Texas · Nursing Homes
Palmelle

This is the placeto find the place.

Nursing Homes & Extended Care in Seguin, TX.

Ranked based on inspection data.

Help Me Choose · $199 Call (888) 282-PALM

This is what the inspectors wrote down.

Every score on this page is built from federal CMS inspection results and state licensing records — the same findings a regulator sees. Not brochures, not tours, not what a facility says about itself.

5 licensed nursing homes in Seguin, TX
Updated October 21, 2026
3.7Concerns

GUADALUPE VALLEY NURSING AND REHABILITATION CENTER

1210 EASTWOOD DR, SEGUIN, TX 78155

Guadalupe Valley Nursing and Rehabilitation Center has an overall rating of 2 stars, a score reflecting serious issues in health inspections and staffing. There is one federal fine on record, but we can't tell if it's from last month or years ago, so it is worth asking about during your visit.

1 doing well2 flaggedFull record ›
4.3Concerns

WINDSOR NURSING AND REHABILITATION CENTER OF SEGUI

1219 EASTWOOD DR, SEGUIN, TX 78155

WINDSOR NURSING AND REHABILITATION CENTER OF SEGUI brings high quality measure scores (4.0/5), and low staff turnover (39%). There are 2 federal fine(s) on record — no date context, so worth asking about directly.

1 doing well2 flaggedFull record ›
0.4Concerns

Avir at Seguin

1215 ASHBY, SEGUIN, TX 78155

Avir at Seguin has a critical flag: cms has placed an abuse icon on this facility, indicating a substantiated finding of abuse, neglect, or exploitation of a resident. Worth asking: Registered nurse hours are 0.25 per resident per day — below the recommended minimum of 0.75 hours.

1 doing well3 flaggedFull record ›
8.1Strong

Avir at Walnut Springs

1637 N KING ST, SEGUIN, TX 78155

Avir at Walnut Springs brings a 4.0-star CMS rating, strong inspection scores (4.0/5), high quality measure scores (5.0/5), and no federal fines on record. Worth asking: Registered nurse hours are 0.17 per resident per day — below the recommended minimum of 0.75 hours.

1 doing well1 flaggedFull record ›
3.1Concerns

River Bend Healthcare

1339 EASTWOOD DR, SEGUIN, TX 78155

River Bend Healthcare brings high quality measure scores (4.0/5). There are 2 federal fine(s) on record — no date context, so worth asking about directly.

1 flaggedFull record ›

Not sure where to start?

We do the calling. You do the choosing.

Staying home instead? Our CAPS-certified senior home safety assessment covers fall risk, bathroom safety, transfers, walker access, lighting and thresholds, and ends in a written prioritized plan. We do not sell the construction.

The promise

You get your answer. Or your money back.

No recommendation in three business days? The $199 goes back. No forms.

Perch

The Unspoken Authority: Why Your Parent Trusts Their Doctor Over You The Cover Story

The Conversation

The Unspoken Authority: Why Your Parent Trusts Their Doctor Over You

Understanding the deep-seated deference older adults give medical advice, and how to gently shift the conversation.

Questions families ask

Texas state guide · All the answers, in one place

Common questions

How many licensed nursing homes are in Seguin, TX?
5 licensed nursing homes in Seguin, TX, drawn from federal CMS records and state licensing data.
How does Palmelle rank these nursing homes?
Each facility is ranked using a Clarity Score from 0 to 10, blending federal CMS inspection results and state licensing records. The same numbers regulators use.
What is the Palmelle Clarity Score?
A 0 to 10 transparency score built from federal CMS data and state licensing records. It reflects what inspectors found. Not opinions and not advertising.
Can Palmelle help our family pick the right one?
Yes. Help Me Choose is $199. We do the calling. You do the choosing. One named recommendation in 72 hours. Money back if we miss the 72-hour promise.

Twenty-one options. One right answer.

Tell us about your parent. We read every file on this page and name the one.

Get my answer · $199

Three business days. Real human.

The Long Run

A lesson that happens to be a game.