Windsor Nursing And Rehabilitation Center Of Seguin in Seguin, Guadalupe County, Texas

Seguin, Guadalupe County, Texas 78155

Status Medicare and Medicaid certifiedMedicare CCN 675380

HHSC license rosteras of November 9, 2026CMS nursing home filerelease October 28, 2026; processing date October 1, 2026CMS processing date for this home October 1, 2026

Verify on TULIP View on Medicare.gov

Location and contact

Address: 1219 Eastwood Dr
Seguin, TX 78155
Open map (OpenStreetMap)
Phone: (830) 379-7777
HHSC facility ID: 004572
License number: 143763

Medicare ratings

Star ratings below are copied from the CMS Provider Information file (official release October 28, 2026; processing date October 1, 2026). They are not assigned by NursingCareLookup. See how to read ratings and CMS Five-Star documentation.

Overall: 2 of 5Overall: 2 of 5 stars
Health inspection: 3 of 5Health inspection: 3 of 5 stars
Staffing: 1 of 5Staffing: 1 of 5 stars
Quality measures: 4 of 5Quality measures: 4 of 5 stars
Long-stay quality measures: 5 of 5Long-stay quality measures: 5 of 5 stars
Short-stay quality measures: 4 of 5Short-stay quality measures: 4 of 5 stars

Staffing hours

Hours are the facility’s reported nurse staffing hours per resident per day from the CMS file. The Texas average is computed on this site from Texas rows in that same file that include a numeric value. It is not copied from another website. Method: Methodology.

Staffing hours per resident per day
Measure	This facility	Texas average (this site)
Total nurse staffing	2.61 hours	3.42 hours n=1,152
Registered nurse	0.27 hours	0.44 hours
LPN	0.64 hours	0.95 hours
Nurse aide	1.71 hours	2.03 hours
Weekend nurse staffing	2.23 hours	2.99 hours

0.80 hours below this site’s computed Texas average.

Total nursing staff turnover: 41.4% (Texas average computed on this site: 50.8%, n=1,096)
RN turnover: 20%
Average residents per day: 101.8
Certified beds (CMS): 122

Penalties in the CMS Provider Information file: 2 finestotaling $24,499; 2 total penalties. These are the figures CMS published in this release. Confirm current figures on Medicare.gov.

Fines and payment denials

Individual fines and payment denials below come from the CMS Penalties file (official release October 28, 2026; processing date October 1, 2026). Dates and amounts are copied as published. They can lag later actions or successful appeals. Confirm current figures on Medicare.gov.

CMS fines and payment denials
Date	Type	Fine amount	Payment denial
May 24, 2024	Fine · Fine ID 112875	$3,341	—
April 21, 2024	Fine · Fine ID 112732	$21,158	—

MDS quality measures

These figures are the four-quarter averages published in the CMS MDS Quality Measures file (official release October 28, 2026; measure period 2025Q3-2026Q2; processing date October 1, 2026). They are not a grade this site assigned. A “used in Five-Star” flag is the published CMS field that says whether that measure feeds the quality-measure star rating. Quarterly scores are collapsed under each measure. Official definitions are on the CMS Five-Star page.

