concerns

    Summary of reviews

    The reviews present a mixed picture. Multiple families describe very positive experiences with hospice services and with individual nursing staff and CNAs who provided kind, patient-centered care and frequent updates. The facility also carries favorable objective metrics noted by some—four-star CMS quality measures and a top local ranking—which align with accounts of attentive clinical teams in specific cases. At the same time, other reviewers describe operational and care-consistency problems that warrant attention from prospective residents and families.

    Care quality appears variable. Strengths include hospice responsiveness, timely acceptance of hospice patients, and several accounts of compassionate bedside care. Weaknesses described are operational: delays in assisting residents with feeding and toileting, call lights not being answered promptly, and inconsistent administration of pain medication or follow-up for clinical complaints. There are also reports suggesting lapses in transfer and fall-prevention practices; several accounts reference injuries or safety events that point to gaps in supervision and mobility-assist protocols.

    Staffing and culture are recurring themes. Reviewers cite short staffing, high turnover, and concerns about staff morale and support; these factors are commonly associated with inconsistent day-to-day care and slower response times. Although many individual caregivers are characterized as caring and helpful (including a named front-desk employee), leadership and administrative communication receive criticism—examples include abrupt interactions, inadequate explanations around discharges, and perceived lack of empathy in sensitive situations. There are also mentions of regulatory attention and concerns following end-of-life events, which some families felt were not handled with sufficient communication from leadership.

    Facility and housekeeping observations are mixed. Some families describe the environment as clean and pleasant in parts of the facility, while others note an older building with maintenance needs (beds and equipment described as dated) and inconsistent sanitation standards in certain areas. Meal-service and dining support are specifically mentioned in the context of feeding assistance rather than food quality; prospective families should clarify how the facility supports residents who need help eating.

    Activities and social programming receive limited commentary; however, concerns about the social director’s responsiveness and empathy suggest variability in family engagement and bereavement communication. Cost and billing came up as a concern for at least one reviewer; prospective residents should request clear pricing and reimbursement information.

    Recommendations for prospective families: observe staffing levels at peak times (mealtimes, shift changes), watch call-light response and mealtime assistance, ask about fall-prevention and transfer protocols, review recent inspection reports and deficiency history, and talk directly with the administrative team about discharge policies and family communication practices. Also consider the facility’s hospice partnerships if end-of-life services are relevant. The facility demonstrates clear areas of strength—especially hospice and some caregiving staff—but reviewers indicate operational inconsistencies that merit direct inquiry during a tour and before placement.

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    Location

    Map showing location of Hacienda Oaks Nursing & Rehab

    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.

    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.

    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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