Nursing HomeInspections

Amistad Nursing and Rehabilitation Center

Nursing home in Uvalde, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
200 Riverside Drive, Uvalde, TX 78801
Phone
(830) 278-5641
Listed under
Government-owned, No fines or payment denials in 3 years
Medicare CCN
455536
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
200
Average residents per day
87
Ownership
Government, hospital district
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (150 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jun 14, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455536. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jun 26, 2026. CMS lists 29 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 19, 2024 to Aug 7, 2026): 4 from complaint inspections, 0 at the “actual harm” level or higher.

InspectionCitationSeverity
Aug 7, 2026Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2026Provide appropriate foot care.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2026Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care · complaint inspection
D
Potential for more than minimal harm, isolated
Jun 26, 2026Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 26, 2026Develop 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
D
Potential for more than minimal harm, isolated
Jun 26, 2026Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 26, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Jun 26, 2026Ensure 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
D
Potential for more than minimal harm, isolated
Jun 26, 2026Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
D
Potential for more than minimal harm, isolated
Jun 26, 2026Honor 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
E
Potential for more than minimal harm, pattern
Jun 26, 2026Honor 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
E
Potential for more than minimal harm, pattern
Jun 26, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 29. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.09 hours
Registered nurse (RN) time per resident per day
0.25 hours
Nurse aide time per resident per day
1.71 hours
Total nurse staffing on weekends
2.63 hours
Nursing staff turnover (yearly)
42%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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