nursing home in Uvalde, TX
Amistad Nursing and Rehabilitation Center
200 Riverside Drive, Uvalde, TX 78801 · (830) 278-5641
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★1
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Amistad Nursing and Rehabilitation Center at a glance
Amistad Nursing and Rehabilitation Center is a 200-bed government nursing home in Uvalde, Texas (Uvalde County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.8 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (June 26, 2026) found 14 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 97.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 200
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Creative Solutions in Healthcare
- Medicare-certified since
- June 14, 1985
- Resident/family council
- Resident
- County
- Uvalde County
- CMS Certification Number
- 455536
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.77 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.29 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.40 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.34 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 97.1% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 79 | 102 | 80.6 | Average |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 200 | 113 | 107 | |
| Average residents per day | 91 | 76 | 86 | |
| Occupancy | 45.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.2% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 1.7% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.7% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 7.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.9% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 3.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.7% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 6.4% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 19.4% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 15 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 26, 2026 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 8, 2026 |
| June 26, 2026 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected June 27, 2026 |
| June 26, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected August 8, 2026 |
| June 26, 2026 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected June 27, 2026 |
| June 26, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected June 27, 2026 |
| June 26, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected August 8, 2026 |
| June 26, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected June 27, 2026 |
| June 26, 2026 Standard | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 26, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 26, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected June 27, 2026 |
| June 26, 2026 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected June 27, 2026 |
| June 26, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 26, 2026 Standard | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Resident Assessment and Care Planning Deficiencies · Tag F0635 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 26, 2026 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected June 29, 2026 |
| June 26, 2026 Standard | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Tag F0557 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 26, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 26, 2026 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 26, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 26, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected June 29, 2026 |
| June 26, 2026 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | D Potential harm, isolated | Corrected June 27, 2026 |
| April 9, 2025 Fire safety | Install proper backup exit lighting. Egress Deficiencies · Tag K0281 | E Potential harm, pattern | Corrected May 9, 2025 |
| April 9, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected May 12, 2025 |
| April 9, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected May 12, 2025 |
| April 9, 2025 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected May 12, 2025 |
| April 9, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | D Potential harm, isolated | Corrected May 12, 2025 |
| April 9, 2025 Standard | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | E Potential harm, pattern | Corrected May 12, 2025 |
| April 9, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | D Potential harm, isolated | Corrected April 10, 2025 |
| April 9, 2025 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected April 10, 2025 |
| April 9, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected April 10, 2025 |
| April 9, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected April 10, 2025 |
| April 9, 2025 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | C No harm, widespread | Corrected April 10, 2025 |
| February 28, 2024 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected February 29, 2024 |
| February 28, 2024 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | E Potential harm, pattern | Corrected February 29, 2024 |
| February 28, 2024 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected February 29, 2024 |
| February 28, 2024 Fire safety | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Tag K0325 | D Potential harm, isolated | Corrected February 29, 2024 |
| February 28, 2024 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected February 29, 2024 |
| February 28, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected February 29, 2024 |
| February 28, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected February 29, 2024 |
| February 28, 2024 Standard | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Tag F0559 | D Potential harm, isolated | Corrected February 29, 2024 |
| February 28, 2024 Standard | Hire a qualified full-time social worker in a facility with more than 120 beds. Administration Deficiencies · Tag F0850 | D Potential harm, isolated | Corrected February 29, 2024 |
| January 19, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected January 20, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ADAMS, RITA Individual | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| BLAKE, GARY Individual | adp of the snf | NOT APPLICABLE | 09/01/2022 |
| CARPINTEYRO, RALPH Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| UVALDE I ENTERPRISES LLC Organization | adp of the snf | NOT APPLICABLE | 04/09/2025 |
| HUGGINS, LINDA Individual | corporate director | NOT APPLICABLE | 09/01/2022 |
| WILLIG, ZACHARY Individual | corporate director | NOT APPLICABLE | 01/01/2025 |
| THOMPSON, JOHNNY Individual | corporate officer | NOT APPLICABLE | 01/01/2024 |
| BOWERS, SEAN Individual | managing control - governing body | NOT APPLICABLE | 01/01/2024 |
| CISNEROS, ALFRED Individual | managing control - governing body | NOT APPLICABLE | 02/18/2008 |
| COBB, TRAVIS Individual | managing control - governing body | NOT APPLICABLE | 10/05/2022 |
| COOPER, STEPHEN Individual | managing control - governing body | NOT APPLICABLE | 11/11/2022 |
| HARDIN, SHERRIE Individual | managing control - governing body | NOT APPLICABLE | 09/04/2024 |
| KERZEE, RICHARD Individual | managing control - governing body | NOT APPLICABLE | 09/24/2007 |
| KORENEK, PATRICIA Individual | managing control - governing body | NOT APPLICABLE | 05/05/2018 |
| SOECHTING, PAUL Individual | managing control - governing body | NOT APPLICABLE | 11/22/2024 |
| STRACK, JOE Individual | managing control - governing body | NOT APPLICABLE | 02/11/2022 |
| BLAKE, GARY Individual | operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| BLAKE, MALISA Individual | operational/managerial control | NOT APPLICABLE | 09/01/2022 |
| UVALDE I ENTERPRISES LLC Organization | operational/managerial control | NOT APPLICABLE | 09/01/2022 |
Other nursing homes near Amistad Nursing and Rehabilitation Center
Uvalde Healthcare and Rehabilitation Center
535 N Park St, Uvalde, TX 78801 · 1.2 mi
For-profit · 115 beds
★★★★★2Below averageAvir at Camp Wood
710 Hwy 55, Camp Wood, TX 78833 · 36.3 mi
For-profit · 86 beds · Part of Avir Health Group
★★★★★1Much below average
Frequently asked questions
What is Amistad Nursing and Rehabilitation Center's rating?
Amistad Nursing and Rehabilitation Center has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Amistad Nursing and Rehabilitation Center receive?
Its most recent standard health inspection found 14 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Amistad Nursing and Rehabilitation Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Amistad Nursing and Rehabilitation Center?
It is government - hospital district and part of Creative Solutions in Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Amistad Nursing and Rehabilitation Center and how do I contact it?
Amistad Nursing and Rehabilitation Center is at 200 Riverside Drive, Uvalde, TX 78801. Phone: (830) 278-5641.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.