GUADALUPE REGIONAL HOSPICE
Provider Information
- Address
- 1346 E WALNUT ST
SEGUIN, TX 78155 - Ownership Type
- Combination Government & Non-Profit
- Medicare Certified Since
- August 22, 1990
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of August 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 7 |
| Licensed Practical Nurses (LPN) | 2 |
| Physicians | 1 |
| Volunteers | 1 |
31
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what GUADALUPE REGIONAL HOSPICE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Both provided directly and arranged with other facilities
- Type of inpatient care
- Respite care (up to five days at a time, to give family caregivers a break)
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how GUADALUPE REGIONAL HOSPICE compares to hospices nationwide.
10.8 minutes
of nurse care per routine home care day, on average
That is the 34th percentile among hospices nationally. The national median is about 12 minutes.
57
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day10.8 min
Ranks better than about 34% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends6.4%
Ranks better than about 31% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life92.3%
Ranks better than about 42% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits28.6%
Ranks better than about 80% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care12.5%
Ranks better than about 15% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months33.3%
Ranks better than about 58% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care12.5%
Ranks better than about 24% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)88th percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$14,756 · 32nd percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 60.5% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed99.5%
- Bowel care for patients on opioids100%
- Visits in the last days of life60.5%
- All care steps completed99.5%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer26%
- Dementia20%
- Heart and circulatory disease26%
- Lung and respiratory disease12%
- Other conditions14%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Guadalupe Regional Hospice
Guadalupe Regional Hospice provides end of life care for families in Seguin, Texas. They operate as a hospital based provider offering medical support for those facing a life limiting illness. The Joint Commission accredits this facility, which shows they meet high national standards for safety and patient care. Their office sits on East Walnut Street and serves the local Guadalupe County area. Choosing care for a loved one is a major decision for any family. This provider has been certified to serve Medicare patients since 1990. They bring decades of experience to the community. You can reach their team at (830) 401-7561 to learn more about how they help patients stay comfortable at home. Their long history of service shows they have deep roots in this region. Many families look for this kind of stability when they need support the most.
About Guadalupe Regional Hospice
This hospice operates under a unique combination of government and non-profit ownership. Being a hospital based provider means they have access to resources that many smaller agencies lack. The Joint Commission accreditation is a high bar for any medical group to reach. This group checks for safety and quality through regular site visits. It is a sign of excellence. Their team includes seven registered nurses and two licensed practical nurses. One physician and one volunteer also work with the staff. Having a doctor on the team helps manage pain and symptoms effectively. Families should know that this provider maintains a high standing based on recent federal quality reports. They earned top marks for both their quality of care and how they treat their patients. These scores come from direct surveys and clinical data collected by Medicare. The team keeps a steady focus on clinical excellence every single day.
What Is Hospice Care Like in Seguin?
Hospice care in Seguin focuses on comfort rather than a cure. The goal is to manage pain so patients can spend time with family. This provider uses a team approach to reach that goal. Their staff of thirty one people handles the daily medical needs of their patients. Nurses visit homes to check on medication and comfort levels. Having a doctor and nurses on staff ensures that medical changes get quick attention. That is their main job. You will find that hospice care here is designed to support the whole family during a hard time. They provide the clinical eyes and ears needed to keep a loved one safe at home. The team works hard to keep symptoms under control. This allows family members to focus on being a son, daughter, or spouse instead of acting like a nurse. It makes a big difference.
What to Ask When Choosing a Hospice Provider
You should feel confident before you sign any paperwork. Start by asking how quickly a nurse can get to your home after you call them. You need to know if they provide care on weekends and holidays. Ask how the team handles sudden pain spikes in the middle of the night. It is also wise to ask how they support family members who are grieving. You might want to know how many patients each nurse sees in a week. This tells you if the staff has enough time for your loved one. Ask about their experience with the specific illness your family member has. Good providers are happy to answer these questions clearly. They want you to feel comfortable with the plan. Take your time to get the answers you need. You have the right to ask as many questions as necessary.
Other Hospice Providers Nearby
GIFTED HEARTS HOSPICE AND PALLIATIVE CARE
UNIVERSAL HEALTH SERVICES
GENTIVA
HOSPICE OF SOUTH TEXAS INC
GENTIVA
HEARTSWAY HOSPICE OF NORTHEAST TEXAS
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