Uvalde Healthcare And Rehabilitation Center
535 N PARK ST, Uvalde, TX, 78801
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
- For profit - Limited Liability company
- Certified beds
- 115 · avg 46 residents/day
- Total nursing staff turnover
- 38.9% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $96,040 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 312112
- Service type
- Medicare/medicaid
- Licensed capacity
- 115 beds
- Bed type breakdown
- 42 Medicare-only · 73 Medicaid/Medicare
- Current license effective
- September 1, 2024
- Current license expires
- September 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Frio Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Dignity Healthcare Llc
- Administrator
- Fransheska Ortega
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- K&y Manager Llc
Adp of The Snf · since 2025
- Laura Givens
Adp of The Snf · since 2025
- Uvalde Associates Llc
Adp of The Snf · since 2025
- Clayton Brummett
Operational/managerial Control · since 2024
- Dignity Healthcare Llc
Operational/managerial Control · since 2024
- Michael Ruff
Corporate Officer · since 2024
+ 1 additional owner on the federal record.
Recent change of ownership
September 2024 (1 year ago) · acquired from Uvalde Healthcare And Rehabiltiation Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 35)
- D0925·Apr 10, 2025Complaint
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E0880·Apr 4, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0801·Apr 4, 2025
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- E0727·Apr 4, 2025
Nursing and Physician Services Deficiencies
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
- D0700·Apr 4, 2025
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail…
- D0698·Apr 4, 2025
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D0695·Apr 4, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0656·Apr 4, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Federal penalties
By year
- 20241 fine · $82K · 1 payment denial
- 20234 fines · $14K
Most recent events
- Feb 9, 2024Payment denial · 6 days · starting Apr 20, 2024
- Feb 9, 2024Fine · $82K
- Oct 2, 2023Fine · $4,235
- Sep 25, 2023Fine · $3,846
- Sep 5, 2023Fine · $2,823
- Aug 7, 2023Fine · $3,146
Largest single fine on record: $82K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Apr 4, 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
Uvalde Healthcare And Rehabilitation Center is a 115-bed nursing home in Uvalde, TX, licensed to Frio Hospital District and managed by Dignity Healthcare LLC. CMS rates it 1 star overall — the lowest rating — with a 1-star staffing rating and 2-star health inspection rating. Five CMS fines totaling $96,040 have been issued. The facility is currently running at about 40% of its licensed beds, with 46 of 115 occupied on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier, shared by roughly 38% of Texas nursing homes. Staffing hours per resident are not reported in the CMS data for this facility, so a direct minutes-per-day comparison isn't possible. What the rating itself signals is that CMS found the staffing level insufficient by its measurement standard.
Nursing staff turnover runs at about 4 in 10 per year. That falls below Texas's 25th-percentile cutoff of 42% — meaning turnover here is better than roughly three-quarters of nursing homes in the state. For a long-stay resident, lower turnover generally means more consistent caregivers over time.
Five CMS fines totaling $96,040 have been issued. The state median for fined facilities in Texas is about $20,699, and 30% of Texas nursing homes have received no fines at all. This facility's total is roughly 4.6 times the state median among facilities that have been fined.
The facility is operating at approximately 40% of its 115 licensed beds — about 46 residents on an average day. That is substantially below typical occupancy for a nursing home of this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for the 1-star staffing rating
CMS rates staffing here at 1 star — ask what the current nurse-to-resident ratio is on day, evening, and overnight shifts.
Five fines totaling $96,040
Ask what deficiencies triggered each of the five CMS fines and what specific changes were made in response.
Why occupancy is so low
With roughly 46 of 115 beds filled, ask whether the low census reflects a recent change in admissions policy, staffing limits, or another operational factor.
Management company's day-to-day role
Dignity Healthcare LLC manages the facility on behalf of Frio Hospital District — ask which entity makes staffing and care decisions and who to contact with concerns.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how families can formally raise concerns and how often the Resident Council meets.
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.