Public Record
Silver Tree Nursing and Rehabilitation Center
Operated by Creative Solutions In Healthcare
From CMS
Facility profile
- CMS overall rating
- 3 / 5
- Certified beds
- 120
- Avg. residents per day
- 93.8
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Health citations
- 53
- Fire safety findings
- 11
- Inspections on file
- 15
- Last inspection
- 2026-01-28
*CMS
*CMS
*CMS
*CMS
Citations
53 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0689Seriousimmediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0580Seriousimmediate jeopardy
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 0684Seriousimmediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 0582Generalno actual harm
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- 0583Generalpotential for harm
Keep residents' personal and medical records private and confidential.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0689Generalpotential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0693Generalpotential for harm
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.
- 0694Generalpotential for harm
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0761Generalpotential for harm
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.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0940Generalpotential for harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
- 0941Generalpotential for harm
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
- 0942Generalpotential for harm
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- 0946Generalpotential for harm
Provide training in compliance and ethics.
- 0947Generalpotential for harm
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
- 0949Generalpotential for harm
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- 0761Generalpotential for harm
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.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0602Generalpotential for harm
Protect each resident from the wrongful use of the resident's belongings or money.
- 0600Generalpotential for harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0657Generalpotential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- 0693Generalpotential for harm
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.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0761Generalpotential for harm
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.
- 0805Generalpotential for harm
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- 0812Generalpotential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0558Generalpotential for harm
Reasonably accommodate the needs and preferences of each resident.
- 0638Generalpotential for harm
Assure that each resident’s assessment is updated at least once every 3 months.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0686Seriousimmediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- 0842Generalpotential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- 0641Generalpotential for harm
Ensure each resident receives an accurate assessment.
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- View inspection reportInspection
- View inspection reportInspection
- Inspection3 deficiencies
676121 01/28/2026 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0641 Ensure each resident receives an accurate assessment. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**…
Read full statement of deficiencies - Inspection1 deficiency
676121 12/01/2025 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and…
Read full statement of deficiencies - Inspection3 deficiencies
676121 10/10/2025 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Develop and implement a complete care plan that meets all the resident's needs, with timetables and…
Read full statement of deficiencies - Inspection2 deficiencies
676121 04/27/2025 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0580 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few Immediately tell the resident, the resident's doctor, and a family member of situations…
Read full statement of deficiencies - Inspection19 deficiencies
676121 04/18/2025 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0582 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Level of Harm - Potential for minimal harm **NOTE- TERMS IN BRACKETS HAVE BEEN…
Read full statement of deficiencies - View inspection reportInspectionFire Safety7 deficiencies
- Inspection4 deficiencies
676121 01/17/2025 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical…
Read full statement of deficiencies - Inspection1 deficiency
676121 06/14/2024 Silver Tree Nursing and Rehabilitation Center 930 Roy Richard Dr Schertz, TX 78154 F 0842 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Safeguard resident-identifiable information and/or maintain medical records on each resident that are…
Read full statement of deficiencies
Showing the 10 most recent inspections. 7 earlier inspections are also on record.
Ownership
Creative Solutions In Healthcare
149nursing homes nationwide, in CMS records
All 149 are in Texas.
Counted from the chain CMS itself discloses for this home, which matches CMS Care Compare. ReadyRule's own common-control analysis is a separate and broader lens, and the two can differ.
FAQ
Questions and answers
- What is Silver Tree Nursing and Rehabilitation Center?
- Silver Tree Nursing and Rehabilitation Center is a Medicare- and Medicaid-certified nursing home in Schertz, TX, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 676121.
- What is the CMS rating for Silver Tree Nursing and Rehabilitation Center?
- Silver Tree Nursing and Rehabilitation Center has a CMS overall rating of 3 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Silver Tree Nursing and Rehabilitation Center have?
- Silver Tree Nursing and Rehabilitation Center is certified for 120 beds. It serves an average of 93.8 residents per day.
- How many citations does Silver Tree Nursing and Rehabilitation Center have?
- Silver Tree Nursing and Rehabilitation Center has 53 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Silver Tree Nursing and Rehabilitation Center last inspected?
- Silver Tree Nursing and Rehabilitation Center was last inspected on January 28, 2026. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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