nursing home in Seguin, TX
Windsor Nursing and Rehabilitation Center of Segui
1219 Eastwood Dr, Seguin, TX 78155 · (830) 379-7777
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Windsor Nursing and Rehabilitation Center of Segui at a glance
Windsor Nursing and Rehabilitation Center of Segui is a 122-bed government nursing home in Seguin, Texas (Guadalupe County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.8 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (July 31, 2025) found 7 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $24,499.
Nursing staff turnover is 38.9% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 122
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Wellsential Health
- Medicare-certified since
- August 10, 1994
- Resident/family council
- Resident
- County
- Guadalupe County
- CMS Certification Number
- 675380
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.2 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.79 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.25 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.85 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.40 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 38.9% | 55.3% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 33.3% | 54.6% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 72.3 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $24,499 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 122 | 113 | 107 | |
| Average residents per day | 98 | 76 | 86 | |
| Occupancy | 80.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.1% | 3.3% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 2.8% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 15.3% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 0.3% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 16% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 7.1% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 34.7% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 11.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96.1% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 33 health deficiencies and 9 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 31, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected August 1, 2025 |
| July 31, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected August 1, 2025 |
| July 31, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected August 1, 2025 |
| July 31, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | No revisit needed |
| July 31, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 31, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 31, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 31, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 31, 2025 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 31, 2025 Standard | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Tag F0645 | D Potential harm, isolated | Corrected August 1, 2025 |
| July 31, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 1, 2025 |
| May 24, 2024 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 25, 2024 |
| May 24, 2024 Fire safety | Install an approved automatic sprinkler system. Smoke Deficiencies · Tag K0351 | D Potential harm, isolated | Corrected May 25, 2024 |
| May 24, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected May 25, 2024 |
| May 24, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected May 25, 2024 |
| May 24, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 25, 2024 |
| May 24, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 25, 2024 |
| May 24, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 25, 2024 |
| May 24, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 25, 2024 |
| May 24, 2024 Standard | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · Tag F0577 | C No harm, widespread | Corrected May 25, 2024 |
| April 21, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | K Immediate jeopardy, pattern | Corrected April 22, 2024 |
| April 21, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | E Potential harm, pattern | Corrected April 22, 2024 |
| April 21, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected April 22, 2024 |
| March 22, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | E Potential harm, pattern | Corrected April 14, 2023 |
| March 22, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected April 14, 2023 |
| March 22, 2023 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | E Potential harm, pattern | Corrected April 14, 2023 |
| March 22, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected April 14, 2023 |
| March 22, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · Tag F0692 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected April 14, 2023 |
| March 22, 2023 Standard | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · Tag F0849 | D Potential harm, isolated | Corrected April 14, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $24,499 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 24, 2024 | Fine | $3,341 |
| April 21, 2024 | Fine | $21,158 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| VAL VERDE COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 01/01/2015 |
