Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Amistad Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A facility with 200 beds did not employ a qualified full-time social worker, as confirmed by record review and staff interviews. The DON and Acting Administrator acknowledged the absence of a social worker for over a year, with social services being provided by nurses instead. No contract with a licensed social worker was found, and there was no policy on social services.
The facility did not ensure that residents received their mail on Saturdays, as mail delivered on weekends was stored in the admissions office and not distributed until Monday. Staff interviews confirmed that the process for weekend mail delivery was not followed, resulting in delayed access to personal mail for residents.
A resident's personal and medical information was left visible on an unattended medication cart computer screen after an LVN became distracted and failed to lock the screen. The DON observed the exposed information and addressed the issue with the LVN, who acknowledged the privacy breach. The resident involved had a history of stroke, dementia, dysphagia, and UTI.
Two residents with indwelling urinary catheters were observed with their catheter drainage bags touching or dragging on the floor, and one resident received improper incontinence care, including incorrect wiping technique and reuse of wipes. Staff interviews confirmed knowledge of proper procedures, but these were not followed, despite care plans and facility policies requiring catheter bags to be kept off the floor and correct perineal care techniques to be used.
Five loose, unlabeled pills were found in a nurse medication cart, with staff interviews confirming that such incidents could lead to medication errors and that there was no consistent process for checking for and removing loose pills. The facility's policy requires all medications to be properly labeled and stored, but this was not followed.
A resident with severe cognitive impairment, dementia, muscle weakness, and a history of falls did not have her call light within reach, despite her care plan specifying this need. This failure was identified through observation, interview, and record review.
Failure to Employ Full-Time Social Worker in Facility Over 120 Beds
Penalty
Summary
The facility, licensed for 200 beds, failed to employ a qualified full-time social worker as required for facilities with more than 120 beds. Record reviews confirmed the facility's licensed capacity and revealed no contract or employment of a licensed social worker. Interviews with the DON and Acting Administrator confirmed that the facility had not had a social worker for over a year, with the Acting Administrator citing recruitment difficulties and a negative reputation following a tragedy. The Acting Administrator also stated that, in the absence of a social worker, nurses were providing social services, but these were not being performed by a licensed social worker. Additionally, the Compliance Nurse confirmed there was no policy on social services in place.
Failure to Distribute Resident Mail on Saturdays
Penalty
Summary
The facility failed to ensure that residents had timely access to their mail, specifically on Saturdays. Interviews with staff revealed that while mail was delivered to the facility on Saturdays, it was not distributed to residents until the following Monday. The Receptionist, who was responsible for mail distribution, worked primarily Monday through Friday and confirmed that mail received on Saturdays was stored in the admissions office until she returned. The Admissions Coordinator and Business Office Manager corroborated that no one sorted or delivered mail to residents over the weekend, and the mail remained in the office until the start of the workweek. The facility's policy required daily mail delivery on days mail was received, but this was not followed in practice. A confidential resident reported during a group meeting that they never received mail on Saturdays, which was attributed to the absence of front office staff on weekends. The Administrator acknowledged that mail delivered on Saturdays should be distributed the same day and was unaware of the current process. Attempts to contact the weekend clerical staff for clarification were unsuccessful. The facility's failure to distribute mail on Saturdays resulted in residents not receiving their mail in a timely manner, as required by their rights.
Resident Medical Information Left Exposed on Unattended Medication Cart
Penalty
Summary
A deficiency occurred when a Licensed Vocational Nurse (LVN) failed to lock the computer screen on the medication cart, leaving a resident's personal and medical information exposed. The incident was observed on Unit E, where the computer screen displayed the resident's information and was left unattended. The Director of Nursing (DON) also observed the exposed information and subsequently notified the LVN. During an interview, the LVN acknowledged that she became distracted by another resident and forgot to secure the computer screen, admitting that this was a violation of privacy and could allow unauthorized access to sensitive information. The resident whose information was exposed was an elderly female with a history of cerebral infarction, dementia, dysphagia, and urinary tract infection. The facility's policy on resident rights, which includes the right to privacy and confidentiality of personal and medical records, was not followed in this instance. Both the LVN and the DON recognized that the failure to secure the computer screen constituted a breach of confidentiality and resident privacy.
Failure to Maintain Catheter Bag Placement and Proper Incontinence Care
Penalty
Summary
The facility failed to provide appropriate care for two residents with indwelling urinary catheters, specifically by not ensuring that catheter drainage bags were kept off the floor and by not following proper incontinence care procedures. For one resident, observations showed that the catheter drainage bag was repeatedly seen touching the floor while the resident was in the dining room and in the wheelchair. During catheter and incontinence care, a CNA was observed using improper technique, including wiping from back to front and reusing the same area of a disposable wipe multiple times, both of which were acknowledged by the CNA as cross-contamination risks. The CNA admitted to having received recent in-service training on proper catheter and incontinence care, but did not follow the expected procedures during the observed care. Another resident was also observed multiple times with the catheter drainage bag dragging on the floor while in the wheelchair, including while self-propelling through the facility. Staff interviews confirmed that CNAs were responsible for ensuring catheter bags did not touch the floor, and staff acknowledged that failure to do so could result in cross-contamination and infection control issues. The facility's policies and procedures for perineal and catheter care explicitly stated that catheter bags and tubing should be kept off the floor and that clean techniques should be used during perineal care, including wiping from front to back and using a clean area of the wipe for each stroke. Both residents had care plans and physician orders that included specific instructions for catheter care, such as keeping the drainage bag off the floor, using privacy bags, and providing perineal care after each incontinent episode. Despite these documented interventions, staff did not consistently implement them, as evidenced by direct observations and staff interviews. The failure to adhere to established protocols and care plans resulted in deficiencies related to infection control and proper catheter and incontinence care for residents with indwelling urinary catheters.
Unlabeled Loose Pills Found in Medication Cart
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored in accordance with accepted professional principles. During an observation of the 200 hall nurse cart, five pills were found loose in the bottom of the cart, not in labeled containers. This was confirmed through interviews with the Assistant Director of Nursing (ADON), the Acting Administrator, and an LVN, all of whom acknowledged the risk of confusion and the possibility that medications could be given to the wrong patient or that patients might not receive their prescribed medications. The staff also indicated that while narcotics are routinely counted, there is not a consistent process for checking for and addressing loose pills in the medication carts. A review of the facility's Medication Labeling Policy from the Pharmacy Policy & Procedure Manual indicated that all medications must be properly labeled as required by state regulations, and non-prescription drugs must be in their original manufacturer's container. The presence of unlabeled, loose pills in the medication cart demonstrates a failure to follow these established policies and procedures for medication labeling and storage.
Failure to Ensure Call Light Accessibility for Resident with Severe Cognitive Impairment
Penalty
Summary
The facility failed to ensure that a resident's call light was within reach, as required by the resident's care plan, which specifically noted the need for the call light to be accessible due to the resident's potential for falls and injuries. The resident in question was a female with diagnoses including polyosteoarthritis, dementia with severe cognitive impairment (BIMS score of 3), and muscle weakness. Despite these conditions and the documented care plan intervention, the call light was not placed within the resident's reach, as observed and confirmed through record review and interviews.
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Illustrative
What surveyors actually found near you
We read the 13 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Uvalde
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Uvalde Healthcare And Rehabilitation Center | 1.2 mi | ★★★★★ | 13 | 0 |
| Avir At Camp Wood | 36.3 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.