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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.