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Silver Tree Nursing And Rehabilitation Center

930 Roy Richard Dr, Schertz, TX 781542105669100Ownership: Government - Hospital districtCertified beds: 120Avg. daily residents: 97Chain: Creative Solutions In Healthcare (149 facilities)County: Guadalupe

The complete public record on Silver Tree Nursing And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Schertz, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Silver Tree Nursing And Rehabilitation Center holds a 2-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 93% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $114,303 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.26 total nurse staff hours per resident per day
about the state average (3.39)
0.53 RN hours per resident per day
above the state average (0.43)
3.02 weekend nurse staff hours per resident per day
93.3% total nursing staff turnover
above the state average (55.3)
80.0% RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

June 12, 2026 most recent standard health inspection
17 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
42 health deficiencies in the two prior cycles combined
$114,303 in federal fines across 3 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

60 citations on record across recent inspections, 4 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 12, 20260641Ensure each resident receives an accurate assessment.E · Potential for more than minimal harm
June 12, 20260656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E · Potential for more than minimal harm
June 12, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E · Potential for more than minimal harm
June 12, 20260761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all…E · Potential for more than minimal harm
June 12, 20260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted…E · Potential for more than minimal harm
June 12, 20260558Reasonably accommodate the needs and preferences of each resident.D · Potential for more than minimal harm
June 12, 20260640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D · Potential for more than minimal harm
June 12, 20260645PASARR screening for Mental disorders or Intellectual DisabilitiesD · Potential for more than minimal harm
June 12, 20260657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health…D · Potential for more than minimal harm
June 12, 20260880Provide and implement an infection prevention and control program.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.