Nursing homes and assisted living in Guadalupe County, TX

Senior living in Guadalupe County: 8 nursing homes and 10 assisted living facilities, 1,412 beds in all. 6 of 8 nursing homes have a deficiency at actual harm or worse, 2 are rated one star, and federal fines total $281,123. 3 facilities hold the Alzheimer certification.

By city

Seguin 10

See the county’s nursing homes ranked.

Nursing homes (8)

Fewest health deficiencies per survey first.

Nursing homeOverallDeficienciesSeriousPer surveyFines

Trucare Living Centers - SelmaSelma · 128 beds · last survey 26 Apr 2026★★★★★2502.8none Avir at Walnut SpringsSeguin · 113 beds · last survey 18 Nov 2025★★★★★1403.5none Avir at SeguinSeguin · 134 beds · last survey 22 Jul 2026 · Abuse icon★★★★★5133.9$13,877 River Bend HealthcareSeguin · 115 beds · last survey 13 Feb 2026★★★★★4924.5$18,225 GUADALUPE VALLEY NURSING AND REHABILITATION CENTERSeguin · 148 beds · last survey 30 Jun 2026★★★★★5224.7$75,450 SILVER TREE NURSING AND REHABILITATION CENTERSchertz · 120 beds · last survey 12 Jun 2026★★★★★6045.5$114,303 Avir at SchertzSchertz · 96 beds · last survey 21 Mar 2026 · Abuse icon★★★★★6535.9$34,769 WINDSOR NURSING AND REHABILITATION CENTER OF SEGUISeguin · 122 beds · last survey 31 Jul 2025★★★★★3328.3$24,499

Assisted living (10)

Alphabetical. Inspection findings appear as they are loaded from the state portal.

Assisted livingTypeBedsMemory careInspection record