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Nursing HomeMedicaid

Silver Creek Nursing and Rehabilitation

Strong Medicare quality ratings; families often praise compassionate and attentive rehabilitation/therapy staff. Still worth an in-person visit.

9014 Timber Path, Northwest · San Antonio, TX 78250120 bedsLicensed & Active
4/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 49 Google reviews

5
4
3
2
1
Silver Creek Nursing and Rehabilitation Nursing Home in San Antonio, TX — Street View
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What this means for your family

This facility is an excellent choice for rehabilitation, as many families report significant improvements in mobility and strength for their loved ones. However, you must perform your own due diligence regarding dietary protocols and night-shift supervision, as there are documented instances of serious medical errors and unresponsive overnight staff.

Google Reviews

Google Reviews

49 reviews on Google
Families considering Silver Creek Nursing and Rehabilitation will find a facility highly praised for its compassionate rehabilitation and therapy teams that significantly improve resident mobility. While many reviewers celebrate the warm, family-like atmosphere and engaging activities, there are serious, critical allegations regarding medical negligence and staff conduct that require thorough investigation by any prospective family.

Quality Themes

Tap a score for details
Food5.0Staff8.0Clean9.0Activities10.0MedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and attentive rehabilitation/therapy staff
  • Engaging activity programs and coordinators
  • Friendly and professional administrative leadership
  • Clean and well-maintained environment

Concerns

  • Serious allegations of medical negligence and improper diet management
  • Inconsistent responsiveness from overnight nursing staff (mentioned by 2 reviewers)
  • Insufficient CNA staffing levels

Rating Trends

Tap a year to see what changed

234'15(1)'17(1)'19(2)'21(11)'23(11)'25(4)'26(3)

Distribution · 54 analyzed

5
41
4
4
3
0
2
1
1
8

How They Respond to Reviews

40%response rate
Good

The owner provides personalized responses that use the reviewer's name and acknowledge specific details, such as condolences for deceased family members. While positive reviews are met with warm, varied templates, negative reviews are handled with a professional, non-defensive approach that directs the user to a phone number for escalation.

Questions for Your Tour

  • 1We've heard wonderful things about your activity programs; could you tell us more about what a typical week of engagement looks like for the residents?
  • 2Since we want to ensure our loved one is well-supported around the clock, how do you manage nursing transitions and responsiveness during the overnight hours?
  • 3We are looking for a place with very attentive care; what specific steps are being taken to bolster your CNA and nursing staff levels?
  • 4How does your clinical team approach specialized dietary needs and meal management to ensure every resident's nutritional plan is strictly followed?
  • 5We noticed the facility is very well-maintained; how often are the resident rooms and common areas deep-cleaned?
  • 6It's great to see the leadership team engages with the community online; how can we best communicate with the administration if we have specific care concerns?

Personalized based on this facility's data


Key Review Excerpts

My grandfather was here for a week for Rehab getting over pneumonia! The staff was awesome and legitimately Care about the patients! Especially Noel! He goes above and beyond for you and your family!

Rehab patient's family · 2023★★★★★

She went in to improve her balance and strength. They worked with her and she left stronger, and no longer needed to use a walker by the time she left. Staff was excellent.

Long-term resident's family · 2023★★★★★

The director is visible met my dad and that means to me my dad was not just a number or chart but well taken care of.

Deceased resident's family · 2022★★★★★
Source: 49 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.32hrs
42%
Registered nurses for medical care
Total Nursing
3.03hrs
74%
All nurses + aides combined
Staff Turnover
42%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
🚶

Residents whose walking got worse

↓ Lower is better
This Facility5.6%
Better than Avg
Here
5.6%
US
15.3%
TX
14.9%
Bexar
14.7%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.7%
Better than Avg
Here
8.7%
US
15.4%
TX
9.4%
Bexar
10.4%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Bexar
94.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility5.8%
Mixed vs Avgs
Here
5.8%
US
12.1%
TX
2.5%
Bexar
1.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

⚖️

Residents who lost too much weight

↓ Lower is better
This Facility9.3%
Worse than Avg
Here
9.3%
US
5.3%
TX
3.2%
Bexar
4.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility10.7%
Better than Avg
Here
10.7%
US
14.4%
TX
16.1%
Bexar
16.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Bexar
83.8%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility99.1%
Better than Avg
Here
99.1%
US
81.8%
TX
89.2%
Bexar
80.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Bexar
2.0%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
Near state avg (9.1)
10 complaint-triggered
$43,284 in fines

Silver Creek has a concerning pattern of deficiencies with one-third triggered by family complaints, indicating ongoing care issues that prompted reports. The facility repeatedly struggles with nutrition and dietary services, resident care quality, and infection control across multiple surveys. While all violations show correction dates, the recurring nature of problems in core care areas like treatment quality, safety supervision, and family communication suggests persistent operational challenges that families should carefully evaluate during visits.

Jul 2, 2025Routine
11
0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

0343Potential for harm · PatternCorrected

Smoke Deficiencies

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

0352Potential for harm · PatternCorrected

Smoke Deficiencies

Properly install and monitor supervisory attachments on automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0511Potential for harm · PatternCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

0686Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0692Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0813Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

0353Potential for harm · IsolatedCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

Mar 19, 2025Complaint
2
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

0689Potential for harm · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Mar 14, 2025Complaint
1
0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Aug 27, 2024Complaint
3
0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Jun 6, 2024Routine
3
0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nov 22, 2023Complaint
2
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0690Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Uvalde County Hospital Authority

Organization Type

for profit

Management Company

TIMBER NURSING AND REHAB CENTER LLC

Administrator

DANIELLA SUAREZ

Chain Affiliation

Chain Name

Eduro Healthcare

Chain Size

35 facilities nationwide

Chain avg rating: 2.3/5 · Rank 7 of 21

Ownership & Management

Owners

Uvalde County Hospital Authority

Owner · Organization

100%

Bewsey, Michael

Individual is an Owner, Partner or Trustee of Any Adp of the Snf

Key personnel

Givens, LauraOfficer / DirectorTelles, YolandaOfficer / DirectorApolinar, AdamOfficer / DirectorContreras, TerriOfficer / DirectorTimber Nursing and Rehab Center LLCManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

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