Silver Tree Nursing and Rehabilitation Center
Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.
based on 95 Google reviews
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What this means for your family
This facility offers exceptional rehabilitation and therapy services that can significantly aid post-surgery recovery. However, families must be vigilant regarding nursing response times and medication administration, as multiple reviewers have reported delays in care and issues with pain management. We recommend visiting during shift changes to observe staffing levels and communication protocols firsthand.
Google Reviews
Google Reviews
95 reviews on Google“Families considering Silver Tree Nursing and Rehabilitation Center will find a facility highly praised for its exceptional physical and occupational therapy teams and a warm, family-like nursing staff. However, there are significant, recurring reports of slow response times from nursing staff and concerns regarding medication management and staffing shortages. While many residents thrive in the clean and active environment, some families have experienced serious lapses in communication and care oversight.”
Quality Themes
Tap a score for detailsStrengths
- Exceptional physical and occupational therapy
- Warm and caring nursing staff
- Clean and well-maintained facility
- Engaging activities and programs
Concerns
- Slow nursing response times and call button delays (mentioned by 4 reviewers)
- Staffing shortages affecting care delivery (mentioned by 3 reviewers)
- Inconsistent medication administration and management (mentioned by 2 reviewers)
- Communication lapses during admissions and transitions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 81 analyzed
How They Respond to Reviews
The owner uses highly repetitive, templated responses that follow a nearly identical structure for almost every review. While they personalize the greeting with the reviewer's name, they fail to substantively address the specific details of the complaints, instead relying on a standard call-to-action to contact a corporate hotline.
Questions for Your Tour
- 1We've heard wonderful things about the physical and occupational therapy programs here; could you tell us more about how those are integrated into a resident's daily routine?
- 2How does the nursing team ensure that call buttons are answered promptly, especially during busy shifts or overnight hours?
- 3Can you walk us through your specific process for managing medications and how you ensure accuracy during transitions or changes in care?
- 4What steps are being taken to maintain consistent staffing levels to ensure every resident receives timely attention?
- 5How does the facility handle communication with families during the initial admission process to make sure everyone is on the same page?
- 6What kind of engaging daily activities or social programs do you have planned to keep residents active and connected?
Personalized based on this facility's data
Key Review Excerpts
“So thankful for Silvertree & staff for taking care of my grandma after her hip surgery. She is able to walk again! Nurses & therapists were so sweet.”
“The nursing team is one of the best. They became our family. Kori, Mary Ann, Hanna, Donna, Jose, Simon, Lynette, and many others saw to it that my husband was cared for.”
“I'm not going to spend time talking about them being short staffed, long wait times etc. All of that is minor in my and I want to talk about the withholding of comfort meds for a patient at the end of life.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
15
measures
1
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has a concerning pattern of 31 complaint-triggered deficiencies, indicating families have repeatedly filed reports about care problems. The most recurring issues involve care planning and medical records, infection control, and medication management. Recent violations in 2025-2026 show persistent problems with resident assessments, care plans, and safety protocols, suggesting ongoing systemic issues that may not be fully corrected despite the facility's claimed compliance dates.
Jan 28, 2026Complaint3
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Dec 1, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Oct 10, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Apr 27, 2025Complaint2
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Apr 18, 2025Routine26
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies
Provide training in compliance and ethics.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Quality of Life and Care Deficiencies
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.
Quality of Life and Care Deficiencies
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Administration Deficiencies
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Resident Rights Deficiencies
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration Deficiencies
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Jan 17, 2025Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Federal Penalties
Fine
Oct 10, 2025
$24,845
Fine
Apr 27, 2025
$15,156
Fine
Dec 22, 2023
$82,676
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
SCHERTZ I ENTERPRISES, LLC
KRAIG TURPEN
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 83 of 148
Ownership & Management
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
95 reviews from families & visitors
Official Website
Visit silvertreenursing.com
Medicare data downloads
Original nursing home datasets
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