Guadalupe County, Texas
8 CMS-certified nursing homes in Guadalupe County, Texas. Statewide medians from the CareScout 2025 Cost of Care Survey, joined with Five-Star quality ratings from CMS Care Compare.
Guadalupe County has 8 nursing homes with 976 total beds. The average CMS quality rating is 2.4 out of 5 stars.
Data Insights
Guadalupe County, Texas contains 8 nursing homes certified by the Centers for Medicare & Medicaid Services, operating a combined 976 licensed beds. Across the 8 facilities with a published CMS overall star rating, the county average works out to 2.4 out of 5 stars. 1 facility score 4 stars or higher on the CMS 5-star scale, while 5 carry a below-average rating of 1 or 2 stars.
State-level care-cost medians published in the CareScout 2025 Cost of Care Survey give a useful cost frame for Texas: a semi-private nursing home room runs about $5,627 per month, while a private room averages $7,604 per month. Assisted living costs $5,666 per month, home health aide services $5,720, and adult day health care N/A. Local providers within Guadalupe County may price above or below these state medians depending on urban versus rural setting, facility amenities, and memory-care or specialty units.
CMS rates nursing facilities on overall quality plus three sub-components: health inspection findings from the last three cycles, nurse staffing hours adjusted for resident acuity, and fifteen clinical quality measures drawn from resident assessments. When comparing facilities within Guadalupe County, families typically weigh the star breakdown alongside bed size, ownership type (for-profit, non-profit, government), distance from family caregivers, and the specific conditions a prospective resident needs managed — such as dementia care, rehabilitation, or ventilator support. The per-facility pages below link through to inspection and staffing detail.
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage. Median figures above represent the middle of the cost distribution: half of providers charge less, half charge more, and price spreads within a metro area can exceed thirty percent. Where Genworth and CareScout publish overlapping numbers, the more recent CareScout survey takes precedence; both organizations use the same survey methodology developed by the federal Department of Health and Human Services Administration for Community Living, so cross-year comparisons are valid back to 2004 when the survey was first standardized.
Nursing Homes in Guadalupe County
| 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 |
What do families ask most?
How many nursing homes are in Guadalupe County, Texas? ▾
Guadalupe County has 8 nursing homes with a combined total of 976 beds. The average CMS overall quality rating across rated facilities is 2.4 out of 5 stars.
What does assisted living cost in Texas? ▾
The median monthly cost for assisted living in Texas is $5,666. Nursing home costs range from $5,627 (semi-private) to $7,604 (private room). These are state-level medians from the CareScout 2025 Cost of Care Survey.
How much does home care cost near Guadalupe County? ▾
The median monthly cost for home health aide services in Texas is $5,720. Home care allows seniors to age in place and is often more affordable than facility-based care like assisted living ($5,666/mo) or nursing homes.
How are nursing homes in Guadalupe County rated? ▾
Nursing homes are rated by CMS (Centers for Medicare & Medicaid Services) on a 1-to-5 star scale covering overall quality, health inspections, staffing levels, and quality measures. Facilities in Guadalupe County average 2.4 stars overall. Higher ratings indicate better performance across these quality dimensions.
Which nursing homes in Guadalupe County have the highest ratings? ▾
Among the 8 facilities, 1 have CMS ratings of 4 stars or higher. Top-rated facilities include WALNUT SPRINGS HEALTH AND REHABILITATION. Visit each facility page for detailed inspection, staffing, and quality data.
What types of elder care are available in Guadalupe County? ▾
Families in Guadalupe County can choose from several care options: nursing homes for skilled medical care, assisted living for daily support, home health aides for in-home assistance, adult day care for daytime supervision, and private nursing for specialized needs. Costs and availability vary by care type and provider.
Elder Care Guides
Related Resources
For detailed nursing home inspection data and staffing hours, see PlainNursing. Compare hospital quality ratings at PlainHospital.
Browse health plan options and coverage at PlainHealthPlan, or explore broader public health data at PlainHealth.
Costs shown are Texas state-level medians from CareScout 2025 (county-level cost data is not available). Facility ratings from CMS Nursing Home Compare.
Read our methodology — how this data is sourced, computed, and verified.
Related
Top facilities in Guadalupe, TX
Source: Centers for Medicare & Medicaid Services (CMS) Nursing Home Compare 5-Star Quality Rating · 2024 CMS overall star rating combines health inspections, staffing levels, and quality measures. Updated quarterly.