San Antonio, TX · 80 beds
5.0CMS rating
Skilled NursingContinuing Care (CCRC / Life Plan)Usually has openings
One of San Antonio's top-rated skilled nursing communities.
Est. $5,070–$7,610/mo
View full evaluation →Skilled NursingCMS verified
Silver Tree Nursing and Rehabilitation Center
930 Roy Richard Dr, Schertz, TX 78154 · Guadalupe County
Our residents enjoy the best quality skilled nursing home and rehab care in Schertz, TX. You will experience delicious meals, regular connection with your loved ones, and an active lifestyle.
52
FairHaven Scout Score
Our composite of CMS ratings, staffing, and safety. This community rates fair.
Photos via google places, facility website.
Availability outlookModerate availability
Typically 78% full — openings are usually available.
Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.
Our evaluation
An honest, data-grounded look at this community — every claim is drawn from public inspection data.
A solid, federally rated skilled nursing option in Schertz
Silver Tree Nursing and Rehabilitation Center is a for-profit skilled nursing facility in Schertz, TX, with 120 certified beds and an average of about 94 residents per day. It operates as part of the Creative Solutions in Healthcare network.
Medicare rates it 3 out of 5 stars overall — right around the national average. Component ratings: 2/5 on health inspections, 2/5 on staffing, 5/5 on quality measures.
Staff provide about 3.38 total nurse hours per resident each day (0.59 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 97.5%, higher than the ~52% national average. On the safety record, CMS notes 26 health deficiencies at its most recent standard survey, and 3 federal fines totaling $113,981 in the recent record.
Strengths
- ✓Full sprinkler system
- ✓Active resident & family council
Things to ask about
- •Below-average health-inspection rating
- •Below-average nurse staffing (3.38 hrs/resident/day)
- •High staff turnover (97.5%)
- •26 deficiencies at last survey
- •$113,981 in federal fines
Best for: Families weighing a dependable, mid-rated skilled nursing option in Schertz, especially when location or Medicaid acceptance matters.
At a glance
- Certified beds
- 120
- Avg. residents/day
- 94
- Ownership
- For profit - Corporation
- Part of a chain
- Creative Solutions in Healthcare
- Continuing care
- No
- CMS provider #
- 676121
Federal quality ratings
From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.
Overall rating
Health inspections
Staffing
Quality measures
Pricing & cost
We publish transparent estimates and verify exact pricing on request. No surprises.
| Level of care | Monthly cost | Source |
|---|---|---|
| Skilled Nursing | $5,070–$7,610/mo (median $6,130) | Local market estimate |
2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs
Staffing & care
More nursing time per resident — and lower turnover — generally means more attentive care.
- Total nurse hrs / resident / day
- 3.38
- National avg ≈ 3.9
- RN hrs / resident / day
- 0.59
- National avg ≈ 0.75
- Nursing staff turnover
- 97.5%
- National avg ≈ 52%
Safety & inspection record
Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.
- Health deficiencies (last survey)
- 26
- Federal fines
- 3 ($113,981)
- Total penalties
- 3
- Last standard survey
- 2025-04-18
- Sprinkler system
- Yes
- Resident & family council
- Resident
What inspectors found
The most recent findings from federal health inspections (52 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.
2026-01-28Severity D — potential for harmFrom a complaintResident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2026-01-28Severity D — potential for harmFrom a complaintResident 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.
2026-01-28Severity D — potential for harmFrom a complaintResident 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.
2025-12-01Severity D — potential for harmFrom a complaintResident 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.
2025-10-10Severity J — immediate jeopardyFrom a complaintQuality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-10-10Severity D — potential for harmFrom a complaintResident 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.
2025-10-10Severity D — potential for harmFrom a complaintResident 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.
2025-04-27Severity J — immediate jeopardyFrom a complaintResident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.
Penalty history
Federal fines and Medicare/Medicaid payment denials on record.
| Date | Type | Amount |
|---|---|---|
| 2025-10-10 | Fine | $16,149 |
| 2025-04-27 | Fine | $15,156 |
| 2023-12-22 | Fine | $82,676 |
Services & amenities
- ✓ Full automatic sprinkler system
- ✓ Medicare & Medicaid certified
- ✓ 24-hour licensed nursing
- ✓ On-site rehabilitation therapy
- ✓ Rehabilitation services
- ✓ 24-hour staff
Location
930 Roy Richard Dr, Schertz, TX
- Monday: Open 24 hours
- Tuesday: Open 24 hours
- Wednesday: Open 24 hours
- Thursday: Open 24 hours
- Friday: Open 24 hours
- Saturday: Open 24 hours
- Sunday: Open 24 hours
Reviews & reputation
We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.
Verified family reviews
No verified family reviews yet for Silver Tree Nursing and Rehabilitation Center.
Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.
Talk to an advisor about this communityCommon questions about Silver Tree Nursing and Rehabilitation Center
How much does Silver Tree Nursing and Rehabilitation Center cost?
Silver Tree Nursing and Rehabilitation Center does not publish exact rates. Comparable skilled nursing in the Schertz, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.
What is Silver Tree Nursing and Rehabilitation Center's Medicare rating?
Medicare (CMS) rates Silver Tree Nursing and Rehabilitation Center 3 out of 5 stars overall, including 2/5 for health inspections, 2/5 for staffing, 5/5 for quality measures. The national average is about 3 stars.
How is the staffing at Silver Tree Nursing and Rehabilitation Center?
Staff provide about 3.38 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 97.5% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.
What did inspectors find at Silver Tree Nursing and Rehabilitation Center?
Silver Tree Nursing and Rehabilitation Center has 52 health citations on its recent federal inspection record (last standard survey: 2025-04-18). The full citation-by-citation detail, with severity levels, is published on this page.
Does Silver Tree Nursing and Rehabilitation Center have availability?
Typically 78% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.
What types of care does Silver Tree Nursing and Rehabilitation Center offer?
Silver Tree Nursing and Rehabilitation Center in Schertz, TX offers skilled nursing and is licensed for 120 beds.
The best time to decide is before a crisis decides for you
Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.
- Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
- The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
- Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.
Your next steps — this week
- 1Confirm the fitCheck the inspection record and staffing data on this page against your loved one's needs.
- 2Get exact pricing & availabilityRequest current rates for Silver Tree Nursing and Rehabilitation Center — takes one minute, answered same day.
- 3Tour 2–3 communitiesCompare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
- 4Hold a spotMost communities hold a residence with a small refundable deposit while you decide.
Data sources:CMS verifiedGoogleOfficial website
Last verified 2026-07-06. We refresh inspection data monthly and reviews continuously.
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