Guadalupe Valley Nursing And Rehabilitation Center
GUADALUPE VALLEY NURSING AND REHABILITATION CENTER in SEGUIN, TX — inspection on February 23, 2026.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
The facility failed to update Resident #1's care plan to reflect Resident #1 was attempting to eat non-food items.
This failure could affect residents who have care areas not addressed by the care plans by not having their needs met and putting them at risk of not receiving appropriate care.The findings included:
Record review of Resident #1's admission record, dated 02/21/2026, reflected an [AGE] year-old female initially admitted on [DATE] and re-admitted [DATE] with diagnoses to include dementia (loss of cognitive functioning that interferes with daily life and activities), need for assistance with personal care, mild protein calorie malnutrition, dysphagia (difficulty in swallowing), and major depressive disorder.
Record review of Resident #1's quarterly MDS assessment, dated 02/11/2026, reflected Resident #1 had a BIMS of 8 out of 15, indicating moderate cognitive impairment.
Record review of Resident #1's care plan, undated, reflected no mention of Resident #1 attempt to eat non-food items.
Record review of Resident #1's Comprehensive Encounter, dated 02/17/2026 and authored by NP, reflected .[Family member] reports patient has been trying to eat non-food items such as pennies and curtain hooks.
Interview on 02/22/26 at 04:26PM, CNA B and CNA C revealed they knew Resident #1 would eat non-food items and had to keep an eye on Resident #1 more frequently.
They revealed they knew about how to care for a resident by looking at Resident #1's care plan and verbal report from nursing staff on previous shifts.
They revealed for this behavior they were unsure if it was in the care plan but that they knew about this from other staff members.
Interview on 02/23/26 at 10:06 AM, the DON revealed he was not made aware that Resident #1 was trying to eat non-food items and he would update the care plan to include this for resident care.
Interview on 02/23/26 at 11:46AM, the ADM revealed he supposed that Resident #1 attempting to eat non-food objects could be added to the care plans for the nursing staff to address these issues as needed.
Observation and attempted interview on 02/21/2026 at 12:33 PM, Resident #1 appeared confused and would not respond appropriately to interview.
There was no observation made of Resident #1 attempting to eat non-food items.
Record review of facility's policy Care Plan Revisions Upon Status Change, dated 10/24/2022, reflected 1.
The comprehensive care plan will be reviewed and revised as necessary, when a resident experiences a status change.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
455869 02/23/2026
Guadalupe Valley Nursing and Rehabilitation Center 1210 Eastwood Dr Seguin, TX 78155
Interview on 02/23/26 at 11:46AM, the ADM revealed he would expect the electronic medical records
be provided for the following activities of daily living: 1.
Bathing, dressing, grooming and oral care.6.
service occurred.
Record review of facility's policy Documentation in Medical Record, dated 10/24/2022, reflected Each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress through complete, accurate, and timely documentation. 1.
Licensed staff and interdisciplinary team members shall document all assessments, observations, and services provided in the resident's medical record in accordance with state law and facility policy.