Nursing homeActive
Amistad Nursing and Rehabilitation Center
200 Riverside Drive, Uvalde, TX 788018302785641200 certified beds · 91 residentsGovernment - Hospital districtMedicare and Medicaid
Surveys on file
4
since 2024
Deficiencies
26
● 1● 25● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-06-26
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 3
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-26 | Standard | 0140 | CMS-2567 (Care Compare) | — |
| 2025-04-09 | Standard | 150 | CMS-2567 (Care Compare) | — |
| 2024-02-28 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-01-19 | Complaint | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F557
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F584
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F610
F635Provide doctor's orders for the resident's immediate care at the time the resident was admitted.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F635
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F656
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F677
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F761
F808Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F808
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F880
F908Keep all essential equipment working safely.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F908
F919Make sure that a working call system is available in each resident's bathroom and bathing area.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Correction not yet recordedRecord 455536-20260626-F919
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-10Record 455536-20250409-F576
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-10Record 455536-20250409-F583
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-10Record 455536-20250409-F690
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-04-10Record 455536-20250409-F761
F850Hire a qualified full-time social worker in a facility with more than 120 beds.Scope/severity EStandard
Records
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-05-12Record 455536-20250409-F850
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-04-10Record 455536-20250409-F558
F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-29Record 455536-20240228-F559
F584Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-29Record 455536-20240228-F584
F761Ensure 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-29Record 455536-20240228-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-29Record 455536-20240228-F812
F850Hire a qualified full-time social worker in a facility with more than 120 beds.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-02-29Record 455536-20240228-F850
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-20Record 455536-20240119-F689
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.29
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.77
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.34
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover97%
Facility
Texas
National
Texas 55% · National 46%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.0% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 5.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 1.7% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.7% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.4% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 6.4% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Blake, Gary Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Blake, Malisa Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Uvalde I Enterprises LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Adams, Rita Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Blake, Gary Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Bowers, Sean Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Carpinteyro, Ralph Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Cisneros, Alfred Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cobb, Travis Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Cooper, Stephen Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Hardin, Sherrie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Huggins, Linda Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kerzee, Richard Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Korenek, Patricia Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Soechting, Paul Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Strack, Joe Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Thompson, Johnny Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Uvalde I Enterprises LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Willig, Zachary Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Creative Solutions In Healthcare — 149 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Uvalde.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Uvalde Healthcare And Rehabilitation Center Uvalde | 1.2 mi | 2026-06-11 | 0276 |
| Avir at Camp Wood Camp Wood | 36.3 mi | 2026-06-12 | 0231 |
| Community Care Center of Hondo Hondo | 41.8 mi | 2025-09-12 | 1113 |
| Whispering Springs Rehabilitation and Healthcare C Carrizo Springs | 48.1 mi | 2026-06-05 | 120 |
| Pearsall Nursing and Rehabilitation Center Pearsall | 45.2 mi | 2026-07-16 | 0240 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |