Silver Tree Nursing And Rehabilitation Center
930 ROY RICHARD DRIVE, Schertz, TX, 78154
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 - Corporation · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 88 residents/day
- Total nursing staff turnover
- 62.8% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 53.8% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 3 fines · $122,677 total
- Infection control citations
- 4
State licensing & capacity
- License number
- 308626
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 21 Medicare-only · 99 Medicaid/Medicare
- Current license effective
- June 1, 2025
- Current license expires
- June 1, 2028
- Initial license date
- November 21, 2006
Texas HHS licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- West Wharton County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Schertz I Enterprises, Llc
- Administrator
- Kraig Turpen
Texas HHS licensing registry · as of April 16, 2026
About this community
Silver Tree Nursing And Rehabilitation Center is a 120-bed Medicare/Medicaid nursing home in Schertz (Guadalupe County), operated by Schertz I Enterprises under a hospital district license. CMS rates it 2 stars overall, with a 1-star health inspection rating and 3 fines totaling $122,677 since the current data period. Quality-of-care outcome measures rate 5 stars for long-stay residents. The facility is running at 74% of licensed beds — about 88 residents on an average day.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 3 stars. Each resident receives about 215 minutes of nursing care per day — roughly 26 minutes less than at a 4-star-staffing facility in Texas. About 19% of Texas nursing homes fall at the 3-star staffing level.
Roughly 6 in 10 nursing staff left in the past year. Texas's 75th-percentile threshold for turnover is 60% — this facility sits just above it. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
One administrator has turned over in the past year. This is one change, which by itself reflects some leadership transition, and is worth asking about when visiting.
Three CMS fines totaling $122,677 — nearly six times the Texas median fine amount of $20,699, and in the severe tier by state standards. About 30% of Texas nursing homes have no fines in the same period.
The facility is operating at 74% of its 120 licensed beds, averaging 88 residents per day. Paired with the health inspection and fine record, low occupancy here follows a pattern seen at facilities under regulatory pressure.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Health inspection findings in detail
Ask to see the most recent state inspection report — the 1-star health inspection rating is the lowest possible, and the specific deficiencies cited will tell you what surveyors found.
Context behind the $122,677 in fines
Three CMS fines totaling $122,677 have been assessed; ask what each fine was for and what corrective steps have been taken since.
Nursing staff retention over time
About 6 in 10 nursing staff left in the past year — ask how long the current aides and nurses on your parent's prospective unit have been at the facility.
Administrator transition and current leadership
One administrator left in the past year; ask who is currently in charge, how long they have been in the role, and who to contact for ongoing care concerns.
Current bed availability and waitlist
The facility is at 74% occupancy — ask whether the unit or room type you need is available now and what the admission timeline looks like.
How the 5-star quality outcomes are measured
Long-stay quality outcomes rate 5 stars despite a low health inspection score — ask which specific measures drive that rating and how the facility tracks them month to month.
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.