Nursing Home Alerts

Silver Tree Nursing and Rehabilitation Center

930 Roy Richard Dr, Schertz, TX 78154

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Silver Tree Nursing and Rehabilitation Center is a nursing home in Schertz, Texas. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

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CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

  1. CMS update of October 28, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  2. CMS update of October 8, 2026

    • Fine

      CMS changed the fine from October 10, 2025 from $16,149 to $16,471.

  3. Health inspection on August 6, 2026

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on August 31, 2026.

      CMS has cited this home for F0656 7 times since 2024.

    See this home on CMS Care Compare

  4. CMS update of July 29, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS quality measures star rating changed from 5 of 5 to 4 of 5.

  5. CMS update of June 24, 2026

    • Fine

      CMS changed the fine from October 10, 2025 from $24,845 to $16,149.

  6. Health inspection on June 12, 2026

    10 citations

    CMS lists this as a standard inspection.

    Show the 10 citations
    • Citation F0641. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on June 13, 2026.

      CMS has cited this home for F0641 4 times since 2024.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on June 13, 2026.

    • Citation F0755. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      CMS lists it as corrected on June 13, 2026.

    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on June 13, 2026.

      CMS has cited this home for F0761 4 times since 2024.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on June 13, 2026.

      CMS has cited this home for F0842 6 times since 2023.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on June 13, 2026.

      CMS has cited this home for F0558 2 times since 2024.

    • Citation F0640. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

      CMS lists it as corrected on June 13, 2026.

    • Citation F0645. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: PASARR screening for Mental disorders or Intellectual Disabilities

      CMS lists it as corrected on June 13, 2026.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on June 13, 2026.

      CMS has cited this home for F0657 2 times since 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on June 13, 2026.

      CMS has cited this home for F0880 6 times since 2023.

    See this home on CMS Care Compare

  7. Fire safety inspection on June 12, 2026

    8 citations

    CMS lists this as a standard inspection.

    Show the 8 citations
    • Citation E0020. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish policies and procedures including evacuation.

      CMS lists it as corrected on July 17, 2026.

    • Citation E0037. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Establish staff and initial training requirements.

      CMS lists it as corrected on July 24, 2026.

    • Citation K0918. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have generator or other power source capable of supplying service within 10 seconds.

      CMS lists it as corrected on June 10, 2026.

    • Citation K0222. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

      CMS lists it as corrected on June 13, 2026.

    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on July 17, 2026.

      CMS has cited this home for K0353 3 times since 2024.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on July 17, 2026.

      CMS has cited this home for K0372 2 times since 2025.

    • Citation K0374. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Install smoke barrier doors that can resist smoke for at least 20 minutes.

      CMS lists it as corrected on June 13, 2026.

    • Citation K0321. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

      CMS lists it as corrected on July 17, 2026.

    See this home on CMS Care Compare

  8. CMS update of May 27, 2026

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS health inspection star rating changed from 1 of 5 to 2 of 5.

  9. CMS update of April 29, 2026

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

  10. CMS update of March 25, 2026

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 1 of 5.

  11. CMS update of February 25, 2026

    • Fine

      CMS changed the fine from April 27, 2025 from $14,901 to $15,156.

  12. Health inspection on January 28, 2026

    3 citations

    CMS lists this as a complaint inspection.

    Show the 3 citations
    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on January 29, 2026.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 29, 2026.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on January 29, 2026.

    See this home on CMS Care Compare

  13. CMS update of January 14, 2026

    • Fine

      CMS changed the fine from April 27, 2025 from $22,925 to $14,901.

  14. Health inspection on December 1, 2025

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on December 2, 2025.

    See this home on CMS Care Compare

  15. CMS update of November 20, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS quality measures star rating changed from 4 of 5 to 5 of 5.

  16. Health inspection on October 10, 2025

    3 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $16,471 on October 10, 2025.

