Windsor Nursing and Rehabilitation Center of Seguin
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 43 Google reviews

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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
Below average in Texas · Critically understaffed (RN) · Below chain average · $34,249 in fines
What this means for your family
The facility has shown a significant upward trend in quality, with recent years characterized by high praise for the rehabilitation team and staff compassion. However, because historical reviews noted severe issues with hygiene and neglect, families should personally inspect the cleanliness of the rooms and ask about current protocols for resident grooming during their first visit.
Google Reviews
Google Reviews
43 reviews on Google“Families considering Windsor Nursing and Rehabilitation Center of Seguin will find a facility highly praised for its compassionate, family-like nursing staff and excellent physical rehabilitation services. While recent reviews are overwhelmingly positive, older reviews from 2018 highlight serious concerns regarding cleanliness and resident care, making it important to verify current standards during your visit.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Excellent physical rehabilitation services
- Clean and well-maintained environment
- Strong communication from leadership and administration
Concerns
- Historical issues with cleanliness and hygiene (mentioned by 2 reviewers)
- Inconsistent resident grooming and care (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 48 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses that frequently repeat the same phrases regarding sharing feedback with leadership. While they attempt to include the reviewer's name, the core of the message is a copy-paste pattern.
Questions for Your Tour
- 1I noticed that leadership is very active in communicating with families; how often can we expect regular updates regarding our loved one's care plan?
- 2We want to ensure our family member stays well-groomed and feels their best; what specific routines do you have in place to assist with personal hygiene and daily grooming?
- 3With the rehabilitation services being a highlight here, could you walk us through how the physical therapy process works for new residents?
- 4What steps are being taken to ensure the facility maintains the high standards of cleanliness and hygiene that we are looking for?
- 5In the event of a medical emergency during the night, what is the protocol for notifying the family and coordinating care?
- 6What kind of social activities or group outings are available to help residents stay engaged and connected with one another?
Personalized based on this facility's data
Key Review Excerpts
“From the moment we arrived, everyone went to great lengths to make sure that she was well accommodated. It is the people that make the difference at Windsor!!”
“The staff is incredible- compassionate, knowledgeable and always available when needed. Very professional. The facility itself is pristine and calming making it comfortable for visits.”
“The facility has a simple look to it but has a cozy home like atmosphere. The staff is friendly and always willing to assist.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
5
measures
3
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning complaint-triggered deficiencies where families filed reports about accident prevention and abuse reporting, with accident hazards recurring across multiple surveys. The facility shows persistent problems with care planning and assessments, medication management, and safety hazards, though all deficiencies have correction dates indicating efforts to address issues. With 42 total deficiencies across recent surveys, families should carefully evaluate whether improvements have been sustained.
Jul 31, 2025Routine11
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
May 24, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
May 24, 2024Routine12
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
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
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Apr 21, 2024Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 22, 2023Routine15
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
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
Provide enough food/fluids to maintain a resident's health.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Dispose of garbage and refuse properly.
Administration Deficiencies
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
May 24, 2024
$3,341
Fine
Apr 21, 2024
$21,158
Ownership & Operations
Who Operates This Facility
Val Verde County Hospital District
for profit
REGENCY IHS OF WINDSOR SEGUIN LLC
ALBERT SALDANA
Chain Affiliation
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 55 of 67
Ownership & Management
Owners
Val Verde County Hospital District
Owner · Organization
Regency Ihs of Windsor Seguin, LLC
Owner · Organization
Csv Rhea Management Holdco, LLC
Owner (parent company) · Organization
Dwd TX Holdings LLC
Owner (parent company) · Organization
Jack and Nancy Dwyer Workforce Development Center INC
Owner (parent company) · Organization
Reg Bridge Opco LLC
Owner (parent company) · Organization
Reg Hg Opco LLC
Owner (parent company) · Organization
Reg Operator Holdco LLC
Owner (parent company) · Organization
Regency Integrated Health Services LLC
Owner (parent company) · Organization
Regency Texas Holdings LLC
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
43 reviews from families & visitors
Official Website
Visit wellsentialhealth.org
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.
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Argent Court Seguin LLC
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Seguin Assisted Living LLC
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Avir at Walnut Springs
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