Guadalupe Regional Hospice is a Medicare-certified hospice based at 1346 E Walnut St in Seguin, TX 78155. It has been certified since 1990. It cares for about 57 patients on an average day, making it a mid-sized hospice. It scores 10 out of 10 on Medicare's Hospice Care Index; the Texas average is 8.4. Family caregivers rate it 5 out of 5 stars. The index flags 1 area where it is worse than the Texas average, starting with patients discharged alive within 7 days.
What is Guadalupe Regional Hospice's Medicare record?
| Hospice | Guadalupe Regional Hospice |
|---|---|
| Address | 1346 E Walnut St, Seguin, TX 78155 |
| Phone | (830) 401-7561 |
| Medicare provider number (CCN) | 451541 |
| Ownership | Combination Government & Non-Profit |
| Medicare-certified since | 08/22/1990 |
How does Guadalupe Regional Hospice score on Medicare's Hospice Care Index?
Guadalupe Regional Hospice scores 10 out of 10 on the Hospice Care Index, which counts how many of ten visit, discharge and staffing indicators a hospice meets. Against the Texas average it is better on 3 of the indicators below and worse on 1.
| Indicator | Guadalupe Regional Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 28.6% | 62% | 52.4% | Better |
| Patients discharged alive within 7 days (lower is better) | 12.5% | 7.6% | 7.3% | Worse |
| Patients discharged alive after 180 days or more (lower is better) | 33.3% | 36.9% | 37.4% | Better |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 12.5% | 12.1% | 8.5% | About the same |
| Live discharge followed by death in hospital (lower is better) | 0% | 2% | 2.1% | About the same |
| Nurse minutes per routine home care day | 10.8 min | 11.6 min | 19.9 min | About the same |
| Share of skilled nursing minutes given on weekends | 6.4% | 7.6% | 9.6% | About the same |
| Patients visited by a nurse in the last 3 days of life | 92.3% | 88.1% | 89.3% | Better |
Separately, 99.5% of its patients received all seven recommended care steps at admission (Texas average 94.7%) and 60.5% were visited by a nurse or social worker on at least two of their last three days (Texas average 51%).
What do families say about Guadalupe Regional Hospice?
87% of family caregivers said they would definitely recommend Guadalupe Regional Hospice; the Texas average is 83%. The survey goes to the family member who was the main caregiver, after the patient has died.
| Survey question | Guadalupe Regional Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team always communicated well | 88% | 81% | 82% | Better |
| Team always provided timely help | 87% | 77% | 78% | Better |
| Team always treated the patient with respect | 95% | 90% | 91% | Better |
| Right amount of emotional and spiritual support | 96% | 89% | 91% | Better |
| Patient always got help for pain and symptoms | 83% | 76% | 76% | Better |
| Caregivers rated the hospice 9 or 10 | 89% | 81% | 83% | Better |
| Would definitely recommend the hospice | 87% | 83% | 85% | Better |
Where does Guadalupe Regional Hospice deliver care, and to whom?
54% of guadalupe regional hospice's care is delivered at home and its largest patient group by diagnosis is cancer (26%). It has provided levels of care beyond routine home visits, such as continuous care at home or inpatient stays, in the last three years.
| Where care is delivered | Share of patients |
|---|---|
| At home | 54% |
| In a nursing facility | 32% |
| In assisted living | 13% |
| In a hospital | 1% |
| Primary diagnosis | Share of patients |
|---|---|
| Cancer | 26% |
| Heart and circulatory disease | 26% |
| Dementia | 20% |
| Other conditions | 14% |
| Respiratory disease | 12% |
Which San Antonio-area ZIP codes does Guadalupe Regional Hospice serve?
Guadalupe Regional Hospice tells Medicare it serves 13 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78101
- 78108
- 78109
- 78112
- 78123
- 78124
- 78130
- 78132
- 78152
- 78154
- 78155
- 78249
- 78638
What should you ask Guadalupe Regional Hospice before choosing it?
Ask what happens in the first week
12.5% of its live discharges came within a week of enrollment (Texas average 7.6%). Ask what the admission visit covers and how they confirm hospice is the right fit before enrolling.
Ask what the family is expected to do
Hospice supports the family caregiver; it does not replace one. Ask how many aide visits a week are typical and what happens overnight.
Ask how fast they can admit
Ask how soon after the call a nurse can come out, including evenings and weekends, and how quickly medications and equipment arrive.
Ask where inpatient care happens
When symptoms cannot be managed at home, hospice provides short inpatient stays. Ask which facility they use and how far it is from the family.
Which other hospices serve Seguin, TX?
- Gifted Hearts Hospice and Palliative Care — Hospice Care Index 8 of 10
All Medicare-certified hospices in San Antonio and Bexar, Comal and Guadalupe counties
Last verified: November 2026, against the Medicare hospice data release dated 2026-08-07.
Common questions
Is Guadalupe Regional Hospice Medicare-certified?
Yes. Guadalupe Regional Hospice is certified by Medicare under provider number 451541 and has been since 1990.
What is Guadalupe Regional Hospice's Hospice Care Index score?
10 out of 10 in the current Medicare data. The Texas average is 8.4.
How large is Guadalupe Regional Hospice?
It cares for about 57 patients on an average day.
