Texas ›Uvalde

Amistad Nursing and Rehabilitation Center

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200 Riverside Drive, Uvalde, TX 78801 (opens Google Maps) · Uvalde County · (830) 278-5641· 200 certified beds · avg 91 residents/day · certified since Jun 14, 1985 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Jun 26, 2026
0
Serious findings on record
$0
Fines, last 3 years
2.77
Nurse hours/resident/day (adjusted)

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

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 26 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    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. F-0812

  2. E · Potential for more than minimal harm, pattern

    The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. F-0584

  3. E · Potential for more than minimal harm, pattern

    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. F-0585

View all 26 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 26, 2026F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 26, 2026E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jun 26, 2026E · Potential for more than minimal harm, patternThe 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. · F-0585
Jun 26, 2026E · Potential for more than minimal harm, patternThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Jun 26, 2026E · Potential for more than minimal harm, patternThe 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. · F-0610
Jun 26, 2026E · Potential for more than minimal harm, patternThe facility did not have doctor's orders in place for a resident's immediate care at the time the resident was admitted. · F-0635
Jun 26, 2026E · Potential for more than minimal harm, patternThe 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. · F-0880
Jun 26, 2026E · Potential for more than minimal harm, patternThe facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. · F-0908
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0677
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0808
Jun 26, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0919
Apr 9, 2025E · Potential for more than minimal harm, patternThe facility has more than 120 beds but did not hire a qualified full-time social worker as required. · F-0850
Apr 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0576
Apr 9, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Apr 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0690
Apr 9, 2025D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Apr 9, 2025C · Potential for minimal harm, widespreadThe 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. · F-0558
Feb 28, 2024E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Feb 28, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Feb 28, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0559
Feb 28, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Feb 28, 2024D · Potential for more than minimal harm, isolatedThe facility has more than 120 beds but did not hire a qualified full-time social worker as required. · F-0850
Jan 19, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 6
Serious citations (G–L): 0
2025
All citations: 6
Serious citations (G–L): 0
2026
All citations: 14
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202460E
202560E
2026140F

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)

How to file a complaint about care →

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

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.77
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.29
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.34
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.773.463.95bottom 10% in Texas; bottom 8% in the U.S.
Registered Nurse hours0.290.440.69bottom 27% in Texas; bottom 9% in the U.S.
Weekend total nurse staffing2.343.043.50bottom 8% in Texas; bottom 6% in the U.S.
Weekend RN hours (not acuity-adjusted)0.200.340.48bottom 22% in Texas; bottom 13% in the U.S.
Total nursing staff turnover (%)97.155.345.8bottom 3% in Texas; bottom 1% in the U.S.
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.77 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Amistad Nursing and Rehabilitation Center. CMS inspection and staffing records do not tell us what this home will charge you.

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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Government - Hospital district

Owner / managerTypeRoleStakeSince
Adams, RitaIndividualADP of the SNFNOT APPLICABLE04/09/2025
Blake, GaryIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2022
Blake, GaryIndividualADP of the SNFNOT APPLICABLE09/01/2022
Blake, MalisaIndividualOperational/Managerial ControlNOT APPLICABLE09/01/2022
Bowers, SeanIndividualManaging Control - Governing BodyNOT APPLICABLE01/01/2024
Carpinteyro, RalphIndividualADP of the SNFNOT APPLICABLE01/01/2025
Cisneros, AlfredIndividualManaging Control - Governing BodyNOT APPLICABLE02/18/2008
Cobb, TravisIndividualManaging Control - Governing BodyNOT APPLICABLE10/05/2022
Cooper, StephenIndividualManaging Control - Governing BodyNOT APPLICABLE11/11/2022
Hardin, SherrieIndividualManaging Control - Governing BodyNOT APPLICABLE09/04/2024
Huggins, LindaIndividualCorporate DirectorNOT APPLICABLE09/01/2022
Kerzee, RichardIndividualManaging Control - Governing BodyNOT APPLICABLE09/24/2007
Korenek, PatriciaIndividualManaging Control - Governing BodyNOT APPLICABLE05/05/2018
Soechting, PaulIndividualManaging Control - Governing BodyNOT APPLICABLE11/22/2024
Strack, JoeIndividualManaging Control - Governing BodyNOT APPLICABLE02/11/2022
Thompson, JohnnyIndividualCorporate OfficerNOT APPLICABLE01/01/2024
Uvalde I Enterprises LLCOrganizationOperational/Managerial ControlNOT APPLICABLE09/01/2022
Uvalde I Enterprises LLCOrganizationADP of the SNFNOT APPLICABLE04/09/2025
Willig, ZacharyIndividualCorporate DirectorNOT APPLICABLE01/01/2025

All 19 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Creative Solutions in Healthcare — 149 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 148 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 97% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 19 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

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

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