SILVER TREE NURSING AND REHABILITATION CENTER

930 ROY RICHARD DR, SCHERTZ, TX 78154 · CCN 676121 · 120 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2025-10-10 — IMMEDIATE JEOPARDY (tag F0689, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

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

2025-04-27 — IMMEDIATE JEOPARDY (tag F0684, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

2025-04-27 — IMMEDIATE JEOPARDY (tag F0580, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

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

2023-12-22 — IMMEDIATE JEOPARDY (tag F0686, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Staffing, from payroll records

Nursing hours / resident / day

2.58

state median 2.67

Weekend staffing gap

+4%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.47

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

93%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

3 enforcement action(s), totaling $113,981 in fines.

Date	Type	Amount
2025-10-10	Fine	$16,149
2025-04-27	Fine	$15,156
2023-12-22	Fine	$82,676

Ownership

Ownership type: Government - Hospital district. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) — CMS overall1 of 5
MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) — CMS overall1 of 5
Mountain View Health & Rehabilitation (El Paso, TX) — CMS overall1 of 5
Vista Hills Health Care Center (El Paso, TX) — CMS overall1 of 5
Pleasant Springs Healthcare Center (Mount Pleasant, TX) — CMS overall1 of 5
AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) — CMS overall3 of 5
HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) — CMS overall2 of 5
MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 55 · Immediate jeopardy: 4

Survey date	Tag	Category	Severity	Corrected
2026-06-12	F0558	Resident Rights Deficiencies	D	not recorded
2026-06-12	F0640	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-06-12	F0641	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-06-12	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-06-12	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-06-12	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-06-12	F0755	Pharmacy Service Deficiencies	E	not recorded
2026-06-12	F0761	Pharmacy Service Deficiencies	E	not recorded
2026-06-12	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2026-06-12	F0880	Infection Control Deficiencies	D	not recorded
2026-01-28	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-28	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2026-01-28	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-01	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-10-10	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-10-10	F0689	Quality of Life and Care Deficiencies	J	not recorded
2025-10-10	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-27	F0580	Resident Rights Deficiencies	J	not recorded
2025-04-27	F0684	Quality of Life and Care Deficiencies	J	not recorded
2025-04-18	F0582	Resident Rights Deficiencies	B	not recorded
2025-04-18	F0583	Resident Rights Deficiencies	D	not recorded
2025-04-18	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-18	F0655	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-18	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-04-18	F0689	Quality of Life and Care Deficiencies	D	not recorded
2025-04-18	F0690	Quality of Life and Care Deficiencies	D	not recorded
2025-04-18	F0693	Quality of Life and Care Deficiencies	D	not recorded
2025-04-18	F0694	Quality of Life and Care Deficiencies	D	not recorded
2025-04-18	F0695	Quality of Life and Care Deficiencies	D	not recorded
2025-04-18	F0761	Pharmacy Service Deficiencies	E	not recorded
2025-04-18	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-04-18	F0880	Infection Control Deficiencies	E	not recorded
2025-04-18	F0940	Administration Deficiencies	E	not recorded
2025-04-18	F0941	Administration Deficiencies	D	not recorded
2025-04-18	F0942	Resident Rights Deficiencies	D	not recorded
2025-04-18	F0946	Administration Deficiencies	E	not recorded
2025-04-18	F0947	Nursing and Physician Services Deficiencies	D	not recorded
2025-04-18	F0949	Administration Deficiencies	D	not recorded
2025-01-17	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-01-17	F0602	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2025-01-17	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-01-17	F0880	Infection Control Deficiencies	D	not recorded
2024-06-14	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-07	F0558	Resident Rights Deficiencies	D	not recorded
2024-03-07	F0638	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-07	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-07	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2024-03-07	F0657	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-07	F0693	Quality of Life and Care Deficiencies	D	not recorded
2024-03-07	F0695	Quality of Life and Care Deficiencies	D	not recorded
2024-03-07	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-03-07	F0805	Nutrition and Dietary Deficiencies	D	not recorded
2024-03-07	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-03-07	F0842	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-07	F0880	Infection Control Deficiencies	D	not recorded
2024-02-01	F0880	Infection Control Deficiencies	D	not recorded
2023-12-22	F0686	Quality of Life and Care Deficiencies	J	not recorded
2023-12-22	F0695	Quality of Life and Care Deficiencies	D	not recorded
2023-12-22	F0842	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-12-22	F0880	Infection Control Deficiencies	D	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “SILVER TREE NURSING AND REHABILITATION CENTER, SCHERTZ” at medicare.gov/care-compare.