County directory
Nursing homes in Guadalupe County, Texas
Explore homes across the county, or narrow your search to a local community.
Explore nursing homes ↓
Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr · Seguin, TX
Ownership: Non-profit (corporation)
Windsor Nursing and Rehabilitation Center of Segui
1219 Eastwood Dr · Seguin, TX
Ownership: Government (hospital district)
Avir at Seguin
1215 Ashby · Seguin, TX
Ownership: For-profit (corporation)
Avir at Walnut Springs
1637 N King St · Seguin, TX
Ownership: For-profit (corporation)
Silver Tree Nursing and Rehabilitation Center
930 Roy Richard Dr · Schertz, TX
Ownership: Government (hospital district)
River Bend Healthcare
1339 Eastwood Dr · Seguin, TX
Ownership: Government (hospital district)
Avir at Schertz
3301 Fm 3009 · Schertz, TX
Ownership: For-profit (limited liability company)
Trucare Living Centers - Selma
16550 Retama Parkway · Selma, TX
Ownership: For-profit (corporation)
CMS ratings and family reviews are separate. Medicare data as of September 2026.
Nursing home care at a glance
Scope: all homes within Guadalupe County, Texas. Filters do not change this comparison scope.
CMS overall rating
out of 5 · from this site's directory data
Ratings offer a starting point. Review each home’s inspection, staffing and quality details.
Source: Medicare (CMS) Care Compare · scope: Guadalupe County (8 facilities), Texas (1177 facilities), United States (14,690 facilities) · Medicare data as of September 2026 · average of each facility's CMS overall star rating, each home counted equallyNurse staffing time
hours of nursing care per resident per day · higher is better
Source: Medicare (CMS) payroll-based staffing data · Guadalupe County: average of 8 homes, each counted equally; state and national figures are Medicare averages · Medicare data as of September 2026Nursing staff turnover
share of nursing staff who left in a year · lower is better
Source: Medicare (CMS) · Guadalupe County: average of 7 homes, each counted equally; state and national figures are Medicare averages · Medicare data as of September 2026Explore more local data
Inspections and quality
Each home’s page shows its full Medicare inspection record, what Medicare found, fines, and short-stay and long-stay quality measures, compared with the state average.
How these comparisons work
Area figures are simple averages of the homes listed here that have Medicare data, with each home counted equally. State and national figures are Medicare’s own averages. An average does not describe any single home. Our methodology.
Choosing care in Guadalupe County
This directory lists 8 nursing homes in Guadalupe County, Texas, with 976 certified beds between them. Their average CMS overall rating is 2.0 stars, below the national average of 3.0 stars: 1 home holds four or five stars and 7 have one or two.
The highest-rated home is Avir At Walnut Springs (4 stars).
By ownership, 50% are for-profit, 12% non-profit and 38% government-owned. None is currently a CMS Special Focus Facility. 2 homes carry the CMS abuse icon, which flags recent inspection citations related to abuse; check the inspection details on each profile.
These figures come from the CMS data behind this directory. Ratings and inspections change, so confirm current details on each home’s profile and with the home itself.
Costs and payment
Contact your shortlisted homes for a current quote and to discuss accepted payment options.
Explore payment guides →Quality and staffing
Review each home’s dated CMS ratings, inspection information and staffing details in its profile.
Understand nursing home ratings →What should I ask before choosing a home?
Ask how the home will meet your loved one’s needs, how family members receive updates, what costs to expect, and whether you can visit before deciding.
How can I broaden my search?
Open the county map search, select a community below, or browse the Texas state directory.
Planning your county-wide search
A county-wide search can help you see more options. Narrow the list to communities that make visits manageable for family and friends. Review each home’s information, then contact your shortlist about the care you need, payment options and next steps.
Need a hand narrowing it down?
Tell us what matters to your family and get help exploring your options.
Get help →Feel prepared for the next step
Read practical guides about tours, coverage questions and care transitions.
Explore family guides →Planning your county search
How do I narrow the county-wide list?
Choose a community in the left panel, then use rating, payment and size filters. County results stay within the municipality.
What should I review beyond the overall rating?
Open each facility profile to review dated inspection, staffing and quality information, and keep family reviews separate from CMS ratings.
How do I check payment and admissions?
Contact the home to discuss accepted coverage, costs and current admissions. A directory listing does not confirm availability or individual insurance coverage.
Browse communities in Guadalupe County
Explore nearby areas →See the best-rated nursing homes in Guadalupe County →
Questions about nursing homes in Guadalupe County
How many nursing homes are in Guadalupe County?
There are 8 Medicare-certified nursing homes in Guadalupe County, with 976 certified beds in total. Bed counts show capacity, not current openings.
Which nursing homes in Guadalupe County have the highest Medicare rating?
Avir At Walnut Springs (4 stars), Trucare Living Centers - Selma (2 stars), Windsor Nursing And Rehabilitation Center Of Segui (2 stars). See the full ranking.
What is the average Medicare rating of nursing homes in Guadalupe County?
2.0 out of 5 across 8 rated homes, compared with 2.7 for Texas as a whole.
Do nursing homes in Guadalupe County accept Medicaid?
8 of the 8 homes accept Medicaid, according to Medicare’s records. Confirm with each home, since Medicaid beds can be limited. How nursing home Medicaid works in Texas.
Are any nursing homes in Guadalupe County on Medicare’s Special Focus list?
No. The Special Focus program follows homes with a history of serious quality problems. Data as of September 2026.