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Data / Nursing homes / Texas / Silver Tree Nursing and Rehabilitation Center

Silver Tree Nursing and Rehabilitation Center, Schertz, TX: 1 star rating, fined $114,303 across 3 fines

Silver Tree Nursing and Rehabilitation Center in Schertz, TX is run by West Wharton County Hospital District, with no owner listed in the CMS ownership file, is rated 1 of 5 stars by Medicare, and was fined $114,303 across 3 fines in the three years to October 1, 2026. CMS lists 61 health citations from inspections in that time, the latest survey on August 6, 2026, and 4 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Texas
Address
930 Roy Richard Dr, Schertz, TX 78154
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measure rating
4 of 5
Certified beds
120
Residents per day
93 on average
Ownership type
Government, Hospital district
Legal business name
West Wharton County Hospital District
Chain
Creative Solutions in Healthcare, 150 facilities
Fines
$114,303 across 3 fines, three years to October 1, 2026
Payment denials
0
Health citations
61, of which 4 with actual harm or immediate jeopardy
Latest survey
August 6, 2026
CMS Certification Number
676121
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
October 10, 2025Fine$16,471Not listeddata.cms.gov
April 27, 2025Fine$15,156Not listeddata.cms.gov
December 22, 2023Fine$82,676Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 6, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 31, 2026data.cms.gov
June 12, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F645PASARR screening for Mental disorders or Intellectual DisabilitiesD: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F641Ensure each resident receives an accurate assessment.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
June 12, 2026F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 13, 2026data.cms.gov
January 28, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 29, 2026data.cms.gov
January 28, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 29, 2026data.cms.gov
January 28, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 29, 2026data.cms.gov
December 1, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 2, 2025data.cms.gov
October 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceAugust 29, 2025data.cms.gov
October 10, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
October 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
April 27, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyPast noncomplianceApril 25, 2025data.cms.gov
April 27, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J: isolated, immediate jeopardyPast noncomplianceApril 25, 2025data.cms.gov
April 18, 2025F949Provide behavior health training consistent with the requirements and as determined by a facility assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F946Provide training in compliance and ethics.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F941Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F940Develop, implement, and/or maintain an effective training program for all new and existing staff members.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F761Ensure 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedD: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 19, 2025data.cms.gov
April 18, 2025F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.B: pattern, minimal harm potentialCorrectedApril 19, 2025data.cms.gov
January 17, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2025data.cms.gov
January 17, 2025F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2025data.cms.gov
January 17, 2025F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceAugust 1, 2024data.cms.gov
January 17, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.D: isolated, no actual harm, potential for more than minimal harmCorrectedJanuary 18, 2025data.cms.gov
June 14, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 15, 2024data.cms.gov
March 7, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F693Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F638Assure that each resident’s assessment is updated at least once every 3 months.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
March 7, 2024F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 8, 2024data.cms.gov
February 1, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 2, 2024data.cms.gov
December 22, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.J: isolated, immediate jeopardyCorrectedJanuary 31, 2024data.cms.gov
December 22, 2023F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2023data.cms.gov
December 22, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2023data.cms.gov
December 22, 2023F695Provide safe and appropriate respiratory care for a resident when needed.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 23, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 17 individual or personal trusts (11 managers, 3 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Schertz I Enterprises, LLCOperational or managerial controlNot listedSeptember 1, 2022data.cms.gov
Schertz I Enterprises, LLCAdditional disclosable partyNot listedMay 20, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.