Guadalupe Valley Nursing And Rehabilitation Center has received an F grade based on CMS data, with a score of 34/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Seguin facility should carefully review its inspection history and quality metrics.
With 3.14 total nurse hours per resident per day, Guadalupe Valley Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 55 deficiencies at Guadalupe Valley Nursing And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.14 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.33 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.79 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 2.01 | 2.4 | Below Average |
| Weekend Total Nursing | 2.78 | 3.8 | Below Average |
| Weekend RN Hours | 0.24 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 9, 2025 · Pharmacy Service Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.Dec 9, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 9, 2025 · Pharmacy Service Deficiencies
- Tag 0842 Severity ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standarDec 9, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0580 Severity DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Dec 9, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.3% | 4.5% | Better |
| Falls with major injury | 2.9% | 3.0% | Average |
| On antipsychotic medication | 7.0% | 14.5% | Better |
| Urinary tract infections | 0.4% | 2.5% | Better |
| ADL decline (daily activities) | 9.1% | 14.0% | Better |
| Excessive weight loss | 2.1% | 7.5% | Better |
| New/worsened incontinence | 11.7% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $75,450
How This Grade Was Calculated
This facility's grade of F is based on a score of 34 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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