SILVER TREE NURSING AND REHABILITATION CENTER
930 ROY RICHARD DR, SCHERTZ, TX 78154 · CCN 676121
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★★★☆☆ 3
Facility
- Ownership type
- For profit - Corporation
- Certified beds
- 120
- Avg residents/day
- 88.3
- Phone
- 2105669100
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-04-18 | 28 | 9.1 | 9.5 | +18.9 worse |
| 2 | 2024-03-07 | 17 | 9.4 | 9.8 | +7.6 worse |
| 3 | 2023-02-03 | 8 | 8.1 | 9.3 | -0.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 7 |
| Resident assessment and care planning | 9 |
| Nursing and physician services | 1 |
| Resident rights | 4 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
| Administration | 4 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.59 | 62.8% |
| RN staffing (reported) | 0.67 | 53.8% |
| Total nurse staffing (adjusted) | 4.00 | — |
Fines & penalties
- Total fines
- $122,677
- Number of fines
- 3
- Number of penalties
- 3
- Payment denials
- 0
Chain
- Chain
- CREATIVE SOLUTIONS IN HEALTHCARE
- Facilities in chain
- 149
- Chain avg overall
- 2.70 / 5
Inspection citations (53)4 immediate jeopardy
- DF0641Ensure each resident receives an accurate assessment.2026-01-28 · Health · corrected 2026-01-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2026-01-28 · Health · corrected 2026-01-29
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-28 · Health · corrected 2026-01-29
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-12-01 · Health · corrected 2025-12-02
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-10-10 · Health · corrected 2025-10-11
Potential for more than minimal harm
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-10-10 · Health · corrected 2025-08-29
Immediate jeopardy
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-10-10 · Health · corrected 2025-10-11
Potential for more than minimal harm
- JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-04-27 · Health · corrected 2025-04-25
Immediate jeopardy
- JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-27 · Health · corrected 2025-04-25
Immediate jeopardy
- BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-04-18 · Health · corrected 2025-04-19
Potential for minimal harm
- DF0583Keep residents' personal and medical records private and confidential.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0693Ensure 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.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- EF0761Ensure 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.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- EF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- EF0946Provide training in compliance and ethics.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0949Provide behavior health training consistent with the requirements and as determined by a facility assessment.2025-04-18 · Health · corrected 2025-04-19
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-17 · Health · corrected 2025-01-18
Potential for more than minimal harm
- DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-01-17 · Health · corrected 2024-08-01
Potential for more than minimal harm
- DF0761Ensure 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.2025-01-17 · Health · corrected 2025-01-18
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2025-01-17 · Health · corrected 2025-01-18
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-06-14 · Health · corrected 2024-06-15
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0693Ensure 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.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0761Ensure 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.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-03-07 · Health · corrected 2024-03-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2024-02-01 · Health · corrected 2024-02-02
Potential for more than minimal harm
- JF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-22 · Health · corrected 2024-01-31
Immediate jeopardy
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2023-12-22 · Health · corrected 2023-12-23
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-12-22 · Health · corrected 2023-12-23
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-22 · Health · corrected 2023-12-23
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-05-14 · Health · corrected 2023-05-16
Potential for more than minimal harm
- DF0641Ensure each resident receives an accurate assessment.2023-02-03 · Health · corrected 2023-02-04
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-03 · Health · corrected 2023-02-06
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| WEST WHARTON COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-06-01 |
| SCHERTZ I ENTERPRISES, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-09-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-06-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| THOMPSON, JOHNNY | Individual | CORPORATE OFFICER | — | 2024-01-01 |
Other facilities in SCHERTZ
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.