Silver Tree Nursing And Rehabilitation Center
Inspection Findings
F-Tag F0656
F 0656 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
something went wrong. The DON stated CNA A should have asked a nurse for help or waited on the other aide for help. In an interview on 12/01/25 at 2:05 p.m., the ADM stated staff were trained on mechanical lift transfers when hired and that was why they were orientated. The ADM stated she did not feel there was any reason to ever transfer a resident with a mechanical lift with one person, and it was not what was allowed at
the facility. She stated CNA A should have waited for CNA B or went and asked a nurse for assistance
before completing the transfer. The ADM did not state why this is important. Record review of Nursing Direct Care message from the ADM, dated 11/29/25 at 3:19 p.m., reflected Whenever you are transferring a resident, always follow their individualized plan of care. For example, if the care plan requires a two-person assist, ensure that two staff members are present. If a mechanical lift is indicated, use the mechanical lift with two staff members as directed. Adhering to these guidelines ensures the safety of both the residents and the staff. Do not attempt to transfer a resident alone if the care plan specifies the use of a mechanical lift. Mechanical lift must always be used with two trained staff members.Record review of the facility's, undated, Comprehensive Care Planning policy, reflected The services provided or arranged by the facility, as outlined by the comprehensive care plan, will meet professional standards of quality. ‘Professional standards of Quality' means that care and services are provided according to accepted standards of clinical practice. Record review of the facility's, undated, Hydraulic Lift policy reflected the number of staff to provide assistance with the transfer should be determined by the manufacturer's recommendations. Record
review of OSHA Nursing Home Guidelines reflected in Figure 1 Transfer to and from bed to chair, chair to toilet, chair to chair, or car to chair: If patient is uncooperative or if patient does not have upper extremity strength to use full body sling lift and 2 caregivers. Record review of the FDA Patient Lifts Safety Guide recommended most lifts require two or more caregivers to safely operate lifts and handle a patient.
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SILVER TREE NURSING AND REHABILITATION CENTER in SCHERTZ, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in SCHERTZ, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SILVER TREE NURSING AND REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.