Nursing homeFAID #14509
Silver Tree Nursing and Rehabilitation Center
★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing4/5 quality measuresSource: CMS Care Compare
Photo via Google · Silver Tree Nursing and Rehabilitation
Public record summary
What we can show you for free.
Bed capacity
120
CMS facility ID
676121
Care type
Nursing home
County
Guadalupe
Facility name
Silver Tree Nursing and Rehabilitation Center
Street address
930 ROY RICHARD DR
City / state / ZIP
Schertz, TX 78154
Phone
(210) 566-9100
Website
About this facility — Silver Tree Nursing and Rehabilitation Center
Silver Tree Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Schertz, Texas. It is licensed for 120 beds — close to the median for skilled nursing facilities in Texas (120 beds).
It is one of 6 senior care facilities in Schertz and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited Silver Tree Nursing and Rehabilitation Center 76 times across 16 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $114,303 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Creative Solutions In Healthcare
Ownership type
Government - Hospital district
Registered owners & officers
Blake, Gary
Operational control · Additional disclosable party — since 2022
Blake, Malisa
Operational control — since 2022
Bowers, Sean
Governing body — since 2024
Cisneros, Alfred
Governing body — since 2008
Cobb, Travis
Governing body — since 2022
Cooper, Stephen
Governing body — since 2022
Hardin, Sherrie
Governing body — since 2024
Huggins, Linda
Director — since 2022
Kasperkhan, Jibrail
Additional disclosable party — since 2025
Kerzee, Richard
Governing body — since 2007
Korenek, Patricia
Governing body — since 2018
Linahan, Kori
Additional disclosable party — since 2025
Schertz I Enterprises, Llc
Operational control · Additional disclosable party — since 2022
Soechting, Paul
Governing body — since 2024
Strack, Joe
Governing body — since 2022
Thompson, Johnny
Officer — since 2024
Willig, Zachary
Director — since 2025
Regulatory standing
Federal court records
4 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
2006-11-21
CMS overall rating
2 of 5 stars
Health deficiencies
17 at the last standard inspection
Federal fines
$114,303 total
Last standard inspection
2026-06-12
Nurse staffing
3.3 hours per resident per day
Cost & payer profile (FY2024 cost report)
Average billed charges
$308 per day (≈ $9,360/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
37% Medicaid · 19% Medicare · 44% private/other
Occupancy
76% (fiscal year 2024)
Vs. state median
11% above the TX median of $277/day — full state cost breakdown
Services & coverage
Licensed beds
120
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-12Health inspection10 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2026-06-13
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2026-06-13
F-0641
E · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-06-13
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2026-06-13
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-06-13
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2026-06-13
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-06-13
F-0761
E · No harm found
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.
Corrected 2026-06-13
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-06-13
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-06-13
2026-01-28Health inspectionComplaint-triggered3 citations
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2026-01-29
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-29
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-29
12 earlier / fire-safety inspections (63 citations)
2025-12-01Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-02
2025-10-10Health inspectionComplaint-triggered3 citations
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-11
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-29
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-11
2025-04-27Health inspectionComplaint-triggered2 citations
F-0580
J · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-25
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-25
2025-04-18Health inspection19 citations
F-0582
B · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-19
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-19
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-04-19
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-19
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-19
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-19
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-19
F-0693
D · No harm found
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.
Corrected 2025-04-19
F-0694
D · No harm found
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-04-19
F-0695
D · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-19
F-0761
E · No harm found
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.
Corrected 2025-04-19
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-19
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-04-19
F-0940
E · No harm found
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-04-19
F-0941
D · No harm found
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-04-19
F-0942
D · No harm found
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-04-19
F-0946
E · No harm found
Provide training in compliance and ethics.
Corrected 2025-04-19
F-0947
D · No harm found
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-04-19
F-0949
D · No harm found
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-04-19
2025-01-17Health inspectionComplaint-triggered4 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-18
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-01
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-01-18
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-18
2024-06-14Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-15
2024-03-07Health inspectionComplaint-triggered12 citations
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-08
F-0638
D · No harm foundFrom a complaint
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-03-08
F-0641
D · No harm foundFrom a complaint
Ensure each resident receives an accurate assessment.
Corrected 2024-03-08
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-08
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-08
F-0693
D · No harm foundFrom a complaint
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.
Corrected 2024-03-08
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-08
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-03-08
F-0805
D · No harm foundFood safetyFrom a complaint
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-03-08
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-08
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-08
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-03-08
2024-02-01Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-02-02
2023-12-22Health inspectionComplaint-triggeredInfection control4 citations
F-0686
J · Immediate jeopardyFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-31
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-23
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-23
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2023-12-23
2026-06-12Fire-safety inspection8 citations
E-0020
F · No harm found
Establish policies and procedures including evacuation.
Corrected 2026-07-17
E-0037
F · No harm found
Establish staff and initial training requirements.
Corrected 2026-07-24
K-0222
E · No harm found
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2026-06-13
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-07-17
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-07-17
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-07-17
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2026-06-13
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2026-06-10
2025-04-18Fire-safety inspection7 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-19
K-0351
F · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-04-19
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-19
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-19
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-19
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-19
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-04-19
2024-03-07Fire-safety inspection1 citation
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-07
Federal penalties
2025-10-10Fine$16,471
2025-04-27Fine$15,156
2023-12-22Fine$82,676
Total fines$114,303
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676121.
Visitor reviews
What people say on Google.
4.1★★★★★104 ratings on Google
★Amber ! · 2026-05-08 · via Google“Honestly, if I could leave 1 star, I would. The moment we walked in, the place felt fake and staged. The showroom was spotless but completely empty, no residents interacting, no warmth, no real atmosphere. At other facilities, you see staff socializing with residents and making the place feel welcoming. Here, it felt more like being pressured into buying a house than finding care for a loved one.…”
★★★★★Sheryl Gates · 2026-05-14 · via Google“My mother really enjoys activities, such as bingo and entertainment. The majority of the time the food is tasty and satisfying. Physical therapy is done on a regular basis and they work well with the patient. The staff is very supportive and always addresses our issues immediately. There have been times that they’ve been short staffed, but the upper management are the first ones to jump in and …”
★★★★★Rosa Tamez · 2026-07-01 · via Google“We have had my 98 year-old mom at Silvertree in Schertz for over a year and have been really satisfied…from Kraig and Donna in Admin, to the regular staff, Dominique, Dee, Maryann, Kay, Yoyo and Anita, to the great chef Jeffrey. I’m sure I forgot others but thank you all for all you are doing for our mom.”
Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
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Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered