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Silver Tree Nursing And Rehabilitation Center

Nursing Home Facility

930 Roy Richard Dr, Schertz, TX 78154

Nursing Home Care Senior Living
Silver Tree Nursing And Rehabilitation Center

Silver Tree Nursing And Rehabilitation Center is a senior care community located in Schertz, TX. It provides nursing home care and senior living for older adults in the Schertz area. To learn more or schedule a tour, call (210) 566-9100.

Operated by Creative Solutions in Healthcare, which runs 121 communities in our directory.

Employer rating 2.8 out of 5 254 reviews from their own employees on Indeed. See what they say.

With 120 beds, Silver Tree Nursing And Rehabilitation Center is one of the larger communities in the area, senior care communities in Schertz average about 76 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.

Federal reporting puts occupancy at about 81% of its licensed beds. That is above the Schertz average of roughly 73%.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in June 2026 and recorded 17 deficiencies.

Residents receive about 3.3 hours of nursing care per day on average, including 0.5 hours from a registered nurse. Nursing staff turnover over the past year was about 93%, which is high and can affect continuity of care.

The community is located in Guadalupe County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 2/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 60 problems at Silver Tree Nursing And Rehabilitation Center. 4 findings involved harm to a resident, including 4 that put residents in immediate danger. 30 came from investigating complaints by residents or families.

In the last three years Medicare fined this home 3 times, a total of $114,303.

Findings from the most recent inspection cycle

  • Put residents in immediate danger, one or a few residents Quality of Life and Care

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

    Inspected October 2025, after a complaint. Corrected by August 29, 2025.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    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.

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, a pattern Resident Assessment and Care Planning

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

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

    Reasonably accommodate the needs and preferences of each resident.

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Inspected June 2026. Corrected by June 13, 2026.

Show 9 more
  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    PASARR screening for Mental disorders or Intellectual Disabilities

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected June 2026. Corrected by June 13, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected January 2026, after a complaint. Corrected by January 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected January 2026, after a complaint. Corrected by January 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected January 2026, after a complaint. Corrected by January 29, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected December 2025, after a complaint. Corrected by December 2, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected October 2025, after a complaint. Corrected by October 11, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected October 2025, after a complaint. Corrected by October 11, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Silver Tree Nursing And Rehabilitation Center offers nursing home care and senior living.

Facility details

  • Organization type For profit - Individual
  • Beds / units 120
  • Occupancy 81%
  • Nursing hours per resident/day 3.3
  • Annual staff turnover 93%
  • Last health inspection June 2026

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