Silver Tree Nursing and Rehabilitation Center
Schertz · 1.3 mi · 120 beds
Citations0Substantiated0
Avir at Schertz
3301 FM 3009, Schertz, TX, 78154
Nursing home96 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 39 deficiencies against Avir at Schertz in Schertz, Texas at its most recent standard inspection on 2026-02-27, 15 of them arising from complaints. 3 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $39,676. CMS currently flags this home for abuse. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
96certified beds
39deficiencies at the last inspection
3immediate-jeopardy findings on record
0actual-harm findings on record
2federal fines, $39,676
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.3
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.62
Potential for minimal harmThe least serious band.0
Most recentDFFEEEEEEDDDDDDDDDDD
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2026-03-21 · from a complaint · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Dispose of garbage and refuse properly.
Nutrition and Dietary Deficiencies · F0814 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · F0645 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · F0695 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · F0755 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Administration Deficiencies · F0940 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · F0552 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies · F0558 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies · F0644 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · F0655 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies · F0756 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · F0757 · 2026-02-27 · standard survey · No actual harm, potential for more than minimal harm
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles1 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home5 of 5
Nurse hours per resident per dayReported by the home to CMS2.93426
Nursing staff turnoverShare of nursing staff who left in a year79.4%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$39,676
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Avir at Schertz
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| GUADALUPE COUNTY HOSPITAL BOARD | Organization | 100% | since 03/03/2017 |
| 3301 FM 3009 PROPERTY OWNER, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER INC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER NNN GROUP, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| WELLTOWER OP, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| GANN, KODY | Individual | NOT APPLICABLE | since 03/01/2025 |
| 3301 FM 3009 OPCO, LLC | Organization | NOT APPLICABLE | since 03/01/2025 |
| FREUND, NOCHUM | Individual | NOT APPLICABLE | since 03/01/2025 |
| SILVA, LUIS | Individual | NOT APPLICABLE | since 03/01/2025 |
| TRAVITSKY, AARON | Individual | NOT APPLICABLE | since 03/01/2025 |
| GOLDBERGER, ABRAHAM | Individual | NOT APPLICABLE | since 04/22/2025 |
| 3301 FM 3009 OPCO, LLC | Organization | NOT APPLICABLE | since 04/22/2025 |
Part of the AVIR HEALTH GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Trucare Living Centers - Selma
Selma · 3.4 mi · 128 beds
Citations0Substantiated0
Advanced Rehabilitation & Healthcare of Live Oak
Live Oak · 4.3 mi · 123 beds
Citations0Substantiated0
Avir at Converse
Converse · 5.4 mi · 100 beds
Citations0Substantiated0
Contact
Ask Avir at Schertz a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 676301.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction