SILVER TREE NURSING AND REHABILITATION CENTER – SCHERTZ, TX

CMS Verified | 2026-03-01

Silver Tree Nursing And Rehabilitation Center

930 ROY RICHARD DR, Schertz, TX 78154
(210) 566-9100
120 beds
All Schertz facilities
2.0*
Overall
1.0*
Health Inspection
5.0*
Quality Care
3.0*
Staffing
74.86
Score /100
#6006
National Rank

#6006
of 14703 facilities
National
59.2% position
#367
of 1177 in TX
State Rank
#2
of 8 in Guadalupe
County Rank
#1
of 2 in Schertz
City Rank
#1
of 3 in ZIP 78154
ZIP Rank






About Silver Tree Nursing And Rehabilitation CenterSilver Tree Nursing And Rehabilitation Center is located at 930 Roy Richard Dr, Schertz, TX, reachable at (210) 566-9100. This For profit – Corporation facility operates 120.0 certified beds and serves an average of 88 residents per day. It is part of the Creative Solutions In Healthcare network (149 facilities nationwide). Medicare and Medicaid services have been provided since 2006-11-21. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Silver Tree Nursing And Rehabilitation Center

Address

930 Roy Richard Dr, Schertz, TX 78154

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: For profit – Corporation
  • Resident Council: Resident
  • Automatic Sprinklers: Yes
  • Network: CREATIVE SOLUTIONS IN HEALTHCARE

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
⚠️ Average (3★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 11 fine(s) over 5 years
5-Year Trend
➡️ Stable over 5 years
74.86
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#6006 of 14703 nationally – #367 of 1177 in Texas

Who Is This Facility Best For?

Silver Tree Nursing And Rehabilitation Center may be considered for families with limited options in Schertz, TX, but its lower CMS ratings suggest careful due diligence is warranted. It is particularly well-suited for long-term residents based on its Quality Measure scores.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

1 / 5
Staffing Rating

3 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

3 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightSilver Tree Nursing And Rehabilitation Center currently provides 3 hours 35 minutes of total nurse staffing per resident per day, including 40 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average). RN hours per resident have increased from 22 min/day (2022) to 40 min/day (2026), a positive sign of investment in skilled nursing. Total nursing staff turnover is high at 62.8%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 35 minutes
Nurse Aide Hours1 hour 54 minutes
Licensed Practical Nurse (LPN) Hours1 hour 1 minute
Registered Nurse (RN) Hours40 minutes
Physical Therapist Hours4 minutes

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours3 hours 19 minutes
Weekend Registered Nurse (RN) Hours31 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 3 fine(s) totaling $122,677. 26 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 3
Total Fines Amount $122677.0
Payment Denials 0
Total Penalties 3
Abuse Flag on Record N
Total Weighted Health Survey Score 177.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#6,006
of 14,703
National
Top 41%
#367
TX State
Top 31% in TX
#2
of 8
️ Guadalupe County
#2 of 8
#1
of 2
️ Schertz
Best in city
#1
of 3
ZIP 78154
Best in ZIP

Nationally, Silver Tree Nursing And Rehabilitation Center ranks 6006th out of 14,703 facilities (composite score: 74.9/100), placing it in the above average nationwide. Within TX, it ranks 367th out of 1,177 nursing homes. In Schertz, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #8,203 nationally and RN hours rank #5,372 nationally (#109 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 2.77 #12,873 / 14,703 #957 / 1,177 ⚠️ Bottom 25%
2023 2.98 #12,087 / 14,703 #814 / 1,177 ⚠️ Bottom 25%
2024 3.08 #12,038 / 14,703 #695 / 1,177 ⚠️ Bottom 25%
2025 3.28 #11,009 / 14,703 #514 / 1,177 Below average
2026 3.59 #8,203 / 14,703 #264 / 1,177 Below average

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.37 #11,317 / 14,703 #494 / 1,177 ⚠️ Bottom 25%
2023 0.42 #9,719 / 14,703 #284 / 1,177 Below average
2024 0.56 #6,896 / 14,703 #127 / 1,177 Above average
2025 0.50 #8,521 / 14,703 #257 / 1,177 Below average
2026 0.67 #5,372 / 14,703 #109 / 1,177 Above average

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Silver Tree Nursing And Rehabilitation Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2006-11-21. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (210) 566-9100 or your local Medicaid office to verify current eligibility.

Silver Tree Nursing And Rehabilitation Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 74.9/100, placing it #6006 of 14703 facilities nationally and #367 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Silver Tree Nursing And Rehabilitation Center receives a reported average of 3 hours 35 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 40 minutes; Licensed Practical Nurse (LPN) — 1 hour 1 minute; Nurse Aide — 1 hour 54 minutes. On weekends, total nurse staffing is 3 hours 19 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 62.8%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 3 fine(s) totaling $122,677. 26 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 3 fine(s) totaling $122,677, and 0 Medicare payment denial(s). Total penalties: 3. The Total Weighted Health Survey Score is 177.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Silver Tree Nursing And Rehabilitation Center ranks 6006th out of 14,703 facilities (composite score: 74.9/100), placing it in the above average nationwide. Within TX, it ranks 367th out of 1,177 nursing homes. In Schertz, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 3. For 2026 staffing: total nurse hours rank #8,203 nationally and RN hours rank #5,372 nationally (#109 in TX). Our composite quality score of 74.9/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Schertz, visit: https://nursinghomesnearme.org/texas/schertz/

Contact and Location

ADR
Address

930 ROY RICHARD DR, Schertz, TX 78154
Get directions on Google Maps

TEL
LLC
Legal Name

WEST WHARTON COUNTY HOSPITAL DISTRICT

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Browse by Location

All Texas ·
Guadalupe County ·
Schertz ·
ZIP 78154

Facility Details

Number of Certified Beds 120
Average Residents / Day 88 (74% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Guadalupe County, TX
City Schertz, TX
ZIP Code 78154
Approved Since November 21, 2006
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676121
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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