Nursing home report
Registered name: SILVER TREE NURSING AND REHABILITATION CENTER
SCHERTZ, TX · Medicare-certified · 120 beds
Silver Tree Nursing and Rehabilitation in Schertz, TX has a 2 out of 5 overall rating, with 2-star health inspection and staffing ratings and 4-star quality measures. It reported 3.26 nurse hours per resident per day versus the 4.1 federal benchmark, had $31,305 in fines over the last 24 months, and has a recent federal penalty.
Health inspections
Staffing
3.2592 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2592.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited April 2025 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2023 — isolated incident, immediate jeopardy to residents.
F-Tag 686 — 42 CFR §483.25(b) — S/S: J
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2024 — widespread issue, potential for harm.
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 10 health deficiencies.
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 3 health deficiencies.
Health inspection found 1 health deficiency.
A federal fine of $16,149 was recorded.
A federal fine of $24,845 was recorded.
Health inspection found 3 health deficiencies.
A federal fine of $15,156 was recorded.
On record with Medicare: 3 fines · $113,981 in total fines.
Federal fine
Oct 10, 2025
Federal fine
Apr 27, 2025
Federal fine
Dec 22, 2023
Now operated by West Wharton County Hospital District, previously Schertz I Enterprises, LLC.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
