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F
Critical

AMISTAD NURSING AND REHABILITATION CENTER

200 RIVERSIDE DR · UVALDE, TX 78801

8302785641 · Government - Hospital district

200 beds89.6 residents96 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
F
Critical
RN Staff
F
Critical
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

AMISTAD NURSING AND REHABILITATION CENTER receives an overall staffing grade of F (Critical). With 3.0175 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.2293 HPRD, below the recommended 0.75. It is 0.88 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 19.2% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0175 HPRD — needs 0.46 more hours per resident per day.
⚠️RN staffing (0.2293 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.0175hrs/resident/day▼ 0.88
CMS benchmark: 3.48
RN HPRD
0.2293hrs/resident/day▼ 0.45
Recommended: 0.75
Weekend Drop-off
19.2%
3.1906 weekday → 2.578 weekend
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.1308hrs/resident/day
Direct care aides
LPN HPRD
1.1673hrs/resident/day
Licensed practical nurses
Consistency
0.3234std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Uvalde County Average-0.21 HPRD
3.22
03.02 HPRD
vs. Texas State Average-0.39 HPRD
3.40
03.02 HPRD
vs. National Average-0.88 HPRD
3.90
03.02 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
AMISTAD NURSING AND REHABILITATION CENTER ★
UVALDE · This facility
—
F
3.01750.2293★★★★☆
COMMUNITY CARE CENTER OF HONDO
HONDO
41.8 mi
B
3.66260.7127★☆☆☆☆
PEARSALL NURSING AND REHABILITATION CENTER
PEARSALL
45.1 mi
C
3.10790.4016★★★★★
Arbor View Nursing & Rehabilitation
KERRVILLE
69 mi
D
3.62990.2737★☆☆☆☆
SILVER CREEK NURSING AND REHABILITATION
SAN ANTONIO
69.8 mi
D
3.04370.3511★★★☆☆
HILLTOP VILLAGE NURSING AND REHABILITATION
KERRVILLE
70.4 mi
F
3.06440.152★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
14
Total Deficiencies
$0
Fines Assessed
Apr 9, 2025Health
6 deficiencies cited
▼
Feb 28, 2024Health
5 deficiencies cited
▼
Jan 19, 2024Health
1 deficiency cited
▼
Jan 6, 2023Health
2 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.