SILVER TREE NURSING AND REHABILITATION CENTER
SILVER TREE NURSING AND REHABILITATION CENTER is a 120-bed nursing home in SCHERTZ, Texas. CMS has certified it for Medicare and Medicaid since 2006-11-21. It averages 97.2 residents a day.
What harm was found in the violations cited at SILVER TREE NURSING AND REHABILITATION CENTER?
CMS lists 60 health-inspection deficiencies for SILVER TREE NURSING AND REHABILITATION CENTER, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-06-12.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-12 | F0641, F0656, F0755, F0761, F0842 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / 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. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2026-06-12 | F0558, F0640, F0645, F0657, F0880 | Reasonably accommodate the needs and preferences of each resident. / Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / PASARR screening for Mental disorders or Intellectual Disabilities / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide and implement an infection prevention and control program. | D |
| 2026-01-28 | F0641, F0656, F0842 | Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-12-01 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2025-10-10 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-10-10 | F0656, F0842 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2025-04-27 | F0580, F0684 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2025-04-18 | F0761, F0812, F0880, F0940, F0946 | 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. / Develop, implement, and/or maintain an effective training program for all new and existing staff members. / Provide training in compliance and ethics. | E |
| 2025-04-18 | F0583, F0641, F0655, F0656, F0689, F0690, F0693, F0694, F0695, F0941, F0942, F0947, F0949 | Keep residents' personal and medical records private and confidential. / Ensure each resident receives an accurate assessment. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / 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. / Provide for the safe, appropriate administration of IV fluids for a resident when needed. / Provide safe and appropriate respiratory care for a resident when needed. / Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. / Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. / Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. / Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D |
| 2025-04-18 | F0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B |
| 2025-01-17 | F0600, F0602, F0761, F0880 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. / Protect each resident from the wrongful use of the resident's belongings or money. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-06-14 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2024-03-07 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-07 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E |
| 2024-03-07 | F0558, F0638, F0641, F0657, F0693, F0695, F0761, F0805, F0842, F0880 | Reasonably accommodate the needs and preferences of each resident. / Assure that each resident’s assessment is updated at least once every 3 months. / Ensure each resident receives an accurate assessment. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / 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. / Provide safe and appropriate respiratory care for a resident when needed. / 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. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2024-02-01 | F0880 | Provide and implement an infection prevention and control program. | D |
| 2023-12-22 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J |
| 2023-12-22 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2023-12-22 | F0695, F0880 | Provide safe and appropriate respiratory care for a resident when needed. / Provide and implement an infection prevention and control program. | D |
Why was SILVER TREE NURSING AND REHABILITATION CENTER fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-10-10 | Fine | $16,471 |
| 2025-04-27 | Fine | $15,156 |
| 2023-12-22 | Fine | $82,676 |
How is SILVER TREE NURSING AND REHABILITATION CENTER staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.25924 | 3.38539 |
| Total nursing staff turnover (%) | 93.3 | 55.3 |
| Average number of residents per day | 97.2 | 75.8 |
Who owns SILVER TREE NURSING AND REHABILITATION CENTER, and what chain is it in?
SILVER TREE NURSING AND REHABILITATION CENTER is registered with CMS as Government - Hospital district, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| MANAGING CONTROL - GOVERNING BODY | BOWERS, SEAN, CISNEROS, ALFRED, COBB, TRAVIS, COOPER, STEPHEN, HARDIN, SHERRIE, KERZEE, RICHARD, KORENEK, PATRICIA, SOECHTING, PAUL, STRACK, JOE | since 02/11/2022 |
| CORPORATE DIRECTOR | HUGGINS, LINDA, WILLIG, ZACHARY | since 01/01/2025 |
| CORPORATE OFFICER | THOMPSON, JOHNNY | since 01/01/2024 |
| OPERATIONAL/MANAGERIAL CONTROL | SCHERTZ I ENTERPRISES, LLC, BLAKE, GARY, BLAKE, MALISA | since 09/01/2022 |
| ADP OF THE SNF | SCHERTZ I ENTERPRISES, LLC, BLAKE, GARY, KASPERKHAN, JIBRAIL, LINAHAN, KORI | since 01/01/2025 |
Were you or a family member harmed at SILVER TREE NURSING AND REHABILITATION CENTER?