Windsor Nursing And Rehabilitation Center Of Segui
Seguin, Guadalupe County, Texas · CCN 675380 · Government (Hospital district) · part of Wellsential Health (67 facilities, chain average 2.7 stars)
CMS rates Windsor Nursing And Rehabilitation Center Of Segui 2 of 5 overall as of August 2026. 122 certified beds, 98 residents a day on average. 33 citations on record from the current inspection cycles, 1 at immediate jeopardy; 2 fines totalling $24,499.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 3 of 5 |
Staffing
| Total nurse staffing | 2.78624 hours per resident per day |
|---|---|
| Registered nurses | 0.25087 hours per resident per day |
| Weekend total | 2.40153 hours per resident per day |
| Nursing staff turnover | 38.9% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2025-07-31 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · tag F0645 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2025-07-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-08-01 |
| 2024-05-24 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-05-25 |
| 2024-05-24 | Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Resident Rights Deficiencies · tag F0577 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has date of correction 2024-05-25 |
| 2024-04-21 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-04-22 |
| 2024-04-21 complaint survey |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-04-22 |
| 2024-04-21 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-04-22 |
| 2023-03-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · tag F0940 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · tag F0759 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · tag F0814 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Administration Deficiencies · tag F0849 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
| 2023-03-22 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-04-14 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2024-05-24 | Fine | $3,341 |
| 2024-04-21 | Fine | $21,158 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Val Verde County Hospital District Organization | 5% or greater direct ownership interest | 100% | 2015-01-01 |
| 1219 Eastwood Drive LLC Organization | adp of the snf | — | 2015-01-01 |
| Regency Ihs Clinical Consulting, LLC Organization | adp of the snf | — | 2015-01-01 |
| Regency Ihs Of Windsor Seguin, LLC Organization | adp of the snf | — | 2025-04-04 |
| Regency Ihs Rehab LLC Organization | adp of the snf | — | 2015-01-01 |
| Regency Integrated Health Services LLC Organization | adp of the snf | — | 2025-04-04 |
| Val Verde County Hospital District Organization | adp of the snf | — | 2025-04-04 |
| Regency Ihs Of Windsor Seguin, LLC Organization | direct ownership interest | — | 2015-01-01 |
| Csv Rhea Management Holdco, LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Dwd Tx Holdings LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Jack And Nancy Dwyer Workforce Development Center Inc. Organization | indirect ownership interest | — | 2015-01-01 |
| Reg Bridge Opco LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Reg Hg Opco LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Reg Operator Holdco LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Regency Integrated Health Services LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Regency Texas Holdings LLC Organization | indirect ownership interest | — | 2015-01-01 |
| Regency Ihs Of Windsor Seguin, LLC Organization | operational/managerial control | — | 2015-01-01 |
| Regency Integrated Health Services LLC Organization | operational/managerial control | — | 2015-01-01 |
| Val Verde County Hospital District Organization | operational/managerial control | — | 2015-01-01 |
| Carpenter, Chrissa Individual | adp of the snf | — | 2025-01-01 |
| Dekowski, Donovan Individual | adp of the snf | — | 2018-10-01 |
| Flores, Antonio Individual | adp of the snf | — | 2025-01-01 |
| Ruiz, Aimee Individual | adp of the snf | — | 2025-01-01 |
| Saldana, Albert Individual | adp of the snf | — | 2021-09-07 |
| Jurado, Jorge Individual | corporate director | — | 2023-10-13 |
| Chartrand, Daniel Individual | corporate officer | — | 2014-05-19 |
| Diaz, Cris Individual | corporate officer | — | 2022-05-25 |
| Jurado, Jorge Individual | corporate officer | — | 2023-10-13 |
| Keenen, Lee Individual | corporate officer | — | 2022-05-25 |
| Otazo, Julio Individual | corporate officer | — | 2020-05-25 |
| Palmer, Robin Individual | corporate officer | — | 2020-11-18 |
| Baird, Daniel Individual | managing control - governing body | — | 2021-04-13 |
| Carvajal, Antonio Individual | managing control - governing body | — | 2024-05-16 |
| Clapp, Barbara Individual | managing control - governing body | — | 2021-06-01 |
| Cortese, Daren Individual | managing control - governing body | — | 2021-08-10 |
| Gibson, Patricia Individual | managing control - governing body | — | 2021-08-01 |
| Gonzales, Veronica Individual | managing control - governing body | — | 2024-05-16 |
| Kaufman, Nicole Individual | managing control - governing body | — | 2021-08-10 |
| Mandelbaum, Elliot Individual | managing control - governing body | — | 2025-01-01 |
| Flores, Antonio Individual | operational/managerial control | — | 2025-01-01 |
| Saldana, Albert Individual | operational/managerial control | — | 2021-09-07 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Windsor Nursing And Rehabilitation Center Of Segui.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Guadalupe County.