Uvalde Healthcare and Rehabilitation Center
535 N Park St · Uvalde, TX · 78801 · 8302782505
115 certified beds For profit - Limited Liability company
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
6 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.44 | 0.55–0.75 |
| Weekend hours / resident-day | 2.90 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 5 · $96,040 |
Inspection citations (35 in the current record)
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Potential for harm · D April 10, 2025 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected April 11, 2025 · Environmental
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Potential for harm · D April 4, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 5, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 4, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · D April 4, 2025
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.
Corrected April 5, 2025 · Quality of Life and Care
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Potential for harm · E April 4, 2025
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.
Corrected April 5, 2025 · Nursing and Physician Services
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Potential for harm · D April 4, 2025
Ensure medication error rates are not 5 percent or greater.
Corrected April 5, 2025 · Pharmacy Service
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Potential for harm · D April 4, 2025
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.
Corrected April 5, 2025 · Nutrition and Dietary
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Potential for harm · E April 4, 2025
Provide and implement an infection prevention and control program.
Corrected April 5, 2025 · Infection Control
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Potential for harm · E October 4, 2024 · found via complaint
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.
Corrected October 18, 2024 · Nutrition and Dietary
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Potential for harm · D October 4, 2024 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected October 18, 2024 · Nutrition and Dietary
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Potential for harm · E October 4, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 18, 2024 · Nutrition and Dietary
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Immediate jeopardy · J March 28, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 29, 2024 · Resident Assessment and Care Planning
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Immediate jeopardy · J March 28, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 29, 2024 · Quality of Life and Care
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Immediate jeopardy · K March 18, 2024
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected March 19, 2024 · Resident Rights
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Immediate jeopardy · K March 18, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 19, 2024 · Resident Rights
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Immediate jeopardy · K March 18, 2024
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 18, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · D March 18, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 18, 2024
Respond appropriately to all alleged violations.
Corrected March 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 18, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 18, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · E March 18, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected March 19, 2024 · Quality of Life and Care
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Potential for harm · E March 18, 2024
Ensure that residents are free from significant medication errors.
Corrected March 19, 2024 · Pharmacy Service
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Potential for harm · D March 18, 2024
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.
Corrected March 19, 2024 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 9, 2024 | Fine | $81,990 |
| February 9, 2024 | Payment Denial | 6 days |
| October 2, 2023 | Fine | $4,235 |
| September 25, 2023 | Fine | $3,846 |
| September 5, 2023 | Fine | $2,823 |
| August 7, 2023 | Fine | $3,146 |
Better-scoring options nearby
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675532 · certified since August 17, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.