| 1219 EASTWOOD DRIVE LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2015 |
| CARPENTER, CHRISSA Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| DEKOWSKI, DONOVAN Individual | adp of the snf | NOT APPLICABLE | 10/01/2018 |
| FLORES, ANTONIO Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| REGENCY IHS CLINICAL CONSULTING, LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2015 |
| REGENCY IHS OF WINDSOR SEGUIN, LLC Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| REGENCY IHS REHAB LLC Organization | adp of the snf | NOT APPLICABLE | 01/01/2015 |
| REGENCY INTEGRATED HEALTH SERVICES LLC Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| RUIZ, AIMEE Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| SALDANA, ALBERT Individual | adp of the snf | NOT APPLICABLE | 09/07/2021 |
| VAL VERDE COUNTY HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 04/04/2025 |
| JURADO, JORGE Individual | corporate director | NOT APPLICABLE | 10/13/2023 |
| CHARTRAND, DANIEL Individual | corporate officer | NOT APPLICABLE | 05/19/2014 |
| DIAZ, CRIS Individual | corporate officer | NOT APPLICABLE | 05/25/2022 |
| JURADO, JORGE Individual | corporate officer | NOT APPLICABLE | 10/13/2023 |
| KEENEN, LEE Individual | corporate officer | NOT APPLICABLE | 05/25/2022 |
| OTAZO, JULIO Individual | corporate officer | NOT APPLICABLE | 05/25/2020 |
| PALMER, ROBIN Individual | corporate officer | NOT APPLICABLE | 11/18/2020 |
| REGENCY IHS OF WINDSOR SEGUIN, LLC Organization | direct ownership interest | NOT APPLICABLE | 01/01/2015 |
| CSV RHEA MANAGEMENT HOLDCO, LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| DWD TX HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| REG BRIDGE OPCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| REGENCY INTEGRATED HEALTH SERVICES LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| REGENCY TEXAS HOLDINGS LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| REG HG OPCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| REG OPERATOR HOLDCO LLC Organization | indirect ownership interest | NOT APPLICABLE | 01/01/2015 |
| BAIRD, DANIEL Individual | managing control - governing body | NOT APPLICABLE | 04/13/2021 |
| CARVAJAL, ANTONIO Individual | managing control - governing body | NOT APPLICABLE | 05/16/2024 |
| CLAPP, BARBARA Individual | managing control - governing body | NOT APPLICABLE | 06/01/2021 |
| CORTESE, DAREN Individual | managing control - governing body | NOT APPLICABLE | 08/10/2021 |
| GIBSON, PATRICIA Individual | managing control - governing body | NOT APPLICABLE | 08/01/2021 |
| GONZALES, VERONICA Individual | managing control - governing body | NOT APPLICABLE | 05/16/2024 |
| KAUFMAN, NICOLE Individual | managing control - governing body | NOT APPLICABLE | 08/10/2021 |
| MANDELBAUM, ELLIOT Individual | managing control - governing body | NOT APPLICABLE | 01/01/2025 |
| FLORES, ANTONIO Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
| REGENCY IHS OF WINDSOR SEGUIN, LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| REGENCY INTEGRATED HEALTH SERVICES LLC Organization | operational/managerial control | NOT APPLICABLE | 01/01/2015 |
| SALDANA, ALBERT Individual | operational/managerial control | NOT APPLICABLE | 09/07/2021 |
Showing 40 of 41 records.
Other nursing homes near Windsor Nursing and Rehabilitation Center of Segui
Guadalupe Valley Nursing and Rehabilitation Center
1210 Eastwood Dr, Seguin, TX 78155 · under 1 mi
Non-profit · 148 beds · Part of Wellsential Health
★★★★★2Below averageRiver Bend Healthcare
1339 Eastwood Dr., Seguin, TX 78155 · under 1 mi
Government · 115 beds · Part of The Ensign Group
★★★★★1Much below averageAvir at Seguin
1215 Ashby, Seguin, TX 78155 · under 1 mi
For-profit · 134 beds · Part of Avir Health Group
- Abuse citation
★★★★★1Much below averageAvir at Walnut Springs
1637 N King St, Seguin, TX 78155 · 1.5 mi
For-profit · 113 beds · Part of Avir Health Group
★★★★★4Above averageLegend Oaks Healthcare and Rehabilitation - New Br
2468 Fm 1101, New Braunfels, TX 78130 · 13 mi
Government · 126 beds · Part of The Ensign Group
★★★★★3AverageAvir at New Braunfels
821 US Hwy 81 W, New Braunfels, TX 78130 · 13.4 mi
For-profit · 154 beds · Part of Avir Health Group
- Abuse citation
- New owner (last 12 months)
★★★★★1Much below average
Frequently asked questions
What is Windsor Nursing and Rehabilitation Center of Segui's rating?
Windsor Nursing and Rehabilitation Center of Segui has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Windsor Nursing and Rehabilitation Center of Segui receive?
Its most recent standard health inspection found 7 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Windsor Nursing and Rehabilitation Center of Segui accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Windsor Nursing and Rehabilitation Center of Segui?
It is government - hospital district and part of Wellsential Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Windsor Nursing and Rehabilitation Center of Segui and how do I contact it?
Windsor Nursing and Rehabilitation Center of Segui is at 1219 Eastwood Dr, Seguin, TX 78155. Phone: (830) 379-7777.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.