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Windsor Nursing And Rehabilitation Center Of Segui

1219 Eastwood Dr, Seguin, TX 78155 · Guadalupe County

Government · 122 certified beds · 80% occupancy · (830) 379-7777

The U.S. government (CMS) rates Windsor Nursing And Rehabilitation Center Of Segui 2 out of 5 stars overall — below average. Its nurse staffing is 15% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.

CMS quality ratings

Overall★★★★★
Health inspections★★★★★
Staffing★★★★
Quality of resident care★★★★

Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.

Nurse staffing

Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.

TX median 3.27

2.79 nurse hours per resident per day. 15% below the Texas median of 3.27.

Total nurse
2.79 hrs
RN
0.25 hrs
LPN
0.69 hrs
Aide
1.85 hrs

Nursing staff turnover: 38.9% · RN turnover: 33.3%

Safety & compliance flags

No CMS warning flags on record.

Recent inspection findings

The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.

33
total findings
1
immediate jeopardy
1
caused actual harm
4
from complaints
  • Potential for harmTag F0641 · Jul 31, 2025Corrected Aug 1, 2025

    Ensure each resident receives an accurate assessment.

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0645 · Jul 31, 2025Corrected Aug 1, 2025

    PASARR screening for Mental disorders or Intellectual Disabilities

    Resident Assessment and Care Planning Deficiencies

  • Potential for harmTag F0657 · Jul 31, 2025Corrected Aug 1, 2025

    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

  • Potential for harmTag F0690 · Jul 31, 2025Corrected Aug 1, 2025

    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

  • Potential for harmTag F0755 · Jul 31, 2025Corrected Aug 1, 2025

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

    Pharmacy Service Deficiencies

  • Potential for harmTag F0812 · Jul 31, 2025Corrected Aug 1, 2025

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

    Nutrition and Dietary Deficiencies

  • Potential for harmTag F0880 · Jul 31, 2025Corrected Aug 1, 2025

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies

  • Actual harmTag F0689 · May 24, 2024ComplaintCorrected May 25, 2024

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

    Quality of Life and Care Deficiencies

  • Potential for harmTag F0759 · May 24, 2024Corrected May 25, 2024

    Ensure medication error rates are not 5 percent or greater.

    Pharmacy Service Deficiencies

  • Potential for harmTag F0761 · May 24, 2024Corrected May 25, 2024

    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

Showing the 10 most recent and serious of 33 findings. See the full inspection history on Medicare.gov.

Ownership

Part of the Wellsential Health chain (68 facilities), chain average overall rating 2.6★.