Silver Tree Nursing and Rehabilitation Center
Nursing home in Schertz, Texas, CMS certification number 676121
930 Roy Richard Dr, Schertz, TX 78154 · Guadalupe County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 120
- Certified for
- Medicare and Medicaid
- Last standard inspection
- June 12, 2026
- Deficiencies at that inspection
- 18
- Fines in 3 years
- $114,303 (3)
Does Silver Tree Nursing and Rehabilitation Center take Medicare and Medicaid?
Yes to both. Silver Tree Nursing and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 4 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | 2 of 5 |
Nurse staffing hours and turnover
These are the hours Silver Tree Nursing and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.23
- Registered nurse hours
- 0.55
- Licensed practical nurse hours
- 0.90
- Nurse aide hours
- 1.77
- Weekend total hours
- 2.72
- Nursing staff turnover
- 45.5%
- Registered nurse turnover
- 35.7%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on June 12, 2026 and cited 18 deficiencies, plus 8 from complaint visits.
The visit before, on April 18, 2025, found 19.
Infection control citations: 4.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Silver Tree Nursing and Rehabilitation Center 3 times in the past 3 years, for $114,303 in total.
Beds and residents
On an average day 92.9 residents live here, about 77% of its 120 certified beds.
- Certified beds
- 120
- Average residents per day
- 92.9
- Certified since
- November 21, 2006
- Resident or family council
- Resident
Who owns Silver Tree Nursing and Rehabilitation Center
- Legal business name
- West Wharton County Hospital District
- Ownership type
- Government - Hospital district
- Chain
- 150 homes nationally under Creative Solutions in Healthcare, 2.3-star chain average
Other nursing homes near Silver Tree Nursing and Rehabilitation Center
- Avir at Schertz3301 FM 3009, Schertz 78154
- Advanced Rehabilitation & Healthcare of Live Oak8221 Palisades Drive, Live Oak 78233
- Trucare Living Centers - Selma16550 Retama Parkway, Selma 78154
- Avir at Converse7700 Mesquite Pass, Converse 78109
- Army Residence Community7400 Crestway Dr, San Antonio 78239
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Silver Tree Nursing and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Silver Tree Nursing and Rehabilitation Center
What is the CMS star rating of Silver Tree Nursing and Rehabilitation Center?
1 out of 5 stars overall.
Does Silver Tree Nursing and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Silver Tree Nursing and Rehabilitation Center?
18 cited at the last standard visit.
Who owns Silver Tree Nursing and Rehabilitation Center?
West Wharton County Hospital District, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.