Silver Tree Nursing and Rehabilitation Center

Nursing Home · Schertz, TX

CMS overall rating 2/5 Government - Hospital district

CMS certification number676121

Contact & location

930 Roy Richard DR
Schertz, TX 78154
Guadalupe County
Phone
(210) 566-9100
ZIP code
78154 – all care providers

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Facility details

Certified beds
120
Residents per day
97.2 (81% occupied)
Ownership
Government - Hospital district
Legal name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare (149 facilities, avg 2.1★)
Medicare certified since
November 21, 2006
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 2/5
State avg 2.6
Health inspections★★★★★ 2/5
State avg 2.8
Staffing★★★★★ 2/5
State avg 1.9
Quality measures★★★★★ 4/5
State avg 3.7
Long-stay quality★★★★★ 5/5
Short-stay quality★★★★★ 3/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.26 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.53 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.93 (state 0.95 · U.S. 0.86)
Nurse aides
1.80 (state 2.00 · U.S. 2.32)
Weekend total
3.02 (state 2.98 · U.S. 3.42)
Nursing staff turnover
93.3 (state 55.3 · U.S. 45.8)%
RN turnover
80.0 (state 54.6 · U.S. 42.9)%
Administrators who left
1 in the last year

Inspections

Last standard inspection
June 12, 2026
Health deficiencies (last cycle)
17.0 (state 9.3 · U.S. 9.3)
From complaints
7
Infection control citations
4
Citations on record (3 years)
60 health · 16 fire safety · includes immediate jeopardy
DateCitationSeverityStatus
2026-06-12 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 PASARR screening for Mental disorders or Intellectual Disabilities
F0645 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-06-12 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-06-13
2026-01-28 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-29
2026-01-28 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-29
2026-01-28 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-29
2025-12-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-12-02
2025-10-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-08-29
2025-10-10 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-11
2025-10-10 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-10-11
2025-04-27 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-04-25
2025-04-27 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · complaint inspection		 J
Immediate jeopardy to resident health or safety		 Corrected 2025-04-25
2025-04-18 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.
F0761 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Develop, implement, and/or maintain an effective training program for all new and existing staff members.
F0940 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Provide training in compliance and ethics.
F0946 · Administration Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F0690 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Provide for the safe, appropriate administration of IV fluids for a resident when needed.
F0694 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
F0941 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
F0942 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
F0947 · Nursing and Physician Services Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Provide behavior health training consistent with the requirements and as determined by a facility assessment.
F0949 · Administration Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-04-19
2025-04-18 Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies		 B
No actual harm, potential for minimal harm		 Corrected 2025-04-19
2025-01-17 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-18
2025-01-17 Protect each resident from the wrongful use of the resident's belongings or money.
F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-08-01
2025-01-17 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.
F0761 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-18
2025-01-17 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-01-18
2024-06-14 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-06-15
2024-03-07 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-03-07 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-03-07 Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-03-07 Assure that each resident’s assessment is updated at least once every 3 months.
F0638 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-03-07 Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-03-07 Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08
2024-03-07 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.
F0693 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2024-03-08

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $114,303 in fines.

DateTypeAmount
2025-10-10Fine$16,471
2025-04-27Fine$15,156
2023-12-22Fine$82,676

Ownership & management

NameRoleSince
Blake, Gary (individual)Administrator · NOT APPLICABLE
Kasperkhan, Jibrail (individual)Administrator · NOT APPLICABLE
Linahan, Kori (individual)Administrator · NOT APPLICABLE
Schertz I Enterprises, LLC (organization)Administrator · NOT APPLICABLE
Huggins, Linda (individual)Corporate Director · NOT APPLICABLE
Willig, Zachary (individual)Corporate Director · NOT APPLICABLE
Thompson, Johnny (individual)Corporate Officer · NOT APPLICABLE
Bowers, Sean (individual)Managing Control - Governing Body · NOT APPLICABLE
Cisneros, Alfred (individual)Managing Control - Governing Body · NOT APPLICABLE
Cobb, Travis (individual)Managing Control - Governing Body · NOT APPLICABLE
Cooper, Stephen (individual)Managing Control - Governing Body · NOT APPLICABLE
Hardin, Sherrie (individual)Managing Control - Governing Body · NOT APPLICABLE
Kerzee, Richard (individual)Managing Control - Governing Body · NOT APPLICABLE
Korenek, Patricia (individual)Managing Control - Governing Body · NOT APPLICABLE
Soechting, Paul (individual)Managing Control - Governing Body · NOT APPLICABLE
Strack, Joe (individual)Managing Control - Governing Body · NOT APPLICABLE
Blake, Gary (individual)Operational/managerial Control · NOT APPLICABLE
Blake, Malisa (individual)Operational/managerial Control · NOT APPLICABLE
Schertz I Enterprises, LLC (organization)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

What is the rating of Silver Tree Nursing and Rehabilitation Center?

Silver Tree Nursing and Rehabilitation Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Silver Tree Nursing and Rehabilitation Center have?

It has 120 certified beds and cares for about 97 residents per day.

Has Silver Tree Nursing and Rehabilitation Center been fined?

Yes. CMS lists 3 penalties totaling $114,303 in the last three years.

Who owns Silver Tree Nursing and Rehabilitation Center?

It is part of Creative Solutions in Healthcare and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.

What is the phone number of Silver Tree Nursing and Rehabilitation Center?

(210) 566-9100. The facility is located at 930 Roy Richard DR, Schertz, TX 78154.

Other nursing homes in Schertz

Compare all nursing homes in Schertz, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.