Silver Creek Nursing And Rehabilitation
9014 TIMBER PATH, San Antonio, TX, 78250
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Eduro Healthcare
- Certified beds
- 120 · avg 95 residents/day
- Total nursing staff turnover
- 35.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $43,284 total
State licensing & capacity
- License number
- 147808
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 2 Medicare-only · 118 Medicaid/Medicare
- Current license effective
- March 31, 2026
- Current license expires
- March 31, 2029
- Initial license date
- May 7, 1986
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Timber Nursing And Rehab Center Llc
- Administrator
- Daniella Suarez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Eduro Healthcare chain — 36 facilities across 8 states. Chain-wide average overall rating 2.4 / 5.
Disclosed owners (8 on record)
- Timber Nursing And Rehab Center Llc
Adp of The Snf · since 2025
- Daniella Suarez
Operational/managerial Control · since 2022
- Laura Givens
Corporate Director · since 2022
- Smv San Antonio Silver Creek Llc
Adp of The Snf · since 2022
- Yolanda Telles
Corporate Director · since 2022
- Terri Contreras
Corporate Officer · since 2019
+ 2 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 22)
- E0921·Jul 2, 2025
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- E0880·Jul 2, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0813·Jul 2, 2025
Nutrition and Dietary Deficiencies
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
- E0812·Jul 2, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0692·Jul 2, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0686·Jul 2, 2025
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D0689·Mar 19, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0609·Mar 19, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20231 fine · $43K
Most recent events
- Apr 30, 2023Fine · $43K
Fire-safety citations
8 Life-Safety-Code citations on file. Most recent: Jul 2, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Silver Creek Nursing And Rehabilitation is a 120-bed Medicare/Medicaid nursing home in San Antonio (Bexar County), licensed since 1986 and managed by Timber Nursing And Rehab Center LLC under the Eduro Healthcare chain. CMS rates it 3 stars overall, with a 1-star staffing rating — the bottom tier in Texas — alongside a 5-star quality-measures rating. One CMS fine of $43,284 has been issued. Occupancy runs at roughly 79% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the lowest tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 182 minutes of nursing care per day, about 59 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — less mobile or more dependent on average — so those 182 minutes stretch thinner than the raw number suggests. Registered nurse coverage comes to about 21 minutes per resident per day, compared with 37 minutes at a 4-star-staffing facility in Texas.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover here is better than roughly three-quarters of nursing homes in the state. For a 1-star-staffing facility, stable personnel is a different profile than one where both hours and continuity are low.
CMS issued one fine totaling $43,284. About 30% of Texas nursing homes received no fines in the same period, and the state median for fined facilities is $20,699 — this single fine runs roughly twice that median.
Despite the 1-star staffing rating, CMS rates quality measures at 5 stars overall, with 5 stars for short-stay residents and 4 stars for long-stay residents. Those measures track things like pain management, pressure wounds, and hospitalizations — outcomes derived from resident assessments rather than staffing counts.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
How staffing hours are allocated
With 182 minutes of daily nursing care per resident — 59 minutes below the Texas 4-star threshold — ask how the facility decides which residents receive the most hands-on time each shift.
Registered nurse presence on weekends
CMS records weekend total nursing hours at 2.7 per resident — lower than the weekday figure — so ask specifically how many registered nurses are on the floor Saturday and Sunday.
What the $43,284 fine covered
One CMS fine of $43,284 has been issued; ask what deficiency it was tied to and what specific changes followed the citation.
Timber vs. Uvalde Authority day-to-day roles
The licensee is Uvalde County Hospital Authority while day-to-day management runs through Timber Nursing And Rehab Center LLC — ask which entity sets staffing budgets and responds to family concerns.
How quality scores stay high with low staffing
CMS rates quality measures at 5 stars while staffing sits at 1 star — ask the administrator how care plans and oversight are structured to produce those outcomes given current staffing levels.
Resident Council meeting access
The facility has a Resident Council but no Family Council; ask how families are formally notified of issues raised in council meetings and how they can submit concerns directly.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.