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Best nursing homes in Guadalupe County by inspection record

All 8 Medicare-certified nursing homes, ordered by health deficiencies per survey, fewest first. Assisted living is not ranked, because the state publishes no comparable inspection metric for it yet.

#Nursing homeOverallDeficienciesSeriousPer surveyFines
1Trucare Living Centers - SelmaSelma · 128 beds · last survey 26 Apr 2026★★★★★2502.8none2Avir at Walnut SpringsSeguin · 113 beds · last survey 18 Nov 2025★★★★★1403.5none3Avir at SeguinSeguin · 134 beds · last survey 22 Jul 2026 · Abuse icon★★★★★5133.9$13,8774River Bend HealthcareSeguin · 115 beds · last survey 13 Feb 2026★★★★★4924.5$18,2255GUADALUPE VALLEY NURSING AND REHABILITATION CENTERSeguin · 148 beds · last survey 30 Jun 2026★★★★★5224.7$75,4506SILVER TREE NURSING AND REHABILITATION CENTERSchertz · 120 beds · last survey 12 Jun 2026★★★★★6045.5$114,3037Avir at SchertzSchertz · 96 beds · last survey 21 Mar 2026 · Abuse icon★★★★★6535.9$34,7698WINDSOR NURSING AND REHABILITATION CENTER OF SEGUISeguin · 122 beds · last survey 31 Jul 2025★★★★★3328.3$24,499