Texas › Uvalde County › Uvalde
Amistad Nursing and Rehabilitation Center
200 Riverside Drive, Uvalde, TX 78801
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Amistad Nursing and Rehabilitation Center is a Government, hospital district nursing home in Uvalde, Texas, certified for 200 beds and caring for about 91 residents a day.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 3.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (14, 6, 6 by cycle, most recent first), none at the actual-harm level. That is 13.0 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.8 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 97.1%.
Compared with county, state and nation
| Measure | This facility | Uvalde Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 26 | 33 | 25 | 28.7 |
| Citations per 100 beds | 13.0 | 28.7 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.8 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 97.1% | 97.1% | 52.1% | 45.8% |
| Fines listed | $0 | $92,894 | $16,801 | — |
County and state figures are medians across facilities (2 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Jun 2026, 9 Apr 2025.
Severity mix: D ×14 E ×10 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0610 | Respond appropriately to all alleged violations. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0908 | Keep all essential equipment working safely. | E | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0557 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | D | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | Deficient, Provider has no plan of correction |
| 26 Jun 2026 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | Deficient, Provider has no plan of correction |
| 9 Apr 2025 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | E | Standard survey | 12 May 2025 |
| 9 Apr 2025 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Standard survey | 10 Apr 2025 |
| 9 Apr 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 10 Apr 2025 |
| 9 Apr 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 10 Apr 2025 |
| 9 Apr 2025 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 10 Apr 2025 |
| 9 Apr 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | C | Standard survey | 10 Apr 2025 |
| 28 Feb 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 29 Feb 2024 |
| 28 Feb 2024 | F0850 | Hire a qualified full-time social worker in a facility with more than 120 beds. | D | Standard survey | 29 Feb 2024 |
| 19 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 20 Jan 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 97.1%, RNs —; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 7.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.7% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.2% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.9% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 1.7% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: West Wharton County Hospital District. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Uvalde I Enterprises LLC | Operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| Uvalde I Enterprises LLC | Adp of the snf | NOT APPLICABLE | 04/09/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Uvalde County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Uvalde Healthcare and Rehabilitation Center | Uvalde | 115 | 2 | 3 | 1 | 33 | 28.7 | $93K | 11 Jun 2026 |
All 2 facilities in Uvalde County
Questions and answers
How many deficiencies has Amistad Nursing and Rehabilitation Center been cited for?
26 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Amistad Nursing and Rehabilitation Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Amistad Nursing and Rehabilitation Center compare?
Reported total nurse staffing is 2.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Amistad Nursing and Rehabilitation Center?
It is part of the Creative Solutions In Healthcare chain. Ownership type is government, hospital district. Organisations in the CMS ownership record include Uvalde I Enterprises LLC. Individual owners and managers are not listed on this site.
When was Amistad Nursing and Rehabilitation Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Jun 2026; the most recent standard health survey was 26 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.