Silver Tree Nursing And Rehabilitation Center
Schertz, TX · Medicare and Medicaid-certified nursing home (CCN 676121) · 120 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 2
Federal fines: 3 totaling $114,303
Phone: (210) 566-9100 · Verify on Medicare Care Compare ↗
Silver Tree Nursing And Rehabilitation Center has a CMS overall rating of 2 out of 5 stars, below the Texas state average of 2.65 stars. Its health inspection rating is 2 stars and its staffing rating is 2 stars.
Silver Tree reports total nurse staffing of 3.26 hours per resident per day, including 0.53 RN hours per resident per day, with a staffing star rating of 2 out of 5. Nursing staff turnover is reported at 93.3 percent.
CMS records show 3 federal fines totaling $114,303.00 against Silver Tree Nursing And Rehabilitation Center, with 0 payment denials on record. There is no abuse icon or Special Focus designation noted for this facility in the available data.
About this facility
Silver Tree Nursing And Rehabilitation Center is a government (hospital district)-owned nursing home in Schertz, Guadalupe County, Texas, certified for both Medicare and Medicaid since November 2006. The facility is licensed for 120 certified beds and has an average daily census of 97.2 residents.
CMS Care Compare assigns Silver Tree an overall star rating of 2 out of 5, below the Texas state average of 2.65. Its component ratings are: health inspection 2 stars, quality measures 4 stars, and staffing 2 stars.
Nurse staffing data show total nurse hours of 3.26 per resident per day, including 0.53 RN hours per resident per day. Nursing staff turnover is reported at 93.3%, a notably high figure.
On the penalty record, CMS lists 3 federal fines totaling $114,303.00 against this facility, and 0 payment denials.
Silver Tree is part of the Creative Solutions In Healthcare chain, which operates 149 facilities nationally with an average chain rating of 2.1 stars. Ownership has not changed in the past 12 months, so current ratings reflect the current operator.
Families should independently review the current inspection and penalty record on Medicare Care Compare, as CMS updates its data periodically. This profile is based on CMS Care Compare data.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Silver Tree has an overall rating of 2 out of 5 stars, which is below the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
Silver Tree is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.26 hours per resident per day, including 0.53 RN hours per resident per day, with a staffing turnover rate of 93.3%. CMS rates staffing at 2 out of 5 stars.
Does this facility have federal fines or penalties on record?
Yes, CMS lists 3 fines totaling $114,303.00, and 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus status for this facility.
How large is this facility and how many residents live there?
Silver Tree is certified for 120 beds and has an average daily census of 97.2 residents.
Who owns this facility — and is it part of a chain?
It is owned by a government hospital district and is part of the Creative Solutions In Healthcare chain, which includes 149 facilities with an average rating of 2.1 stars.
How long has this facility been Medicare/Medicaid certified?
Silver Tree has been certified since November 21, 2006.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures — which combine to form the overall score; Silver Tree scores 2, 2, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The provided data does not specify service lines; contact the facility at 2105669100 and verify details on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 2105669100 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can review the most current data at https://www.medicare.gov/care-compare/details/nursing-home/676121?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.