CMS MDS quality measures, four-quarter averages
Measure	Stay	Four-quarter average	Used in Five-Star QM rating
Percentage of long-stay residents whose need for help with daily activities has increased Quarterly scores Q1 32.4% · Q2 14.9% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 401	Long Stay	12.9%	Yes, as published by CMS
Percentage of long-stay residents with a catheter inserted and left in their bladder Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 406	Long Stay	0.0%	Yes, as published by CMS
Percentage of long-stay residents with a urinary tract infection Quarterly scores Q1 1.1% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 407	Long Stay	0.3%	Yes, as published by CMS
Percentage of long-stay residents experiencing one or more falls with major injury Quarterly scores Q1 2.1% · Q2 5.3% · Q3 2.2% · Q4 4.3% · Period 2025Q3-2026Q2 · Measure code 410	Long Stay	3.5%	Yes, as published by CMS
Percentage of long-stay residents whose ability to walk independently worsened Quarterly scores Q1 11.5% · Q2 5.8% · Q3 3.8% · Q4 2.3% · Period 2025Q3-2026Q2 · Measure code 451	Long Stay	5.9%	Yes, as published by CMS
Percentage of long-stay residents with pressure ulcers Quarterly scores Q1 3.7% · Q2 2.5% · Q3 2.4% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 479	Long Stay	2.2%	Yes, as published by CMS
Percentage of long-stay residents who received an antipsychotic medication Quarterly scores Q1 15.5% · Q2 13.0% · Q3 13.8% · Q4 13.8% · Period 2025Q3-2026Q2 · Measure code 481	Long Stay	14.0%	Yes, as published by CMS
Percentage of long-stay residents who lose too much weight Quarterly scores Q1 0.0% · Q2 3.9% · Q3 2.8% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 404	Long Stay	1.6%	No, as published by CMS
Percentage of long-stay residents who have depressive symptoms Quarterly scores Q1 2.4% · Q2 2.3% · Q3 1.1% · Q4 2.4% · Period 2025Q3-2026Q2 · Measure code 408	Long Stay	2.0%	No, as published by CMS
Percentage of long-stay residents who were physically restrained Quarterly scores Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · Period 2025Q3-2026Q2 · Measure code 409	Long Stay	0.0%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 415	Long Stay	100.0%	No, as published by CMS
Percentage of long-stay residents who received an antianxiety or hypnotic medication Quarterly scores Q1 36.8% · Q2 35.1% · Q3 27.8% · Q4 37.3% · Period 2025Q3-2026Q2 · Measure code 452	Long Stay	34.4%	No, as published by CMS
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 454	Long Stay	99.0%	No, as published by CMS
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Quarterly scores Q1 10.9% · Q2 14.8% · Q3 8.7% · Q4 9.2% · Period 2025Q3-2026Q2 · Measure code 480	Long Stay	11.0%	No, as published by CMS
Percentage of short-stay residents who newly received an antipsychotic medication Quarterly scores Q1 4.5% · Q2 0.0% · Q3 — (CMS footnote 9) · Q4 — (CMS footnote 9) · Period 2025Q3-2026Q2 · Measure code 434	Short Stay	1.3%	Yes, as published by CMS
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Quarterly scores Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · Period 2025Q3-2026Q2 · Measure code 430	Short Stay	100.0%	No, as published by CMS
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Quarterly scores Q1 — (CMS footnote 28) · Q2 — (CMS footnote 28) · Q3 — (CMS footnote 28) · Q4 — (CMS footnote 28) · Period 2025Q3-2026Q2 · Measure code 472	Short Stay	97.8%	No, as published by CMS

Inspection citations

33 health citations in the CMS file (4 from complaint surveys). Highest scope/severity letter in the file: K — Pattern, immediate jeopardy.

The list below is drawn from the CMS Health Deficiencies file. We show the tag, a plain-language reading of the scope and severity letter, whether the survey was a standard or complaint survey, the survey date, and whether CMS recorded a correction. We do not reprint the official deficiency narrative here. Read that text on TULIP or Medicare.gov. A facility may appeal a finding; a successful appeal can alter or remove a citation.

Scope and severity letters (A–L)

CMS assigns one letter from a grid of scope (how widely a problem was found) and severity (how serious the harm was or could be). The short labels below are our wording of that grid, not a different rating system.

Scope and severity letters used in CMS health citations
Severity	Isolated	Pattern	Widespread
Potential for minimal harm	A	B	C
No actual harm, potential for more than minimal harm	D	E	F
Actual harm	G	H	I
Immediate jeopardy	J	K	L

2025 — 7 citations

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0812D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0755D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0690D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0657D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0645D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

Tag 0641D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: July 31, 2025

CMS records a correction date (August 1, 2025)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 1

2024 — 13 citations

Tag 0880E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0761E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0760D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0759E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689G

G — Isolated, actual harm

Complaint survey, Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0657D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0641D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0577C

C — Widespread, potential for minimal harm

Standard survey

Survey date: May 24, 2024

CMS records a correction date (May 25, 2024)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 2

Tag 0689K

K — Pattern, immediate jeopardy

Complaint survey

Survey date: April 21, 2024

CMS records a correction date (April 22, 2024)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656E

E — Pattern, potential for more than minimal harm

Complaint survey

Survey date: April 21, 2024

CMS records a correction date (April 22, 2024)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0609D

D — Isolated, potential for more than minimal harm

Complaint survey

Survey date: April 21, 2024

CMS records a correction date (April 22, 2024)

More detail

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

2023 — 13 citations

Tag 0940E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0880D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Infection Control Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0849D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Administration Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0814D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0812E

