Guadalupe County, Texas
County inventory for Guadalupe County, Texas is drawn from U.S. Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare / Home Health Compare (14,710 Medicare-certified nursing homes nationwide) with cost context from the private CareScout 2025 Cost of Care Survey - see our methodology. Home-health agency signature
2 Medicare-certified home-health agencies map into Guadalupe County (upper tercile, ≥2) beside 8 nursing homes - CareScout 2025 Texas medians + CMS Five-Star.
County care plate
Sheet TX-GUADALUPE-TEXAS · Guadalupe, TX
NH-SMALL · BEDS-SMALL · STAR-LOW · HH-SMALL · RANK-HIGH · PHOTO-TIE · AL-MID · BOOK-FULL
- NH-SMALL 8 homes
- BEDS-SMALL 976 beds
- STAR-LOW 2.4★ avg
- HH-SMALL 2 HH
- RANK-HIGH #379/2,851
- PHOTO-TIE Okaloosa
- AL-MID $5,666/mo
- BOOK-FULL 8/8 NH · 2/2 HH
Photo-finish peer: Okaloosa County, FL (0 NH count).
Stamps lead with home-health agency tercile (high) plus nursing-home inventory, licensed beds, Five-Star county average, corpus NH-count rank, photo-finish peer, and CareScout assisted-living medians.
What a dense home-health map shows for Guadalupe County
Home-health coverage is the standout for Guadalupe County: 2 Medicare-certified agencies (upper tercile) sit beside 8 nursing homes and 976 licensed beds. CMS nursing-home stars average 2.4/5 on rated homes.
Dense inventory counties still price against CareScout 2025 Texas medians: assisted living $5,666/mo, semi-private nursing $5,627/mo, private nursing $7,604/mo, home health aide $5,720/mo, adult day $1,950/mo. Local Guadalupe providers may sit above or below those state medians, compare facilities, not just the headline count.
Star counts run softer here (1 at 1★, 4 at 2★, 2 at 3★, 1 at 4★). Ownership leans For profit - Corporation (50% of 8 homes). Named 4★+ examples include Walnut Springs Health and Rehabilitation. Pair the ladder with inspection notes, staffing, distance, and specialty units before treating any single home as a fit.
Sources: CMS Nursing Home Compare + CareScout 2025 Cost of Care Survey. See methodology.
Top facilities in Guadalupe, TX
Ranked by CMS overall star rating, not an editorial "best of" pick. Visit in person and consult a care professional before choosing.
- 1 4★
- 2 3★
- 3 3★
- 4 2★
- 5 2★
Nursing Homes in Guadalupe County
8 CMS-certified homes in this county book, ordered by overall star rating.
| Facility | City | Rating | Beds | Ownership |
|---|---|---|---|---|
| Walnut Springs Health and Rehabilitation | Seguin | 4/5 | 113 | For profit - Corporation |
| Silver Tree Nursing and Rehabilitation Center | Schertz | 3/5 | 120 | For profit - Corporation |
| Trucare Living Centers - Selma | Selma | 3/5 | 128 | For profit - Corporation |
| Avir at Schertz | Schertz | 2/5 | 96 | For profit - Limited Liability company |
| Avir at Seguin | Seguin | 2/5 | 134 | For profit - Corporation |
| Guadalupe Valley Nursing and Rehabilitation Center | Seguin | 2/5 | 148 | Non profit - Corporation |
| Windsor Nursing and Rehabilitation Center of Segui | Seguin | 2/5 | 122 | Government - Hospital district |
| Remarkable Healthcare of Seguin | Seguin | 1/5 | 115 | Government - Hospital district |
Home Health Agencies in Guadalupe County
Medicare-certified agencies from CMS Home Health Compare, zip-joined into this county inventory.
| Agency | City | Quality Rating |
|---|---|---|
| Advanced Home Health Services | Seguin | 3.5 |
| Jonsan Home Health Inc. | Schertz | 2.5 |
Read next for home-health-dense Guadalupe
Nationwide counties with similar care inventories
Two CMS peer sets for Guadalupe County, TX, both outside TX so the neighborhoods are not state containment (the Texas overview below stays the geo path).
Similar nursing-home inventory
Nearest other-state counties by certified nursing-home count (8 here).
Continue on the Texas elder-care overview or the highest-rated states ranking. Costs shown are Texas state-level medians from CareScout 2025 (county-level cost data is not available).
Read our methodology - how CMS Care Compare and CareScout 2025 are joined for Guadalupe County.