GUADALUPE REGIONAL HOSPICE
Provider Information
- Address
- 1346 E WALNUT ST
SEGUIN, TX 78155 - Ownership Type
- Government
- 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 May 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, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Guadalupe Regional Hospice in Seguin
Guadalupe Regional Hospice serves patients and families in the Seguin, Texas area. This provider operates as part of a hospital system. They have served the community since 1990. The Joint Commission accredits this facility. This shows they meet high standards for safety and care. It gives families peace of mind knowing the team follows strict rules. They provide support directly in your home. Their staff works to make sure patients stay comfortable during their final months. Choosing a hospice provider is a major decision for your family. This team brings a long history of service to the people of Guadalupe County. You can expect a high level of professionalism from a hospital-based program. They have a team of 31 employees ready to help you and your loved ones today.
About Guadalupe Regional Hospice
This hospice operates under government ownership. They first earned Medicare certification in 1990. That is over three decades of experience in the field. The Joint Commission accreditation is a big sign of quality. This group checks hospitals and hospices to ensure they do things the right way. They look at how the team handles medicine and patient safety. Most people do not know how hard it is to earn this seal of approval. It proves the staff follows national guidelines for hospice care. The agency employs seven registered nurses and two licensed practical nurses. They also have one physician and one volunteer on the team. This mix of staff helps them meet the specific needs of each patient. Families should check if the team has the right skills for their specific health situation. You want a team that knows exactly how to handle pain and stress.
High Quality Standards
What Is Hospice Care Like in Seguin?
Hospice care in Texas focuses on comfort rather than a cure. The team comes to you. This means they visit your house or a care facility. They provide medicine and equipment to manage pain. A hospice team usually includes doctors, nurses, and aides. In this specific program, the staff includes seven nurses and two licensed practical nurses. They also have a physician to guide the medical plan. Volunteers help with small tasks to give families a break. The goal is to keep the patient calm and pain-free. Care happens where the patient feels most at ease. You can talk to the staff about your goals for the day. They listen to what matters most to you and your family. It is about living the best life possible right now. The care team works to ensure you have support at every step of the process.
What to Ask When Choosing a Hospice Provider
You should meet with the hospice team before you sign any papers. Ask how quickly a nurse can get to your home if an emergency happens. You need to know if they offer help on nights and weekends. Find out how the team will talk to your regular doctor. Good communication is a must. Ask how they handle pain management for their patients. It helps to know if they provide extra support for the family after a loss. Ask about their volunteer services and how they help with daily tasks. Do not be afraid to ask about their experience with your specific health condition. A good provider will answer these questions with patience and care. They should make you feel heard and understood. Take your time to get the right answers before you decide on a partner for this time.
Preserve Your Family Stories
Your family history is a gift that deserves to be kept safe for future generations to learn from and enjoy.
Start Preserving MemoriesOther Hospice Providers Nearby
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Understanding Medicare Hospice Benefits: A Family Guide
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Creating a Living Will Checklist: A Hospice Care Guide
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