Nursing home
Silver Tree Nursing and Rehabilitation Center
930 Roy Richard Dr, Schertz, TX 78154 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 120 certified beds
Silver Tree Nursing and Rehabilitation Center is a Medicare-certified nursing home in Schertz, Texas. CMS rates it 2 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.59 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Apr 18, 2025 cited 28 deficiencies.
- 3 fines totaling $122,677In CMS records: 3 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Silver Tree Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.59 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.67 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.90 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 62.8% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 28.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 3 fines totaling $122,677, 3 total penalties.
What inspectors found at Silver Tree Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Jan 28, 2026 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Dec 1, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Oct 10, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Oct 10, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Oct 10, 2025 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Apr 27, 2025 · Full report (PDF) - Immediate jeopardy
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Apr 27, 2025 · Full report (PDF) - Potential for harm
Provide training in compliance and ethics.
Administration Deficiencies · Apr 18, 2025 · Full report (PDF) - Potential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · Apr 18, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Apr 18, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 930 Roy Richard Dr
Schertz, TX 78154 - CMS certification #
- 676121
- Ownership
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 88.3
- Provider type
- Medicare and Medicaid
- First certified
- 2006-11-21
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Urban
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Silver Tree Nursing and Rehabilitation Center using Google Maps.
Other public records
- Staff pay 1 federal wage case with violations found, since 2018
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Jun 18, 2018 to Jun 17, 2020. Violations found: Family and medical leave. Employer as DOL recorded it: Creative Solutions/Silver Tree Nursing & Reha (Schertz I Enterprises LLC). Case 1911169.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Baptist Neighborhood Hospital Thousand Oaks, San Antonio. 13.1 miles away, straight line. CMS overall hospital rating: 5 of 5 stars.
- Nearest Medicare nursing home
- Avir at Schertz, Schertz. 3.1 miles away, straight line.
- Nearest home health agency office
- Jonsan Home Health Inc., Schertz. 3.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 2.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78154 as metropolitan (metropolitan core).
- Dialysis within 15 miles
- Fkc Schertz, Schertz, 0.6 miles away, straight line (CMS rating 4 of 5 stars)
Usrc Schertz, Schertz, 2.4 miles away, straight line (CMS rating 1 of 5 stars)
Fmc - Village Oaks Kidney Disease Clinic, Live Oak, 5.2 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 96 Medicare hospices tell CMS they serve ZIP code 78154.
All Seasons Hospice Of Texas, office in San Antonio, 6.7 miles away, straight line
Journeys Hospice Of Texas LLC, office in San Antonio, 8.7 miles away, straight line
Guiding Light Hospice Inc, office in San Antonio, 11.1 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Tmc Provider Group PLLC, San Antonio. 15.2 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively moderate, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here very low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Silver Tree Nursing and Rehabilitation Center a good nursing home?
CMS gives Silver Tree Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Silver Tree Nursing and Rehabilitation Center staffed?
Silver Tree Nursing and Rehabilitation Center reports 3.59 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Silver Tree Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 28 deficiencies.
How many beds does Silver Tree Nursing and Rehabilitation Center have?
Silver Tree Nursing and Rehabilitation Center is certified for 120 beds.