Nursing Homes · Schertz, TX
Nursing Homes · Medicare certified
Silver Tree Nursing and Rehabilitation Center
930 Roy Richard Dr · Schertz, TX 78154 · 120 certified beds
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About Silver Tree Nursing and Rehabilitation Center
Silver Tree Nursing and Rehabilitation Center is a nursing home in Schertz, Texas. Its capacity is 120 beds, the same as the Guadalupe County median for nursing homes. It is run by a for-profit operator and is part of Creative Solutions in Healthcare. It is Medicare certified. Its public inspection record shows 62 citations, the most recent on June 12, 2026. CMS also lists 3 fines or payment denials against it. Nurse staffing averages 3.23 hours per resident per day. It is one of 2 nursing homes listed in Schertz. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
1.0Staffing
2.0Quality measures
4.0CMS Care Compare, October 2026.
Inspection history (62)
Records from February 2023 to June 2026.
January 17, 2025
Tag F0602Protect each resident from the wrongful use of the resident's belongings or money.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 1, 2024.
January 17, 2025
Tag F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 18, 2025.
June 14, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 15, 2024.
March 7, 2024
Tag F0638Assure that each resident’s assessment is updated at least once every 3 months.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0693Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0761Ensure 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.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
March 7, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 8, 2024.
February 1, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 2, 2024.
December 22, 2023
Tag F0695Provide safe and appropriate respiratory care for a resident when needed.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 23, 2023.
December 22, 2023
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected December 23, 2023.
December 22, 2023
Tag F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity J: isolated, immediate jeopardy. Corrected January 31, 2024.
December 22, 2023
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected December 23, 2023.
Penalties (3)
Total fines: $113,981
October 10, 2025 · Fine
CMS recorded a civil money penalty of $16,149 against this nursing home on October 10, 2025.
April 27, 2025 · Fine
CMS recorded a civil money penalty of $15,156 against this nursing home on April 27, 2025.
December 22, 2023 · Fine
CMS recorded a civil money penalty of $82,676 against this nursing home on December 22, 2023.
Staffing
3.23 nurse hours per resident per day in Q2 2026, down from 3.38 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
For profit
Part of Creative Solutions in Healthcare, a chain of 150 nursing homes.
Average CMS star ratings across the chain: 2.3 overall, 2.7 for health inspections, 1.4 for staffing, 3.4 for quality measures.
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
Nearby alternatives
Other licensed providers in Schertz.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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