Amistad Nursing and Rehabilitation Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 86 Google reviews
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What this means for your family
This facility offers excellent physical therapy and a highly communicative administrative team, which is ideal for post-surgical rehabilitation. However, families should be extremely vigilant regarding night-shift care and hygiene, as recent reports indicate significant lapses in responsiveness and basic sanitary standards.
Google Reviews
Google Reviews
86 reviews on Google“Families considering Amistad Nursing and Rehabilitation Center will find a facility highly praised for its compassionate nursing staff and effective physical therapy department. While many long-term residents and rehab patients report excellent care and cleanliness, there are serious, recurring allegations regarding neglect, specifically concerning hygiene, medication errors, and unresponsive call lights during night shifts.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Effective physical therapy and rehabilitation
- Clean and well-maintained facility
- Strong communication with family members
Concerns
- Unresponsive call lights and slow staff response times (mentioned by 2 reviewers)
- Inadequate hygiene and lack of basic sanitary supplies (mentioned by 2 reviewers)
- Issues with meal temperature and specialized dietary needs (mentioned by 2 reviewers)
- Inadequate care for dementia/memory care patients
Rating Trends
Tap a year to see what changed
Distribution · 86 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated language to respond to all negative reviews. The responses fail to address specific complaints regarding hygiene, meals, or specialized care, instead relying on a standard apology and a redirection to a customer care line.
Questions for Your Tour
- 1We've heard wonderful things about how compassionate the nursing staff is; how do you ensure that this level of attentive care is maintained during shift changes?
- 2What specific protocols are in place to ensure that call lights are answered promptly and that residents' needs are met right away?
- 3Could you tell us more about how the dining team manages specialized dietary needs and ensures meals are served at the ideal temperature?
- 4How does the facility manage medication administration to ensure everything is handled with the highest level of accuracy and safety?
- 5What specific routines or specialized support do you provide to ensure the comfort and safety of residents in your memory care program?
- 6In the event of a medical emergency after hours, what is the immediate process for coordinating care between the facility and doctors?
Personalized based on this facility's data
Key Review Excerpts
“The nurses, caregivers and staff were kind, efficient and loving toward her, even when it was not easy to be so. They communicated with me on a regular basis and I always felt well informed.”
“My husband was transferred here from BAMC Fri, today is Sunday and he hasn't had a shower, still wearing same clothes he came in with and has received no rehab. His meals are cold and no one checks in on him and take forever to answer call light.”
“The staff is very accommodating and friendly. My aunt eats very little normally however she enjoys the wide variety of food that is served here; her only complaint is that it’s too much food!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows recurring safety and operational concerns, particularly with fire safety systems, resident rights protections, and medication management appearing across multiple surveys. While all deficiencies have correction dates, several issues persist, including problems with social worker staffing and food safety that have recurred over multiple years. One complaint-triggered deficiency involved accident prevention and supervision. Families should inquire about sustained improvements in these core areas before visiting.
Apr 9, 2025Routine11
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Feb 28, 2024Routine9
Resident Rights Deficiencies
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Construction Deficiencies
Meet requirements for sections of health care facilities separated by fire resistive construction.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Resident Rights Deficiencies
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
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.
Administration Deficiencies
Hire a qualified full-time social worker in a facility with more than 120 beds.
Smoke Deficiencies
Have properly installed hallway dispensers for alcohol-based hand rub.
Miscellaneous Deficiencies
Have restrictions on the use of portable space heaters.
Jan 19, 2024Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Jan 6, 2023Routine2
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
UVALDE I ENTERPRISES, LLC
SANDRA BASALDUA
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 39 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
86 reviews from families & visitors
Official Website
Visit amistadnr.com
Medicare data downloads
Original nursing home datasets
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