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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasSilver Tree Nursing and Rehabilitation Center

Silver Tree Nursing and Rehabilitation Center

930 Roy Richard Dr, Schertz, TX 781542105669100
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
3/5
Quality
5/5
Beds
120
certified
3 fine(s) totaling $122,677

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 120 certified beds with an average of 88.3 residents per day (74% occupancy)

• Last health inspection found 25 deficiencies (inspected Apr 18, 2025)

• Has been fined a total of $122,677 across 3 fine(s)

• Total nursing staff: 3.59 hours per resident per day

• Staff turnover rate: 62.8% (high)

• Part of the Creative Solutions in Healthcare chain (149 facilities)

Silver Tree Nursing and Rehabilitation Center is a 3-star Medicare and Medicaid certified nursing home in Schertz, Texas with 120 certified beds. It has been operating since 2006. The facility scored at average compared to Texas facilities.

Beds
120
Avg Residents/Day
88.3
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 21, 2006
Sprinklers
Yes
Council
Resident
County
Guadalupe
Last Inspection
Apr 18, 2025
Deficiencies (Cycle 1)
25
Weighted Score
168.8
Infection Citations
4

Deficiency Citations (50)

F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Oct 10, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 10, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Oct 10, 2025Corrected: NoCycle: 1
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Apr 27, 2025Corrected: NoCycle: 1
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Apr 27, 2025Corrected: NoCycle: 1
F0582Minimal Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0693Potential for Harm

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0694Potential for Harm

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0940Potential for Harm

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0941Potential for Harm

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0942Potential for Harm

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0946Potential for Harm

Provide training in compliance and ethics.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0947Potential for Harm

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0949Potential for Harm

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Survey: Apr 18, 2025Corrected: NoCycle: 1
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jan 17, 2025Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jan 17, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Jan 17, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 17, 2025Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 14, 2024Corrected: NoCycle: 2

+ 20 more deficiencies

Total Fines
$122,677
Number of Fines
3
Payment Denials
0
Total Penalties
3

Penalty History

FineApr 27, 2025
$15,156
FineOct 10, 2025
$24,845
FineDec 22, 2023
$82,676

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.90 hrs
National avg: 2.35 hrs
LPN1.02 hrs
National avg: 0.86 hrs
RN0.67 hrs
National avg: 0.68 hrs
Total Nursing3.59 hrs
National avg: 3.89 hrs
Weekend Total3.31 hrs
National avg: 0.00 hrs
Physical Therapist0.07 hrs
National avg: 0.07 hrs
Total Turnover
62.8%
RN Turnover
53.8%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
WEST WHARTON COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2022
SCHERTZ I ENTERPRISES, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/ASep 1, 2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 1, 2022
HUGGINS, LINDACORPORATE DIRECTORIndividualN/AJun 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
THOMPSON, JOHNNYCORPORATE OFFICERIndividualN/AJan 1, 2024

Nearby Nursing Homes

All Texas facilities

Avir at Schertz

Schertz, TX · 96 beds

For profit$48,500 in fines
Health
Staffing
Quality
3.1 mi

Frequently Asked Questions

What is the CMS rating for Silver Tree Nursing and Rehabilitation Center?▾
Silver Tree Nursing and Rehabilitation Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 3/5, and quality measures rating of 5/5. This facility is rated average.
Has Silver Tree Nursing and Rehabilitation Center had any health inspection violations?▾
Silver Tree Nursing and Rehabilitation Center had 25 deficiency citations in its most recent health inspection (Apr 18, 2025). The facility has been fined a total of $122,677 across 3 fine(s). It also has 4 infection control citation(s).
What are the staffing levels at Silver Tree Nursing and Rehabilitation Center?▾
Silver Tree Nursing and Rehabilitation Center provides 3.59 total nursing staff hours per resident per day, including 0.67 RN hours, 1.02 LPN hours, and 1.90 nurse aide hours. The total staff turnover rate is 62.8%.
How many beds does Silver Tree Nursing and Rehabilitation Center have?▾
Silver Tree Nursing and Rehabilitation Center has 120 certified beds with an average of 88.3 residents per day, resulting in approximately 74% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Silver Tree Nursing and Rehabilitation Center?▾
Yes, there are 1 other nursing home in Schertz, Texas with an average rating of 2.5/5. You can compare all facilities on the Schertz nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →