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SOURCE DATA AUG 2026

Nursing Homes · Medicare certified

Silver Tree Nursing and Rehabilitation Center

930 Roy Richard Dr · Schertz, TX 78154 · 120 certified beds

2105669100

License number not yet on file. We only publish license numbers we can source from an official registry.

NPI 1982912283. Look this up in the CMS NPPES registry (opens in a new tab)

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About Silver Tree Nursing and Rehabilitation Center

Silver Tree Nursing and Rehabilitation Center is a nursing home in Schertz, Texas, in Guadalupe County. Public records list 120 beds. It is Medicare certified. Ownership records list a for-profit operator and tie the listing to Creative Solutions in Healthcare. We hold 62 inspection citations for this listing, the most recent dated 12 June 2026. CMS also lists 3 fine or payment denial actions against it. Reported staffing works out to 3.26 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.

Public record

CMS Care Compare · Source data August 2026

Certification

  • Medicare-certified (CMS Certification Number on file)

Ratings

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

59

Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

3.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV

Staffing rating

2.0

Quality-measure rating

5.0

Inspections on record

2

Cited deficiencies

50

Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV

Staffing rating

Not published

Quality-measure rating

Not published

Inspections on record

Not published

Cited deficiencies

Not published

2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV

Staffing rating

2.0

Quality-measure rating

4.0

Inspections on record

2

Cited deficiencies

59

Inspection history (62)

Records from February 2023 to June 2026.

  • April 18, 2025 · D

    Citation F0693

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0693 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · E

    Citation F0812

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0690

    Federal surveyors cited this nursing home on 2025-04-18 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0655

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0655 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0689

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · B

    Citation F0582

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0582 (CMS scope/severity B: pattern, no actual harm, potential for minimal harm) for Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0694

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0694 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide for the safe, appropriate administration of IV fluids for a resident when needed. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · E

    Citation F0880

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0880 (CMS scope/severity E: pattern, 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0942

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0942 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0695

    Federal surveyors cited this nursing home on 2025-04-18 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0941

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0941 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0583

    Federal surveyors cited this nursing home on 2025-04-18 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0949

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0949 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide behavior health training consistent with the requirements and as determined by a facility assessment. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0656

    Federal surveyors cited this nursing home on 2025-04-18 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · E

    Citation F0940

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0940 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop, implement, and/or maintain an effective training program for all new and existing staff members. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · E

    Citation F0946

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0946 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide training in compliance and ethics. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · D

    Citation F0947

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0947 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. The deficiency was recorded as corrected on 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • April 18, 2025 · E

    Citation F0761

    Federal surveyors cited this nursing home on 2025-04-18 under CMS tag F0761 (CMS scope/severity E: pattern, 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 2025-04-19. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-18.GOV
  • January 17, 2025 · D

    Citation F0761

    Federal surveyors cited this nursing home on 2025-01-17 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 2025-01-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV
  • January 17, 2025 · D

    Citation F0880

    Federal surveyors cited this nursing home on 2025-01-17 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 2025-01-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-17.GOV

Penalties (3)

Total fines on file: $113,981

  • October 10, 2025 · Fine

    Citation FINE-136513

    CMS recorded a civil money penalty of $16,149 against this nursing home on 2025-10-10 (Fine ID: 136513). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-10-10.GOV
  • April 27, 2025 · Fine

    Citation FINE-113804

    CMS recorded a civil money penalty of $15,156 against this nursing home on 2025-04-27 (Fine ID: 113804). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-04-27.GOV
  • December 22, 2023 · Fine

    Citation FINE-112055

    CMS recorded a civil money penalty of $82,676 against this nursing home on 2023-12-22 (Fine ID: 112055). Source: CMS Care Compare Penalties (as of 2026-07-01).

    View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-12-22.GOV

Staffing

Latest: 3.26 nurse staffing hours per resident per day (2026Q1)

Staffing trend (5 periods)

  1. 2025Q43.38 hrs/resident/day
  2. 2026-06-013.38 hrs/resident/day
  3. 2026-07-013.26 hrs/resident/day
  4. 2026-08-013.26 hrs/resident/day
  5. 2026Q13.26 hrs/resident/day

Most recent period is lower than 2025Q4 (-0.12 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.

Ownership

For profit

CMS Care Compare chain: Creative Solutions in Healthcare

Chain ID 169 · 149 facilities in chain (CMS)

  • Chain average overall rating: 2.1
  • Chain average health inspection rating: 2.7
  • Chain average staffing rating: 1.1
  • Chain average quality measure rating: 3.2

Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.

Recent changes to this listing

Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.

Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.

  1. Sep 1, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  2. Sep 1, 2026Ownership changed

    The source now records ownership as "Government - Hospital district".

    Reported by CMS nursing homes (provider info)

  3. Aug 6, 2026Ownership changed

    The source now records ownership as "For profit".

    Reported by CMS nursing homes (ownership)

  4. Aug 5, 2026Ownership changed

    The source now records ownership as "Government - Hospital district".

    Reported by CMS nursing homes (provider info)

  5. Jul 24, 2026Ownership changed

    The source now records ownership as "For profit - Corporation".

    Reported by CMS nursing homes (provider info)

Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.

Typical cost

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/mo
See full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025

Nearby alternatives

Other licensed providers in Schertz, with their own public records.

Compare side by side

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.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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Trust & methodology

Where this information came from

Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.

CMS nursing homes (provider info)as of August 2026
Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
CMS nursing homes (ownership)as of July 2026
Ownership type, Parent organization
CMS enrollmentas of July 2026
NPI
CMS nursing homes (payroll-based journal staffing)as of June 2026
Staffing hours per resident day

Read how we handle every file on the data sources page.

Silver Tree Nursing and Rehabilitation Center in Schertz, TX · Inspections page 2 · ElderCareCosts