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 HHS 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 HHS licensing registry · as of April 16, 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 HHS 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.