Nursing Care Index

Amistad Nursing And Rehabilitation Center

Uvalde, Uvalde County, Texas · CCN 455536 · Government (Hospital district) · part of Creative Solutions In Healthcare (149 facilities, chain average 2.1 stars)

CMS rates Amistad Nursing And Rehabilitation Center 2 of 5 overall as of August 2026. 200 certified beds, 91 residents a day on average. 26 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★☆☆☆☆ 1 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay5 / 2 of 5

Staffing

Total nurse staffing2.77333 hours per resident per day
Registered nurses0.29215 hours per resident per day
Weekend total2.33625 hours per resident per day
Nursing staff turnover97.1%
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-06-26 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has no plan of correction
2026-06-26 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Honor 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 Deficiencies · tag F0585
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Provide doctor's orders for the resident's immediate care at the time the resident was admitted.
Resident Assessment and Care Planning Deficiencies · tag F0635
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Keep all essential equipment working safely.
Environmental Deficiencies · tag F0908
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has no plan of correction
2026-06-26 Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies · tag F0557
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-06-26 Develop 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 Deficiencies · tag F0656
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-06-26 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-06-26 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-06-26 Ensure 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 Deficiencies · tag F0808
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2026-06-26 Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies · tag F0919
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has no plan of correction
2025-04-09 Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · tag F0850
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-05-12
2025-04-09 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · tag F0576
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-10
2025-04-09 Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · tag F0583
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-10
2025-04-09 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · tag F0690
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-10
2025-04-09 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-04-10
2025-04-09 Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · tag F0558
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-04-10
2024-02-28 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.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-29
2024-02-28 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-02-29
2024-02-28 Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Resident Rights Deficiencies · tag F0559
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-29
2024-02-28 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.
Pharmacy Service Deficiencies · tag F0761
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-29
2024-02-28 Hire a qualified full-time social worker in a facility with more than 120 beds.
Administration Deficiencies · tag F0850
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-02-29
2024-01-19
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-20

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Uvalde I Enterprises LLC
Organization
adp of the snf2025-04-09
Uvalde I Enterprises LLC
Organization
operational/managerial control2022-09-01
Adams, Rita
Individual
adp of the snf2025-04-09
Blake, Gary
Individual
adp of the snf2022-09-01
Carpinteyro, Ralph
Individual
adp of the snf2025-01-01
Huggins, Linda
Individual
corporate director2022-09-01
Willig, Zachary
Individual
corporate director2025-01-01
Thompson, Johnny
Individual
corporate officer2024-01-01
Bowers, Sean
Individual
managing control - governing body2024-01-01
Cisneros, Alfred
Individual
managing control - governing body2008-02-18
Cobb, Travis
Individual
managing control - governing body2022-10-05
Cooper, Stephen
Individual
managing control - governing body2022-11-11
Hardin, Sherrie
Individual
managing control - governing body2024-09-04
Kerzee, Richard
Individual
managing control - governing body2007-09-24
Korenek, Patricia
Individual
managing control - governing body2018-05-05
Soechting, Paul
Individual
managing control - governing body2024-11-22
Strack, Joe
Individual
managing control - governing body2022-02-11
Blake, Gary
Individual
operational/managerial control2022-09-01
Blake, Malisa
Individual
operational/managerial control2022-09-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Uvalde County.