Nursing homes › Texas › Silver Tree Nursing and Rehabilitation Center
930 Roy Richard Dr, Schertz, TX 78154 · 2105669100 · 120 certified beds
Per CMS filings, this facility is affiliated with Creative Solutions in Healthcare, a group operating 149 facilities in 1 states. Group record: average rating 2.2/5, 19 abuse citation icons, 7 facilities on the Special Focus list, $8,699,455 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.26 (Texas median: 3.27). RN hours: 0.53. Weekend total: 3.02. Nursing staff turnover: 93%.
All-time on record: 60 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-06-12 | Ensure each resident receives an accurate assessment. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | 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. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Reasonably accommodate the needs and preferences of each resident. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | Deficient, Provider has no plan of correction |
| 2026-06-12 | Provide and implement an infection prevention and control program. | D | Health | Deficient, Provider has no plan of correction |
| 2026-01-28 | Ensure each resident receives an accurate assessment. | D | complaint | corrected 2026-01-29 |
| 2026-01-28 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2026-01-29 |
| 2026-01-28 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-01-29 |
| 2025-12-01 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-12-02 |
| 2025-10-10 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2025-08-29 |
| 2025-10-10 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2025-10-11 |
| 2025-10-10 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-10-11 |
| 2025-04-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | complaint | corrected 2025-04-25 |
| 2025-04-27 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | complaint | corrected 2025-04-25 |
| 2025-04-18 | 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. | E | Health | corrected 2025-04-19 |
| 2025-04-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-04-19 |
| 2025-04-18 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-19 |
| 2025-04-18 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | E | Health | corrected 2025-04-19 |
| 2025-04-18 | Provide training in compliance and ethics. | E | Health | corrected 2025-04-19 |
| 2025-04-18 | Keep residents' personal and medical records private and confidential. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | 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. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Provide safe and appropriate respiratory care for a resident when needed. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Provide behavior health training consistent with the requirements and as determined by a facility assessment. | D | Health | corrected 2025-04-19 |
| 2025-04-18 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | B | Health | corrected 2025-04-19 |
| 2025-01-17 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | complaint | corrected 2025-01-18 |
| 2025-01-17 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2024-08-01 |
| Date | Type | Amount |
|---|---|---|
| 2025-10-10 | Fine | $16,149 |
| 2025-04-27 | Fine | $15,156 |
| 2023-12-22 | Fine | $82,676 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BOWERS, SEAN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 07/01/2024 |
| CISNEROS, ALFRED | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/18/2008 |
| COBB, TRAVIS | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/05/2022 |
| COOPER, STEPHEN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/11/2022 |
| HARDIN, SHERRIE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/04/2024 |
| KERZEE, RICHARD | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 09/24/2007 |
| KORENEK, PATRICIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/05/2018 |
| SOECHTING, PAUL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 11/22/2024 |
| STRACK, JOE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/11/2022 |
| HUGGINS, LINDA | Corporate Director | Individual | NOT APPLICABLE | since 06/01/2022 |
| WILLIG, ZACHARY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2025 |
| THOMPSON, JOHNNY | Corporate Officer | Individual | NOT APPLICABLE | since 01/01/2024 |
| SCHERTZ I ENTERPRISES, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, GARY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2022 |
| BLAKE, MALISA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 09/01/2022 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676121. Corrections: data@carerecords.org.