Amistad Nursing and Rehabilitation Center

Name: Amistad Nursing and Rehabilitation Center
Address: 200 Riverside Drive, Uvalde, TX, 78801, US
Telephone: 8302785641

200 Riverside Drive, Uvalde, TX 78801 · Uvalde County · 200 certified beds · avg 91 residents/day · certified since Jun 14, 1985

Part of chain: CREATIVE SOLUTIONS IN HEALTHCARE (149 facilities, chain avg rating 2.1★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.77

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (26)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 26, 2026	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 26, 2026	E · Potential for harm, repeated	The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Jun 26, 2026	D · Potential for harm, one-off	The facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area.
Apr 9, 2025	E · Potential for harm, repeated	The facility has more than 120 beds but did not hire a qualified full-time social worker as required.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Apr 9, 2025	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Apr 9, 2025	C · Minimal risk, facility-wide	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups.
Feb 28, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Feb 28, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 28, 2024	D · Potential for harm, one-off	The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand.
Feb 28, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 28, 2024	D · Potential for harm, one-off	The facility has more than 120 beds but did not hire a qualified full-time social worker as required.
Jan 19, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 14).

Year	Citations	Worst severity that year
2024	6	E
2025	6	E
2026	14	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.77	3.46	3.95	bottom 10% in Texas; bottom 8% in the U.S.
Registered Nurse hours	0.29	0.44	0.69	bottom 27% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing	2.34	3.04	3.50	bottom 8% in Texas; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.20	0.34	0.48	bottom 22% in Texas; bottom 13% in the U.S.
Total nursing staff turnover (%)	97.1	55.3	45.8	bottom 3% in Texas; bottom 1% in the U.S.
RN turnover (%)	0.0	54.6	42.9	—

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.77, RN 0.29, weekend 2.34. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 5/5 · short-stay residents: 2/5

Who owns this facility

Government - Hospital district

Owner / manager	Type	Role	Stake	Since
Adams, Rita	Individual	ADP of the SNF	NOT APPLICABLE	04/09/2025
Blake, Gary	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Blake, Gary	Individual	ADP of the SNF	NOT APPLICABLE	09/01/2022
Blake, Malisa	Individual	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Bowers, Sean	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/01/2024
Carpinteyro, Ralph	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
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
Huggins, Linda	Individual	Corporate Director	NOT APPLICABLE	09/01/2022
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
Thompson, Johnny	Individual	Corporate Officer	NOT APPLICABLE	01/01/2024
Uvalde I Enterprises LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	09/01/2022
Uvalde I Enterprises LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/09/2025
Willig, Zachary	Individual	Corporate Director	NOT APPLICABLE	01/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"How do you inspect and maintain essential equipment, and how quickly are repairs made?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Uvalde Healthcare and Rehabilitation Center	1.2 mi	Uvalde, TX	★★☆☆☆	3/5

Compare this facility with the 1 closest →

All facilities in Uvalde →

Facility data as of CMS processing date 2026-08-01. CCN 455536.

The Care File

Visit checklist — Amistad Nursing and Rehabilitation Center

200 Riverside Drive, Uvalde, TX 78801 · 8302785641

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "When a new resident arrives, how do you make sure the doctor's orders for their care and medications are in place from day one?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455536 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)