Amistad Nursing and Rehabilitation Center
200 Riverside Dr · Uvalde, TX · 78801 · 8302785641
200 certified beds Government - Hospital district Chain: Creative Solutions in Healthcare
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 75 points, but Recommended is gated: staffing below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.95 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.95 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.54 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D April 9, 2025
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D April 9, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 10, 2025 · Quality of Life and Care
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Potential for harm · D April 9, 2025
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.
Corrected April 10, 2025 · Pharmacy Service
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Potential for harm · E April 9, 2025
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected May 12, 2025 · Administration
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No harm found · C April 9, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 10, 2025 · Resident Rights
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Potential for harm · D February 28, 2024
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · E February 28, 2024
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.
Corrected February 29, 2024 · Resident Rights
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Potential for harm · D February 28, 2024
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.
Corrected February 29, 2024 · Pharmacy Service
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Potential for harm · E February 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 29, 2024 · Nutrition and Dietary
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Potential for harm · D February 28, 2024
Hire a qualified full-time social worker in a facility with more than 120 beds.
Corrected February 29, 2024 · Administration
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Potential for harm · D January 19, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 20, 2024 · Quality of Life and Care
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Potential for harm · D January 6, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 30, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 6, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 30, 2023 · Nutrition and Dietary
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455536 · certified since June 14, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.