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Nursing HomeMedicaid

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.

930 Roy Richard Drive, Northeast Side · Schertz, TX 78154120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.2/5

based on 95 Google reviews

5
4
3
2
1

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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 details
Food7.0Staff8.0Clean9.0Activities8.0Meds2.0MemoryN/AComms4.0ValueN/A

Strengths

  • 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

234'17(1)'19(1)'21(6)'23(3)'25(15)'26(1)

Distribution · 81 analyzed

5
58
4
4
3
1
2
1
1
17
17 reviews posted between Jun 27, 2024Jun 29, 2024 · 17 were 5-star

How They Respond to Reviews

20%response rate
Generic

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.

Rehab patient's family · 2025★★★★★

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.

Long-term resident's family · 2025★★★★★

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.

Long-term resident's family · 2024★★★☆☆
Source: 95 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.59hrs
79%
Registered nurses for medical care
Total Nursing
3.38hrs
83%
All nurses + aides combined
Staff Turnover
98%
Lower is better (< 30% = good)
RN Turnover
92%
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

15

measures

Worse Than Avg

1

measures

Mixed Results

1

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility5.2%
Better than Avg
Here
5.2%
US
19.5%
TX
18.4%
Guadalupe
25.4%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility5.7%
Better than Avg
Here
5.7%
US
19.4%
TX
14.2%
Guadalupe
9.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
15.3%
TX
14.9%
Guadalupe
10.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Guadalupe
1.6%

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

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility3.9%
Better than Avg
Here
3.9%
US
15.4%
TX
9.4%
Guadalupe
9.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
14.4%
TX
16.1%
Guadalupe
12.7%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility97.9%
Better than Avg
Here
97.9%
US
81.8%
TX
89.2%
Guadalupe
93.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility77.3%
Worse than Avg
Here
77.3%
US
79.7%
TX
88.0%
Guadalupe
86.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.8%
Better than Avg
Here
0.8%
US
1.6%
TX
1.5%
Guadalupe
2.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

26deficiencies
3penalties
Well above state avg (9.1)
31 complaint-triggered
$122,677 in fines

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, 2026Complaint
3
0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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, 2025Complaint
1
0656Potential for harm · IsolatedCorrected

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, 2025Complaint
3
0689Immediate jeopardy · 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.

0656Potential for harm · IsolatedCorrected

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.

0842Potential for harm · IsolatedCorrected

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, 2025Complaint
2
0580Immediate jeopardy · IsolatedResolved (past non-compliance)

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.

0684Immediate jeopardy · IsolatedResolved (past non-compliance)

Quality of Life and Care Deficiencies

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

Apr 18, 2025Routine
26
0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0351Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · WidespreadCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0761Potential for harm · PatternCorrected

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 · 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.

0940Potential for harm · PatternCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

0946Potential for harm · PatternCorrected

Administration Deficiencies

Provide training in compliance and ethics.

0355Potential for harm · PatternCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

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.

0923Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0655Potential for harm · IsolatedCorrected

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

0656Potential for harm · IsolatedCorrected

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.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

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.

0693Potential for harm · IsolatedCorrected

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.

0694Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0941Potential for harm · IsolatedCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

0942Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

0947Potential for harm · IsolatedCorrected

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.

0949Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

0582Minimal · PatternCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Jan 17, 2025Complaint
4
0600Potential for harm · IsolatedCorrected

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.

0602Potential for harm · IsolatedResolved (past non-compliance)

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

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.

0880Potential for harm · IsolatedCorrected

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

Owner / Operator

West Wharton County Hospital District

Organization Type

for profit

Management Company

SCHERTZ I ENTERPRISES, LLC

Administrator

KRAIG TURPEN

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 83 of 148

Ownership & Management

Key personnel

Bowers, SeanManaging Control - Governing BodyCisneros, AlfredManaging Control - Governing BodyCobb, TravisManaging Control - Governing BodyCooper, StephenManaging Control - Governing BodyHardin, SherrieManaging Control - Governing Body
Source: Medicare provider data

Contact

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References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

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