    Show the 3 citations
    • Citation F0689. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on August 29, 2025.

      CMS has cited this home for F0689 2 times since 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on October 11, 2025.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on October 11, 2025.

    See this home on CMS Care Compare

  17. CMS update of September 24, 2025

    • Star rating

      The CMS overall star rating changed from 1 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  18. CMS update of May 28, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 1 of 5.

    • Star rating

      The CMS health inspection star rating changed from 3 of 5 to 2 of 5.

  19. CMS update of April 30, 2025

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 1 of 5.

  20. Health inspection on April 27, 2025

    2 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    407 of 1,177 Texas homes (35%) got a citation at the immediate jeopardy level in 2025.

    CMS fine of $15,156 on April 27, 2025.

    Show the 2 citations
    • Citation F0580. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

      CMS lists it as corrected on April 25, 2025.

    • Citation F0684. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      CMS lists it as corrected on April 25, 2025.

    See this home on CMS Care Compare

  21. Health inspection on April 18, 2025

    19 citations

    CMS lists this as a standard inspection.

    Show the 19 citations
    • Citation F0761. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0812. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on April 19, 2025.

      CMS has cited this home for F0812 2 times since 2024.

    • Citation F0880. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0940. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Develop, implement, and/or maintain an effective training program for all new and existing staff members.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0946. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Provide training in compliance and ethics.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0583. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Keep residents' personal and medical records private and confidential.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0655. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

      CMS lists it as corrected on April 19, 2025.

    • Citation F0656. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on April 19, 2025.

    • Citation F0689. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0690. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on April 19, 2025.

      CMS has cited this home for F0693 2 times since 2024.

    • Citation F0694. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide for the safe, appropriate administration of IV fluids for a resident when needed.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on April 19, 2025.

      CMS has cited this home for F0695 3 times since 2023.

    • Citation F0941. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0942. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0947. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0949. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide behavior health training consistent with the requirements and as determined by a facility assessment.

      CMS lists it as corrected on April 19, 2025.

    • Citation F0582. Severity B: potential for minimal harm, pattern.

      The rule CMS cited: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

      CMS lists it as corrected on April 19, 2025.

    See this home on CMS Care Compare

  22. Fire safety inspection on April 18, 2025

    7 citations

    CMS lists this as a standard inspection.

    Show the 7 citations
    • Citation K0345. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Have approved installation, maintenance and testing program for fire alarm systems.

      CMS lists it as corrected on April 19, 2025.

    • Citation K0351. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Install an approved automatic sprinkler system.

      CMS lists it as corrected on April 19, 2025.

    • Citation K0353. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on April 19, 2025.

    • Citation K0355. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.

      CMS lists it as corrected on April 19, 2025.

    • Citation K0372. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      CMS lists it as corrected on April 19, 2025.

    • Citation K0511. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have properly installed electrical wiring and gas equipment.

      CMS lists it as corrected on April 19, 2025.

    • Citation K0923. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Have proper medical gas storage and administration areas.

      CMS lists it as corrected on April 19, 2025.

    See this home on CMS Care Compare

  23. CMS update of February 26, 2025

    • Star rating

      The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.

    • Star rating

      The CMS health inspection star rating changed from 2 of 5 to 3 of 5.

    • Star rating

      The CMS staffing star rating changed from 3 of 5 to 2 of 5.

    • Staffing

      Total nurse staffing reported to CMS went from 3.7 to 3.3 hours per resident per day.

  24. Health inspection on January 17, 2025

    4 citations

    CMS lists this as a complaint inspection.

    Show the 4 citations
    • Citation F0600. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

      CMS lists it as corrected on January 18, 2025.

    • Citation F0602. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Protect each resident from the wrongful use of the resident's belongings or money.

      CMS lists it as corrected on August 1, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on January 18, 2025.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on January 18, 2025.