E — Pattern, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Nutrition and Dietary Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0759D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Pharmacy Service Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0692D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0690D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0689D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0677D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Quality of Life and Care Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0656D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Resident Assessment and Care Planning Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0583D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

Tag 0578D

D — Isolated, potential for more than minimal harm

Standard survey

Survey date: March 22, 2023

CMS records a correction date (April 14, 2023)

More detail

Resident Rights Deficiencies

Survey type in the file: Health

Survey cycle in the file: 3

License and identity (HHSC)

License effective: January 1, 2025
License expires: January 1, 2028
Initial license date: September 1, 1971
Facility licensed: Yes
Facility certified (HHSC): Yes
Service type: MEDICARE/MEDICAID
Total licensed capacity: 122 beds
Bed mix (HHSC): Licensed only 0; Medicaid only 0; Medicare only 14; Medicare/Medicaid 108; ICF/IID 0
Alzheimer capacity: 0
Administrator: Jeffrey Burton
Management company: Regency Ihs Of Windsor Seguin LLC

Ownership

Ownership below comes from the CMS file when a row joined on this home’s Medicare number. HHSC also records an owner and entity type; those appear after the CMS data. The HHSC entity type “HOSPITAL DISTRICT/AUTHORITY” is very common in the state roster and may not describe day-to-day control. It is not used as a headline here.

CMS ownership type: Government - Hospital district · Affiliated / chain name in the file: WELLSENTIAL HEALTH (67 facilities in the chain, as listed)

CMS ownership records
Name	Role	Type	Share	Associated
VAL VERDE COUNTY HOSPITAL DISTRICT	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 01/01/2015
REGENCY IHS OF WINDSOR SEGUIN, LLC	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
CSV RHEA MANAGEMENT HOLDCO, LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
DWD TX HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
REG BRIDGE OPCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
REG HG OPCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
REG OPERATOR HOLDCO LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
REGENCY INTEGRATED HEALTH SERVICES LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
REGENCY TEXAS HOLDINGS LLC	INDIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 01/01/2015
BAIRD, DANIEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 04/13/2021
CARVAJAL, ANTONIO	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/16/2024

29 more CMS ownership records

Additional CMS ownership records
Name	Role	Type	Share	Associated
CLAPP, BARBARA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2021
CORTESE, DAREN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/10/2021
GIBSON, PATRICIA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/01/2021
GONZALES, VERONICA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/16/2024
KAUFMAN, NICOLE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/10/2021
MANDELBAUM, ELLIOT	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2025
JURADO, JORGE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/13/2023
CHARTRAND, DANIEL	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/19/2014
DIAZ, CRIS	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/25/2022
JURADO, JORGE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 10/13/2023
KEENEN, LEE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/25/2022
OTAZO, JULIO	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/25/2020
PALMER, ROBIN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 11/18/2020
REGENCY IHS OF WINDSOR SEGUIN, LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2015
REGENCY INTEGRATED HEALTH SERVICES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2015
VAL VERDE COUNTY HOSPITAL DISTRICT	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 01/01/2015
FLORES, ANTONIO	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2025
SALDANA, ALBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 09/07/2021
1219 EASTWOOD DRIVE LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2015
REGENCY IHS CLINICAL CONSULTING, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2015
REGENCY IHS OF WINDSOR SEGUIN, LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/04/2025
REGENCY IHS REHAB LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 01/01/2015
REGENCY INTEGRATED HEALTH SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/04/2025
VAL VERDE COUNTY HOSPITAL DISTRICT	ADP OF THE SNF	Organization	NOT APPLICABLE	since 04/04/2025
CARPENTER, CHRISSA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
DEKOWSKI, DONOVAN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 10/01/2018
FLORES, ANTONIO	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
RUIZ, AIMEE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2025
SALDANA, ALBERT	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/07/2021

HHSC owner fields

Owner (HHSC): Val Verde County Hospital District
Type of entity (HHSC): HOSPITAL DISTRICT/AUTHORITY

Public data compiled by NursingCareLookup, not an endorsement or a recommendation, and not medical or legal advice. This site is not affiliated with HHSC, CMS, or Medicare. Figures can lag events at the facility, including surveys, corrections, and successful appeals (an appeal can alter or remove a citation). Verify current facts on TULIP and Medicare.gov, and visit in person before you decide. HHSC roster as of November 9, 2026 (America/Chicago). CMS file: official release October 28, 2026; processing date October 1, 2026.