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Amistad Nursing and Rehabilitation Center

All states › Texas › Uvalde › Amistad Nursing and Rehabilitation Center

200 Riverside Drive Uvalde, TX 78801 · Uvalde County

(830) 278-5641

All 2 nursing homes in Uvalde, TX (2 take Medicaid)

Accepts Medicare Accepts Medicaid 200 certified beds Government

CMS certification number 455536 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Amistad Nursing and Rehabilitation Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Amistad Nursing and Rehabilitation Center as of October 2026.

CMS rates it 1 out of 5 stars overall, below the Texas average of 2.8. Inspectors issued 29 citations in the last three years. CMS reports no fines or payment denials in that time. For short-term rehab patients CMS rates quality 2 out of 5; for long-term residents, 5 out of 5. Those results differ a lot, so ask about the unit your family member would be on.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Staffing

Nursing staff spend about 3.09 hours per resident per day at Amistad Nursing and Rehabilitation Center, below the Texas median of 3.30 (US median: 3.72). About 0.25 of those hours are from registered nurses. On weekends it falls to 2.63 hours, 15% below its all-week average. 41.9% of nursing staff left within a year (Texas median 50.2%). 3 administrators left in the past year.

Nursing care per resident per day 3.09 hours
Below the Texas median of 3.30 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.25 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.63 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 41.9% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover — Share of registered nurses who left over a year.
Administrators who left 3 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds200
Residents per day 87 About 43% of beds filled, on average
OwnershipGovernment - Hospital district
Payment acceptedMedicare and Medicaid
Certified sinceJune 1985
Part of a chainCreative Solutions In Healthcare
Legal business nameWEST WHARTON COUNTY HOSPITAL DISTRICT

Paying for care at Amistad Nursing and Rehabilitation Center: Medicare and Medicaid

Amistad Nursing and Rehabilitation Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on June 26, 2026 and found 14 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 29 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 29 citations at Amistad Nursing and Rehabilitation Center across 5 inspection dates, 4 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 28 were "potential for more than minimal harm" (D–F) and 1 was minimal (A–C). The most common areas cited were resident rights (9) and quality of life and care (5). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, June 26, 2026). 2 citations were under CMS's abuse, neglect and exploitation rules.

August 7, 2026 · 3 citations · includes complaint inspection

DProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0628 · Complaint inspection · Deficient, Provider has date of correction (Aug 8, 2026)

DProvide appropriate foot care.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0687 · Complaint inspection · Deficient, Provider has date of correction (Aug 11, 2026)

DProvide enough food/fluids to maintain a resident's health.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0692 · Complaint inspection · Deficient, Provider has date of correction (Aug 11, 2026)

June 26, 2026 · 14 citations

FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jun 27, 2026)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Jun 27, 2026)

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0585 · Deficient, Provider has date of correction (Jun 29, 2026)

ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Deficient, Provider has date of correction (Jun 29, 2026)

ERespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Deficient, Provider has date of correction (Jun 29, 2026)

EProvide doctor's orders for the resident's immediate care at the time the resident was admitted.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0635 · Deficient, Provider has date of correction (Jun 29, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jun 29, 2026)

EKeep all essential equipment working safely.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0908 · Deficient, Provider has date of correction (Jun 27, 2026)

DHonor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0557 · Deficient, Provider has date of correction (Jun 29, 2026)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jun 29, 2026)

DProvide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0677 · Deficient, Provider has date of correction (Jun 29, 2026)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Jun 29, 2026)

DEnsure 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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0808 · Deficient, Provider has date of correction (Jun 29, 2026)

DMake sure that a working call system is available in each resident's bathroom and bathing area.

Potential for more than minimal harm · Environmental Deficiencies · Tag F0919 · Deficient, Provider has date of correction (Jun 27, 2026)

April 9, 2025 · 6 citations

EHire a qualified full-time social worker in a facility with more than 120 beds.

Potential for more than minimal harm · Administration Deficiencies · Tag F0850 · Deficient, Provider has date of correction (May 12, 2025)

DEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has date of correction (Apr 10, 2025)

DKeep residents' personal and medical records private and confidential.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0583 · Deficient, Provider has date of correction (Apr 10, 2025)

DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 10, 2025)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 10, 2025)

CReasonably accommodate the needs and preferences of each resident.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0558 · Deficient, Provider has date of correction (Apr 10, 2025)

February 28, 2024 · 5 citations

EHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Feb 29, 2024)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 29, 2024)

DHonor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0559 · Deficient, Provider has date of correction (Feb 29, 2024)

DEnsure 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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 29, 2024)

DHire a qualified full-time social worker in a facility with more than 120 beds.

Potential for more than minimal harm · Administration Deficiencies · Tag F0850 · Deficient, Provider has date of correction (Feb 29, 2024)

January 19, 2024 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jan 20, 2024)

Questions to ask on a tour of Amistad Nursing and Rehabilitation Center

  1. CMS cited the home under its abuse and neglect rules on June 26, 2026. How are staff trained, and how are concerns reported?
  2. CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  3. Several administrators left in the past year. What has changed for residents since then?
  4. CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
  5. The home averages about 43% of its beds filled. Are any units closed?
  6. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  7. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 1/5 3/5
August 2026 2/5 3/5 1/5 3/5
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Location

Hospitals near Amistad Nursing and Rehabilitation Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 0.5 mi
    Uvalde Memorial Hospital Uvalde
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 39m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Uvalde Healthcare and Rehabilitation Center Uvalde · 1.2 mi away ★★★☆☆ Inspection 3/5 · Staffing 2/5 115 beds · Medicaid
Avir at Camp Wood Camp Wood · 36.3 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 1/5 86 beds · Medicaid
Community Care Center of Hondo Hondo · 41.8 mi away ★☆☆☆☆ Inspection 2/5 · Staffing 1/5 75 beds · Medicaid
Pearsall Nursing and Rehabilitation Center Pearsall · 45.2 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 150 beds · Medicaid
Whispering Springs Rehabilitation and Healthcare Center Carrizo Springs · 48.1 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 100 beds · Medicaid

More nursing homes near Amistad Nursing and Rehabilitation Center ›   All nursing homes in Uvalde ›

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Other Creative Solutions In Healthcare nursing homes in Texas

Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/texas/uvalde/amistad-nursing-and-rehabilitation-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.