Silver Tree Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Silver Tree Nursing and Rehabilitation Center is a 120-bed government-run nursing home in Schertz, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 1.80 nurse aide hours per resident per day, 10% below the Texas average of 2.00, and 93.3% nursing staff turnover (Texas average 55.3%).
Silver Tree Nursing and Rehabilitation Center
930 Roy Richard DrSchertz, TX 78154
Guadalupe County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Silver Tree Nursing and Rehabilitation Center, nurse aides logged 1.80 hours per resident per day, 10% below the Texas average. With about 97 residents a day, that works out to roughly 175 aide hours a day, or about 22 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 7% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.80 | 2.00 | 2.32 |
| Licensed practical nurses | 0.93 | 0.95 | 0.86 |
| Registered nurses | 0.53 | 0.43 | 0.69 |
| All nursing staff | 3.26 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.02 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
93.3% of nursing staff at Silver Tree Nursing and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 80.0%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 12, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 17 health deficiencies (Texas average 9.3). CMS lists 3 fines totaling $114,303 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Oct 10, 2025 | Fine | $16,471 |
| Apr 27, 2025 | Fine | $15,156 |
| Dec 22, 2023 | Fine | $82,676 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Silver Tree Nursing and Rehabilitation Center holds 2 of 5 overall; the Texas average is 2.6.
About Silver Tree Nursing and Rehabilitation Center
- Ownership: Government - Hospital district
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: West Wharton County Hospital District
- Medicare and Medicaid certified since: Nov 21, 2006
- Councils: resident council
- Area: urban
Nursing homes near Silver Tree Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Schertz Schertz · abuse citation | 3.1 | 96 | 1.73 | 2.93 | 79.4% | 2 | $34,769 |
| Advanced Rehabilitation & Healthcare of Live Oak Live Oak | 4.2 | 123 | 2.32 | 3.90 | 52.2% | 3 | $12,424 |
| Trucare Living Centers - Selma Selma | 4.4 | 128 | 2.26 | 3.41 | 66.3% | 2 | None |
| Avir at Converse Converse | 5.3 | 100 | 1.73 | 3.00 | 67.2% | 1 | $43,845 |
| Army Residence Community San Antonio | 6.1 | 91 | 2.63 | 4.19 | 40.0% | 5 | None |
| Crestway Nursing & Rehabilitation San Antonio | 6.2 | 120 | 2.01 | 3.57 | 100.0% | 1 | $73,977 |
| San Antonio Wellness & Rehabilitation San Antonio | 7.4 | 154 | 2.05 | 3.45 | 35.4% | 2 | $104,627 |
| Avir at Heritage San Antonio · many days without an RN | 8.1 | 150 | 2.06 | 3.26 | 54.3% | 3 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.