Amistad Nursing And Rehabilitation Center
200 RIVERSIDE DRIVE, Uvalde, TX, 78801-5727
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Creative Solutions In Healthcare
- Certified beds
- 200 · avg 90 residents/day
- Total nursing staff turnover
- 38.2% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308743
- Service type
- Medicare/medicaid
- Licensed capacity
- 200 beds
- Bed type breakdown
- 77 Medicare-only · 123 Medicaid/Medicare
- Current license effective
- September 1, 2025
- Current license expires
- September 1, 2028
- Initial license date
- February 6, 1991
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Uvalde I Enterprises, Llc
- Administrator
- Sandra Basaldua
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Parent entity
West Wharton County Hospital District
Disclosed owners (18 on record)
- Rita Adams
Adp of The Snf · since 2025
- Uvalde i Enterprises Llc
Adp of The Snf · since 2025
- Ralph Carpinteyro
Adp of The Snf · since 2025
- Zachary Willig
Corporate Director · since 2025
- Paul Soechting
Managing Control - Governing Body · since 2024
- Sherrie Hardin
Managing Control - Governing Body · since 2024
+ 12 additional owners on the federal record.
Recent change of ownership
September 2022 (3 years ago) · acquired from Amistad Nursing And Rehabilitation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures + Change of Ownership, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 14)
- E0850·Apr 9, 2025
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
- D0761·Apr 9, 2025
Pharmacy Service Deficiencies
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.
- D0690·Apr 9, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- D0583·Apr 9, 2025
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
- D0576·Apr 9, 2025
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
- C0558·Apr 9, 2025
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
- D0850·Feb 28, 2024
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
- E0812·Feb 28, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Apr 9, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Amistad Nursing And Rehabilitation Center is a 200-bed nursing home in Uvalde, Texas, licensed through September 2028 and operating under a hospital district license with management by Uvalde I Enterprises. CMS rates it 4 stars overall, with a 4-star health inspection score and a 5-star rating for long-stay resident outcomes. Staffing rates 2 stars, and the facility is running at roughly 45% of its licensed beds — about 90 residents in a 200-bed building.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 181 minutes of nursing care per day — roughly 60 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Of that, only about 14 minutes involve a registered nurse, compared to 37 minutes at the 4-star threshold. Residents here also need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest.
About 4 in 10 nursing staff left in the past year. That sits below the Texas 25th-percentile cutoff of 42% — better than roughly three-quarters of nursing homes in the state.
One administrator has turned over in the past year — elevated, though not at the level of two or more departures. The facility has an active administrator in place.
The facility is operating at roughly 45% of its licensed beds, with about 90 residents in a 200-bed building. The long-stay resident outcome rating is 5 stars; the short-stay rating is 2 stars. The combination of low occupancy, below-peer staffing, and a split between strong long-stay and weak short-stay outcomes is a specific pattern worth exploring directly with the facility.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on weekends
Weekend nursing hours here run about 2.6 hours per resident per day — lower than weekday levels; ask how the facility maintains care continuity when weekend staffing is reduced.
Short-stay outcome rating
CMS rates short-stay outcomes at 2 stars while long-stay outcomes rate 5 stars — ask what accounts for that difference and what the typical short-stay discharge process looks like.
Why occupancy is near half capacity
The facility has roughly 90 residents in a 200-bed building; ask whether low census reflects a recent change in admissions, referral patterns, or something else.
Administrator transition
One administrator has left in the past year — ask how long the current administrator has been in the role and what changed during the transition.
RN coverage by shift
Reported registered nurse time averages about 14 minutes per resident per day; ask which shifts have an RN physically present in the building.
Management company's role on-site
The facility is licensed to a hospital district but managed by Uvalde I Enterprises — ask who has day-to-day authority over staffing and care decisions.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.