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Nursing HomeMedicaid Investigative

Windsor Nursing and Rehabilitation Center of Seguin

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1219 Eastwood Dr, Seguin, TX 78155122 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 43 Google reviews

5
4
3
2
1
Windsor Nursing and Rehabilitation Center of Seguin Nursing Home in Seguin, TX — Street View
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3/ 10
moderate Risk

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

Source: Medicare data

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 details
FoodN/AStaff9.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms9.0ValueN/A

Strengths

  • 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

234'16(1)'18(4)'21(5)'23(4)'25(9)

Distribution · 48 analyzed

5
36
4
2
3
1
2
2
1
7

How They Respond to Reviews

83%response rate
Generic

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!!

Rehab patient's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

The facility has a simple look to it but has a cozy home like atmosphere. The staff is friendly and always willing to assist.

Long-term resident's family · 2022★★★★★
Source: 43 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.22hrs
29%
Registered nurses for medical care
Total Nursing
2.82hrs
69%
All nurses + aides combined
Staff Turnover
39%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both 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

Medicare Rating
3/ 5
Better Than Avg

9

measures

Worse Than Avg

5

measures

Mixed Results

3

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility34.5%
Worse than Avg
Here
34.5%
US
19.5%
TX
18.4%
Guadalupe
22.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility22.1%
Worse than Avg
Here
22.1%
US
14.4%
TX
16.1%
Guadalupe
10.9%
😔

Residents with depression symptoms

↓ Lower is better
This Facility2.6%
Mixed vs Avgs
Here
2.6%
US
12.1%
TX
2.5%
Guadalupe
1.4%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility16.6%
Worse than Avg
Here
16.6%
US
15.4%
TX
9.4%
Guadalupe
7.5%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Guadalupe
98.3%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility13.7%
Mixed vs Avgs
Here
13.7%
US
19.4%
TX
14.2%
Guadalupe
8.0%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Guadalupe
92.9%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility96.1%
Better than Avg
Here
96.1%
US
79.7%
TX
88.0%
Guadalupe
84.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility2.1%
Worse than Avg
Here
2.1%
US
1.6%
TX
1.5%
Guadalupe
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Near state avg (9.1)
4 complaint-triggered
$34,249 in fines

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, 2025Routine
11
0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0657Potential for harm · IsolatedCorrected

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.

0690Potential for harm · IsolatedCorrected

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.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 24, 2024Complaint
1
0689Actual harm · IsolatedCorrected

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, 2024Routine
12
0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0761Potential for harm · PatternCorrected

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0657Potential for harm · IsolatedCorrected

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.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0521Minimal · Widespread

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0577Minimal · WidespreadCorrected

Resident Rights Deficiencies

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Apr 21, 2024Complaint
3
0689Immediate jeopardy · PatternCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0656Potential for harm · PatternCorrected

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.

0609Potential for harm · IsolatedCorrected

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, 2023Routine
15
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0940Potential for harm · PatternCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0578Potential for harm · IsolatedCorrected

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.

0656Potential for harm · IsolatedCorrected

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.

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0690Potential for harm · IsolatedCorrected

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.

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0814Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Dispose of garbage and refuse properly.

0849Potential for harm · IsolatedCorrected

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0521Minimal · Widespread

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

Owner / Operator

Val Verde County Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF WINDSOR SEGUIN LLC

Administrator

ALBERT SALDANA

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 55 of 67

Ownership & Management

Owners

Val Verde County Hospital District

Owner · Organization

100%

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

Baird, DanielManaging Control - Governing BodyCarvajal, AntonioManaging Control - Governing BodyClapp, BarbaraManaging Control - Governing BodyCortese, DarenManaging Control - Governing BodyGibson, PatriciaManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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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