    See this home on CMS Care Compare

  25. CMS update of October 30, 2024

    • Star rating

      The CMS staffing star rating changed from 2 of 5 to 3 of 5.

  26. CMS update of August 29, 2024

    • Fine

      CMS changed the fine from December 22, 2023 from $80,740 to $82,675.

  27. CMS update of June 26, 2024

    • Fine

      CMS changed the fine from December 22, 2023 from $124,215 to $80,740.

  28. Health inspection on June 14, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on June 15, 2024.

    See this home on CMS Care Compare

  29. Health inspection on March 7, 2024

    12 citations

    CMS lists this as a standard inspection and a complaint inspection.

    Show the 12 citations
    • Citation F0812. Severity F: potential for more than minimal harm, widespread.

      The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0656. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0558. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Reasonably accommodate the needs and preferences of each resident.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0638. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Assure that each resident’s assessment is updated at least once every 3 months.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0641. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives an accurate assessment.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0657. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0693. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0761. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: 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.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0805. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

      CMS lists it as corrected on March 8, 2024.

    • Citation F0842. Severity D: potential for more than minimal harm, isolated.

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

      CMS lists it as corrected on March 8, 2024.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on March 8, 2024.

    See this home on CMS Care Compare

  30. Fire safety inspection on March 7, 2024

    1 citation

    CMS lists this as a standard inspection.

    Show the 1 citation
    • Citation K0353. Severity E: potential for more than minimal harm, pattern.

      The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.

      CMS lists it as corrected on March 7, 2024.

    See this home on CMS Care Compare

  31. Health inspection on February 1, 2024

    1 citation

    CMS lists this as a complaint inspection.

    Show the 1 citation
    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on February 2, 2024.

    See this home on CMS Care Compare

  32. CMS update of January 31, 2024

    • Star rating

      The CMS overall star rating changed from 3 of 5 to 2 of 5.

    • Star rating

      The CMS health inspection star rating changed from 4 of 5 to 2 of 5.

    • Star rating

      The CMS staffing star rating changed from 1 of 5 to 2 of 5.

  33. Health inspection on December 22, 2023

    4 citations

    CMS lists this as a complaint inspection.

    Severity J is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.

    152 of 1,177 Texas homes (13%) got a citation at the immediate jeopardy level in 2023.

    CMS fine of $82,676 on December 22, 2023.

    Show the 4 citations
    • Citation F0686. Severity J: immediate jeopardy, isolated.

      The rule CMS cited: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      CMS lists it as corrected on January 31, 2024.

    • Citation F0842. Severity E: potential for more than minimal harm, pattern.

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

      CMS lists it as corrected on December 23, 2023.

    • Citation F0695. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.

      CMS lists it as corrected on December 23, 2023.

    • Citation F0880. Severity D: potential for more than minimal harm, isolated.

      The rule CMS cited: Provide and implement an infection prevention and control program.

      CMS lists it as corrected on December 23, 2023.

    See this home on CMS Care Compare

CMS star ratings

Facts from CMS

Phone
(210) 566-9100
Last standard health inspection
June 12, 2026 (4 months ago)
Certified beds
120
Residents per day, on average
92.9
Ownership type
Government - Hospital district
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare
Takes part in
Medicare and Medicaid

More health citations than the Texas average (61 vs 28).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

Questions

When was Silver Tree Nursing and Rehabilitation Center last inspected?

CMS lists June 12, 2026 as the date of its most recent standard health inspection.

How many citations (violations) does Silver Tree Nursing and Rehabilitation Center have?

CMS lists 61 health citations since December 22, 2023. CMS also calls these deficiencies.

Has Silver Tree Nursing and Rehabilitation Center been fined?

CMS lists 3 fines in the past three years, $114,303 in total.

What is the CMS star rating of Silver Tree Nursing and Rehabilitation Center?

Its CMS overall star rating is 1 of 5.

Is Silver Tree Nursing and Rehabilitation Center a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Schertz