Best Nursing Homes in Seguin, TX, Graded A–F
All 5 graded Medicare-certified nursing homes in Seguin, TX, scored from CMS Care Compare — nurse staffing, health inspections, quality measures and penalties — against Texas peers of the same size. Grades are computed, never edited, and every input is shown on the facility page.
CMS data as of Aug 2026 · graded Sep 11, 2026Grade distribution — Seguin, TX
A0
B1
C0
D4
F0
5 facilitiesgraded in Seguin, TX · 0 earned an A
All Texas
Houston (59)San Antonio (58)Dallas (33)Fort Worth (30)Austin (25)El Paso (21)Lubbock (14)Corpus Christi (13)Tyler (13)
Highest in Seguin, TX 1
Avir At Walnut Springs - Seguin, TX · 113 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.7 nurse hours per resident-day — top quarter in Texas
- 7 health deficiencies at the last standard survey (CMS severity score 32) — above median
- No fines or payment denials in 3 years
BScore 79 · GoodSee Full Grade
8303793784
Seguin, Guadalupe County
Medicaid
2
Windsor Nursing And Rehabilitation Center Of Segui - Seguin, TX · 122 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 2.8 nurse hours per resident-day — bottom quarter in Texas
- 7 health deficiencies at the last standard survey (CMS severity score 28) — top quarter
- $24,499 in fines in 3 years
DScore 49 · Below averageSee Full Grade
8303797777
Seguin, Guadalupe County
Medicaid
3
River Bend Healthcare - Seguin, TX · 115 beds · government - hospital district CMS Care Compare · data as of Aug 2026
- Staffing 3.4 nurse hours per resident-day — above median in Texas
- 12 health deficiencies at the last standard survey (CMS severity score 80) — below median
- $18,225 in fines in 3 years
DScore 48 · Below averageSee Full Grade
8303793900
Seguin, Guadalupe County
Medicaid
4
Avir At Seguin - Seguin, TX · 134 beds · for profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 2.9 nurse hours per resident-day — bottom quarter in Texas
- 9 health deficiencies at the last standard survey (CMS severity score 56) — above median
- $13,877 in fines in 3 years
DScore 43 · Below averageSee Full Grade
8303791606
Seguin, Guadalupe County
Medicaid
5
Guadalupe Valley Nursing And Rehabilitation Center - Seguin, TX · 148 beds · non profit - corporation CMS Care Compare · data as of Aug 2026
- Staffing 3.1 nurse hours per resident-day — below median in Texas
- 20 health deficiencies at the last standard survey (CMS severity score 100) — below median
- $75,450 in fines in 3 years
DScore 36 · Below averageSee Full Grade
8303799308
Seguin, Guadalupe County
Medicaid
Texas nursing homes by city
How we grade nursing homes
What data goes into a grade?
CMS Care Compare: Nurse staffing (30), Health inspections (30), Quality measures (25), Penalties (15). Each metric is percentile-ranked against Texas facilities in the same size band; A ≥ 80, B ≥ 65, C ≥ 50, D ≥ 35, F below. Facilities with under 60% of data are shown as "Not graded".
Can a facility pay to improve its grade?
No. Grades are computed from public data and have no editable field. Nothing on this page is sponsored.
Is a grade a substitute for visiting?
No. Use it to shortlist, then visit, ask for the latest inspection report, and talk to residents' families.