Silver Tree Nursing and Rehabilitation Center
930 Roy Richard Dr · Schertz, TX · 78154 · 2105669100
120 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $31,305 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
98% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.38 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.59 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 98% | median 45% |
| Fines (3-yr window) | 3 · $113,981 |
Inspection citations (52 in the current record)
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Potential for harm · D January 28, 2026 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected January 29, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected January 29, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 28, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 29, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 2, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J October 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 29, 2025 · Quality of Life and Care
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Potential for harm · D October 10, 2025 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected October 11, 2025 · Resident Assessment and Care Planning
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Potential for harm · D October 10, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected October 11, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J April 27, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 25, 2025 · Resident Rights
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Immediate jeopardy · J April 27, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Keep residents' personal and medical records private and confidential.
Corrected April 19, 2025 · Resident Rights
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Potential for harm · D April 18, 2025
Ensure each resident receives an accurate assessment.
Corrected April 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2025
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 19, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 18, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
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.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · D April 18, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · E April 18, 2025
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.
Corrected April 19, 2025 · Pharmacy Service
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Potential for harm · E April 18, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 19, 2025 · Nutrition and Dietary
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Potential for harm · E April 18, 2025
Provide and implement an infection prevention and control program.
Corrected April 19, 2025 · Infection Control
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Potential for harm · E April 18, 2025
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected April 19, 2025 · Administration
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Potential for harm · D April 18, 2025
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected April 19, 2025 · Administration
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Potential for harm · D April 18, 2025
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected April 19, 2025 · Resident Rights
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Potential for harm · E April 18, 2025
Provide training in compliance and ethics.
Corrected April 19, 2025 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 10, 2025 | Fine | $16,149 |
| April 27, 2025 | Fine | $15,156 |
| December 22, 2023 | Fine | $82,676 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676121 · certified since November 21, 2006. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.