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Silver Tree Nursing And Rehabilitation Center

📍 930 Roy Richard Dr, Schertz, TX 78154 📞 (210) 566-9100 🛏️ 120 beds

Inspection History Overview

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2021 2 penalties totaling $17,295

$6,923
Sep 15, 2021

Fine

$10,372
Jan 13, 2021

Fine

2020 1 penalties totaling $9,750

$9,750
Nov 11, 2020

Fine

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Health Violations by Year

2025 25 violations

Tag 0580 J Apr 27, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

✓ Corrected: Apr 25, 2025
Tag 0684 J Apr 27, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Apr 25, 2025
Tag 0582 B Apr 18, 2025

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Apr 19, 2025
Tag 0583 D Apr 18, 2025

Keep residents' personal and medical records private and confidential.

✓ Corrected: Apr 19, 2025
Tag 0641 D Apr 18, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Apr 19, 2025
Tag 0655 D Apr 18, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

✓ Corrected: Apr 19, 2025
Tag 0656 D Apr 18, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 19, 2025
Tag 0689 D Apr 18, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 19, 2025
Tag 0690 D Apr 18, 2025

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Apr 19, 2025
Tag 0693 D Apr 18, 2025

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.

✓ Corrected: Apr 19, 2025
Tag 0694 D Apr 18, 2025

Provide for the safe, appropriate administration of IV fluids for a resident when needed.

✓ Corrected: Apr 19, 2025
Tag 0695 D Apr 18, 2025

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 19, 2025
Tag 0761 E Apr 18, 2025

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.

✓ Corrected: Apr 19, 2025
Tag 0812 E Apr 18, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 19, 2025
Tag 0880 E Apr 18, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 19, 2025
Tag 0940 E Apr 18, 2025

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

✓ Corrected: Apr 19, 2025
Tag 0941 D Apr 18, 2025

Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.

✓ Corrected: Apr 19, 2025
Tag 0942 D Apr 18, 2025

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

✓ Corrected: Apr 19, 2025
Tag 0946 E Apr 18, 2025

Provide training in compliance and ethics.

✓ Corrected: Apr 19, 2025
Tag 0947 D Apr 18, 2025

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

✓ Corrected: Apr 19, 2025

2024 14 violations

Tag 0842 D Jun 14, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Jun 15, 2024
Tag 0558 D Mar 7, 2024

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Mar 8, 2024
Tag 0638 D Mar 7, 2024

Assure that each resident’s assessment is updated at least once every 3 months.

✓ Corrected: Mar 8, 2024
Tag 0641 D Mar 7, 2024

Ensure each resident receives an accurate assessment.

✓ Corrected: Mar 8, 2024
Tag 0656 E Mar 7, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 8, 2024
Tag 0657 D Mar 7, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Mar 8, 2024
Tag 0693 D Mar 7, 2024

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.

✓ Corrected: Mar 8, 2024
Tag 0695 D Mar 7, 2024

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Mar 8, 2024
Tag 0761 D Mar 7, 2024

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.

✓ Corrected: Mar 8, 2024
Tag 0805 D Mar 7, 2024

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

✓ Corrected: Mar 8, 2024
Tag 0812 F Mar 7, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Mar 8, 2024
Tag 0842 D Mar 7, 2024

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Mar 8, 2024
Tag 0880 D Mar 7, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Mar 8, 2024
Tag 0880 D Feb 1, 2024

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 2, 2024
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2023 7 violations

Tag 0686 J Dec 22, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Tag 0695 D Dec 22, 2023

Provide safe and appropriate respiratory care for a resident when needed.

Tag 0842 E Dec 22, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag 0880 D Dec 22, 2023

Provide and implement an infection prevention and control program.

