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B

70/100

Above average

Windsor Nursing And Rehabilitation Center Of Segui

1219 Eastwood Dr, Seguin, TX 78155

CMS 2/5 stars #3 of 8 in Guadalupe County (830) 379-7777
Certified beds
122
Occupancy
80%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.

  • $24,499 in federal fines

    CMS has fined this facility across 2 penalty action(s).

Our read on Windsor Nursing And Rehabilitation Center Of Segui

Windsor Nursing And Rehabilitation Center Of Segui runs on thin staffing: 2.79 nurse hours per resident day, roughly 28% under the national average, with weekends about 14% below its own weekday levels. That shows up in its staffing rating, which sits at the bottom of CMS's scale. The inspection record is mixed, 33 deficiencies, two at harm or jeopardy level, one abuse-related, and $24,499 in fines across two events, though the most recent inspection came in July 2025 and quality measures score reasonably well. Turnover is 38.9%, better than the 45.8% national figure. Owned by a hospital district, it's not a chain, but the day-to-day nursing hours are the number to weigh hardest here.

Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.

Inspection30/30Staffing8/30Stability12/15Outcomes12/15Enforcement8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • →No citations recorded in the last 3 years

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • →2.54 total nurse hours per resident per day (national median 3.77)
  • →0.25 RN hours per resident per day
  • →Weekend staffing drops 14% against weekdays

Staff stability

12/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • →39% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • →4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • →$24,499 in federal fines across 2 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day2.79 hrs
National average 3.86 hrsBelow average
Registered nurse (RN) hours0.25 hrs
National average 0.69 hrsBelow average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours2.40 hrs
National average 3.42 hrsBelow average

The shift most families visit, and the one thinned first.

Nursing staff turnover38.90%
National average 45.80%Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: July 31, 2025 (1 year ago). No citations were recorded.

No health-inspection citations on record for this facility in the current CMS release.

Who owns this home

Full record

Part of WELLSENTIAL HEALTH, which operates 67 homes. Staffing budgets are usually set at chain level, not in the building.

What families say

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Common questions about Windsor Nursing And Rehabilitation Center Of Segui

What is the ElderGrade for Windsor Nursing And Rehabilitation Center Of Segui? +

Windsor Nursing And Rehabilitation Center Of Segui holds an ElderGrade of B (70 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Windsor Nursing And Rehabilitation Center Of Segui? +

Residents receive an average of 2.79 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Windsor Nursing And Rehabilitation Center Of Segui been cited for harming residents? +

No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Windsor Nursing And Rehabilitation Center Of Segui accept Medicaid? +

Yes, Windsor Nursing And Rehabilitation Center Of Segui is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.