Silver Tree Nursing and Rehabilitation Center
Cost data not yet available
Nursing Homes · Medicare certified
3301 FM 3009 · Schertz, TX 78154 · 96 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1073984407. Look this up in the CMS NPPES registry (opens in a new tab)
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Avir at Schertz is a nursing home in Schertz, Texas, in Guadalupe County. Public records list 96 beds. Ownership records list a nonprofit operator and tie the listing to Avir Health Group. It is Medicare certified. We hold 74 inspection citations for this listing, the most recent dated 21 March 2026. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 2.93 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
CMS Care Compare · Source data August 2026
Staffing rating
1.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
60
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
41
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
5.0Inspections on record
2
Cited deficiencies
60
Records from August 2022 to March 2026.
May 9, 2025 · D
Citation F0842Federal surveyors cited this nursing home on 2025-05-09 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2025-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
May 9, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-05-09 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-06-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 23, 2024 · D
Citation F0558Federal surveyors cited this nursing home on 2024-11-23 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 23, 2024 · J
Citation F0689Federal surveyors cited this nursing home on 2024-11-23 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 23, 2024 · E
Citation F0758Federal surveyors cited this nursing home on 2024-11-23 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 23, 2024 · D
Citation F0849Federal surveyors cited this nursing home on 2024-11-23 under CMS tag F0849 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2024-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 23, 2024 · D
Citation F0609Federal surveyors cited this nursing home on 2024-11-23 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 23, 2024 · D
Citation F0695Federal surveyors cited this nursing home on 2024-11-23 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-11-25. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 8, 2024 · D
Citation F0690Federal surveyors cited this nursing home on 2024-11-08 under CMS tag F0690 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. The deficiency was recorded as corrected on 2024-11-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 8, 2024 · D
Citation F0761Federal surveyors cited this nursing home on 2024-11-08 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-11-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 8, 2024 · D
Citation F0880Federal surveyors cited this nursing home on 2024-11-08 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-11-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 8, 2024 · D
Citation F0583Federal surveyors cited this nursing home on 2024-11-08 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2024-11-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
November 8, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-11-08 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-11-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0584Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0584 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0578Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0578 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0756Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0695Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0695 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0583Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0583 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Keep residents' personal and medical records private and confidential. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
October 18, 2023 · D
Citation F0565Federal surveyors cited this nursing home on 2023-10-18 under CMS tag F0565 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2023-11-06. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
Total fines on file: $39,676
January 9, 2026 · Fine
Citation FINE-136696CMS recorded a civil money penalty of $14,020 against this nursing home on 2026-01-09 (Fine ID: 136696). Source: CMS Care Compare Penalties (as of 2026-07-01).
November 23, 2024 · Fine
Citation FINE-113401CMS recorded a civil money penalty of $25,656 against this nursing home on 2024-11-23 (Fine ID: 113401). Source: CMS Care Compare Penalties (as of 2026-07-01).
Latest: 2.93 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
Most recent period is lower than 2025Q4 (-0.08 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Non profit
CMS Care Compare chain: Avir Health Group
Chain ID 719 · 116 facilities in chain (CMS)
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Sep 1, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Aug 6, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 24, 2026Ownership changed
The source now records ownership as "For profit - Limited Liability company".
Reported by CMS nursing homes (provider info)
Jul 24, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moOther licensed providers in Schertz, with their own public records.
Cost data not yet available
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
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