Tag 0842 D May 14, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 16, 2023
Tag 0641 D Feb 3, 2023

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 4, 2023
Tag 0656 D Feb 3, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 6, 2023

2022 1 violations

Tag 0623 D Sep 1, 2022

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

✓ Corrected: Sep 2, 2022
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2021 8 violations

Tag 0582 D Nov 12, 2021

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: Nov 13, 2021
Tag 0641 D Nov 12, 2021

Ensure each resident receives an accurate assessment.

✓ Corrected: Nov 13, 2021
Tag 0656 E Nov 12, 2021

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Nov 13, 2021
Tag 0689 G Sep 15, 2021

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Sep 16, 2021
Tag 0838 F Jan 27, 2021

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Tag 0580 D Jan 13, 2021

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0880 E Jan 13, 2021

Provide and implement an infection prevention and control program.

Tag 0885 E Jan 13, 2021

Report COVID19 data to residents and families.

2020 9 violations

Tag 0880 D Nov 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Dec 7, 2020
Tag 0658 D Oct 20, 2020

Ensure services provided by the nursing facility meet professional standards of quality.

✓ Corrected: Oct 22, 2020
Tag 0842 D Oct 20, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 22, 2020
Tag 0880 D Apr 9, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 10, 2020
Tag 0583 D Jan 31, 2020

Keep residents' personal and medical records private and confidential.

✓ Corrected: Feb 28, 2020
Tag 0607 E Jan 31, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Feb 28, 2020
Tag 0686 D Jan 31, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 28, 2020
Tag 0689 D Jan 31, 2020

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Feb 28, 2020
Tag 0755 D Jan 31, 2020

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Feb 28, 2020
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2019 23 violations

Tag 0607 E Oct 4, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Oct 31, 2019
Tag 0609 E Oct 4, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 31, 2019
Tag 0610 E Oct 4, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Oct 31, 2019
Tag 0557 D Sep 19, 2019

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

✓ Corrected: Oct 3, 2019
Tag 0609 D Apr 30, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 31, 2019
Tag 0550 E Jan 11, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: Feb 8, 2019
Tag 0565 E Jan 11, 2019

Honor the resident's right to organize and participate in resident/family groups in the facility.

✓ Corrected: Feb 8, 2019
Tag 0607 E Jan 11, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Feb 8, 2019
Tag 0609 E Jan 11, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 8, 2019
Tag 0610 E Jan 11, 2019

Respond appropriately to all alleged violations.

✓ Corrected: Feb 8, 2019
Tag 0641 D Jan 11, 2019

Ensure each resident receives an accurate assessment.

✓ Corrected: Feb 8, 2019
Tag 0656 E Jan 11, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 8, 2019
Tag 0657 E Jan 11, 2019

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 8, 2019
Tag 0676 E Jan 11, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: Feb 8, 2019
Tag 0679 E Jan 11, 2019

Provide activities to meet all resident's needs.

✓ Corrected: Feb 8, 2019
Tag 0690 E Jan 11, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: Feb 8, 2019
Tag 0693 D Jan 11, 2019

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.

✓ Corrected: Feb 8, 2019
Tag 0695 E Jan 11, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Feb 8, 2019
Tag 0726 E Jan 11, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Feb 8, 2019
Tag 0761 E Jan 11, 2019

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.

✓ Corrected: Feb 8, 2019

2018 10 violations

Tag 0607 E Oct 4, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Oct 23, 2018
Tag 0610 E Oct 4, 2018

Respond appropriately to all alleged violations.

✓ Corrected: Oct 23, 2018
Tag 0656 E Jan 26, 2018

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 15, 2018
Tag 0693 E Jan 26, 2018

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.

✓ Corrected: Feb 21, 2018
Tag 0726 E Jan 26, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Feb 21, 2018
Tag 0761 E Jan 26, 2018

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.

✓ Corrected: Feb 15, 2018
Tag 0804 E Jan 26, 2018

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: Feb 5, 2018
Tag 0812 E Jan 26, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 5, 2018
Tag 0842 E Jan 26, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 16, 2018
Tag 0880 E Jan 26, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 21, 2018
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