Nursing home / skilled nursing
Silver Tree Nursing And Rehabilitation Center
Nursing home / skilled nursing in Schertz, Texas
| Provider details | |
|---|---|
| Address | 930 ROY RICHARD DR |
| City | Schertz |
| State | Texas |
| ZIP code | 78154 |
| County | Guadalupe |
| Phone | 210-566-9100 |
| Website | http://silvertreenursing.com/ |
| infosilvertree@csnhc.com | |
| CMS certification number (CCN) | 676121 |
| Ownership | Government - Hospital district |
| Certified beds | 120 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | November 21, 2006 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, wound care, orthopedic rehabilitation, neurological care |
Silver Tree Nursing And Rehabilitation Center is in 930 ROY RICHARD DR, Schertz, TX 78154. Phone: 210-566-9100. Ownership: Government - Hospital district. CMS rates it 1 out of 5 stars overall (health inspection 1, staffing 2, quality measures 4).
The facility's website describes specialized wound care, orthopedic rehabilitation after surgery or injury such as joint replacements and fractures, and neurological care for conditions including stroke and Parkinson's disease. Care plans are personalized for each resident. Families can reach the team at 210.566.9100 or infosilvertree@csnhc.com. CMS inspection and staffing detail: total weighted health survey score 157.750; 3 federal fines totaling $114303.00; total nursing staff turnover 45.5%.
More about this provider
| The site presents the facility as a skilled nursing and rehabilitation center in Texas offering wound care, orthopedic rehabilitation, and neurological care with personalized care plans. | |
| Services and programs | Specialized clinical services: wound care for pressure, diabetic, venous and arterial ulcers, surgical and traumatic wounds; orthopedic rehabilitation after surgery or injury, including hip and knee replacements, fractures and joint repairs; and neurological care and rehabilitation for stroke, Parkinson's disease, multiple sclerosis, traumatic brain injury, cognitive or memory impairments, and swallowing problems (dysphagia). |
| Who it serves | Patients recovering from orthopedic surgery or injury, joint replacements and fractures; post-stroke patients; people with Parkinson's disease, multiple sclerosis or traumatic brain injury; patients with cognitive or memory impairments and patients who need swallowing therapy. |
| Visiting and contact details | 930 Roy Richard Dr, Schertz, TX 78154. Main phone 210.566.9100; email infosilvertree@csnhc.com. The site invites families to call the team directly to discuss a resident's needs and create a plan, and lists a customer care line at 866-391-6123. |
| Website | http://silvertreenursing.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 1 of 5 |
| Health inspection rating | 1 of 5 |
| Staffing rating | 2 of 5 |
| Quality measure rating | 4 of 5 |
| Long-stay quality rating | 5 of 5 |
| Short-stay quality rating | 2 of 5 |
| RN staffing hours per resident per day | 0.55 |
| Total nurse staffing hours per resident per day | 3.23 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 108 |
| Total Weighted Health Survey Score | 157.750 |
| Rating Cycle 2/3 Total Health Score | 307 |
| Rating Cycle 1 Health Deficiency Score | 108 |
| Rating Cycle 2/3 Health Deficiency Score | 307 |
| Rating Cycle 1 Standard Survey Health Date | 2026-06-12 |
| Rating Cycle 1 Total Number of Health Deficiencies | 18 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 42 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 10 |
| Number of Citations from Infection Control Inspections | 4 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 8 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 23 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.37951 |
| Registered Nurse turnover | 35.7 |
| Nursing Case-Mix Index Ratio | 0.97820 |
| Total nursing staff turnover | 45.5 |
| Reported LPN Staffing Hours per Resident per Day | 0.90293 |
| Reported Licensed Staffing Hours per Resident per Day | 1.45623 |
| Number of administrators who have left the nursing home | 1 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.77499 |
| Registered Nurse hours per resident per day on the weekend | 0.49927 |
| Total number of nurse staff hours per resident per day on the weekend | 2.72071 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 3 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 3 |
| Total Amount of Fines in Dollars | 114303.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 169 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Legal Business Name | WEST WHARTON COUNTY HOSPITAL DISTRICT |
| Chain Average QM Rating | 3.4 |
| Chain Average Staffing Rating | 1.4 |
| Number of Facilities in Chain | 150 |
| Chain Average Overall 5-star Rating | 2.3 |
| Chain Average Health Inspection Rating | 2.7 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 92.9 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Guadalupe County
- Avir At Schertz — Schertz
- Avir At Seguin — Seguin
- Avir At Walnut Springs — Seguin
Common questions about Silver Tree Nursing And Rehabilitation Center
Where is Silver Tree Nursing And Rehabilitation Center located?
Silver Tree Nursing And Rehabilitation Center is at 930 ROY RICHARD DR, Schertz, Texas 78154.
What care and services does Silver Tree Nursing And Rehabilitation Center offer?
Silver Tree Nursing And Rehabilitation Center offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, wound care, orthopedic rehabilitation, neurological care.
Is Silver Tree Nursing And Rehabilitation Center Medicare-certified?
Yes. Silver Tree Nursing And Rehabilitation Center is certified for both Medicare and Medicaid.
What is Silver Tree Nursing And Rehabilitation Center's quality rating?
CMS gives Silver Tree Nursing And Rehabilitation Center an overall star rating of 1 out of 5.
How do I contact Silver Tree Nursing And Rehabilitation Center?
Call Silver Tree Nursing And Rehabilitation Center at 210-566-9100.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.