Nursing Home

Silver Creek Nursing and Rehab

Nursing Home

Silver Creek Nursing and Rehab

9014 Timber Path, San Antonio, TX 78250 View map
Overview of Silver Creek Nursing and Rehab

Located in San Antonio, TX, Silver Creek Nursing and Rehab is a comprehensive senior care community that offers skilled nursing, assisted living, and independent living options. With 120 certified beds, the facility is located within a hospital setting, providing residents with access to a range of additional healthcare programs and services.Silver Creek Nursing and Rehab’s commitment to the well-being of its residents is evident in its offerings, which include a mental wellness program, physical therapy services, and on-site dental care. The community’s costs range from $2,295 to $5,536, with an average price of $3,916, which is higher than the local average but lower than the state average for nursing homes.

Residents at Silver Creek Nursing and Rehab receive an average of 3.1 hours of daily nursing care, with a mix of licensed nurses and non-licensed nurse aides. The facility also provides a structured activity schedule to ensure residents maintain an active and engaged lifestyle. With an overall rating of 3.0 from the Centers for Medicare and Medicaid Services, Silver Creek Nursing and Rehab offers a well-rounded senior care experience in a pet-friendly, hospital-based setting.

(210) 523-2455

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info Official CMS rating based on health inspections, staffing and quality measures.
3/5
Texas average: 3.0/5
Health Inspection Info Official CMS rating based on deficiencies found during state health inspections.
3/5
Texas average: 2.9/5
Staffing Info Official CMS rating based on nurse staffing hours per resident per day.
1/5
Texas average: 2.4/5
Quality Measures Info Official CMS rating based on clinical outcomes for residents.
5/5
Texas average: 4.0/5

Nursing care per resident

Info Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
2h 42m per day

This home provides 28% less nursing time per resident than the Texas average.

Texas average: 3h 46m per day

Staffing hours breakdown

Info Hours of care per resident per day, broken down by staff type. Data from CMS Medicare.
Staff type Facility State avg National avg
Registered Nurse (RN) Info Registered nurse hours per resident per day. 19m per day 21m per day 29m per day

Capacity and availability

Medium-capacity home

Offers a balance of services and community atmosphere.

Total beds 120

This home usually has availability

Lower occupancy suggests more openings may be available.

Lower demand than the Texas average
Occupancy rate 67.7%
Residents per day (avg) 89
Occupancy rate
67.7%
Residents per day (avg)
89

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for
Short stays Recovery Medicare-covered care

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

27% of new residents, often for short stays.

Typical stay 21 days

Medicaid

35% of new residents, often for long-term daily care.

Typical stay 11 months

Finances and operations

Governmental community
Operated by state authorities.
Home revenue
$11.6M
Surplus of revenue
$34.6K
Governmental community Operated by state authorities.
Home revenue
$11,565,899.00
Surplus of revenue
$34,604.00
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1
0% of revenue
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$11.6M
Total costs $11.6M
Bed community size
120-bed community
A larger shared setting that may offer more common spaces and organized community services.
Years in operation
39 years in operation
A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.
Walk Score
Walk Score: 62 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.

Services

Medicare/medicaid

About this community

License details

Facility type
Nursing
Status Active
Issuance March 31, 2023
Expiration March 31, 2026
County: BEXAR

Additional licensing details

License number: 147808
Year opened: 5/7/1986

Ownership & operating entity

Silver Creek Nursing and Rehab is administrated by DANIELLA SUAREZ.

Management company: TIMBER NURSING AND REHAB CENTER LLC
Owner: UVALDE COUNTY HOSPITAL AUTHORITY
Ownership type: HOSPITAL DISTRICT/AUTHORITY

Type Of Units

Medicare
2 units
Medicaid and Medicare
118 units
Total beds
120 units

Staffing

Key information about the people who lead and staff this community.

Leadership

Administrator email: [email protected]

What does this home offer?

Accepts Medicaid icon
Accepts Medicaid icon

Accept Medicaid: Yes

Building type icon
Building type icon

Building Type: Single-story

Care cost icon
Care cost icon

Care Cost

Types of Care at Silver Creek Nursing and Rehab

Nursing Home

Health Inspection History

Inspections
Total health inspections 8

Texas average 7.4


Last Health inspection on Jul 2025

Total health citations 22
Citations per inspection
2.75

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

12 of 22 citations resulted from standard inspections; and 10 of 22 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical Health citations More info 1
50% better than Texas average

Texas average: 2


Serious Health citations More info 0
100% better than Texas average

Texas average: 0.4

1 critical citation More info Texas average: 2

0 serious citations More info Texas average: 0.4

21 moderate citations More info Texas average: 23

0 minor citations More info Texas average: 0.4
Citations history (last 3 years)
Environmental moderate citation Jul 02, 2025
Corrected

Infection Control moderate citation Jul 02, 2025
Corrected

Nutrition moderate citation Jul 02, 2025
Corrected

Nutrition moderate citation Jul 02, 2025
Corrected

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The information below is reported by the Texas Health and Human Services Commission.
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SNF

Nursing Homes 24/7 care needed

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Silver Creek Nursing and Rehab
SNF

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San Antonio West Nursing and Rehab
SNF

Nursing Homes 24/7 care needed

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139
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MAVERICK COUNTY HOSPITAL DISTICT
54.4%
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Pleasanton North Nursing and Rehab
HC

Hospice Care

SNF

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+37%

Places of interest near Silver Creek Nursing and Rehab

Address 15.3 miles from city center — 2.53 miles to nearest hospital (CHRISTUS Santa Rosa Hospital - Westover Hills)

Address 9014 Timber Path, San Antonio, TX 78250

Calculate Travel Distance to Silver Creek Nursing and Rehab

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Staffing Data

Source: CMS Payroll-Based Journal (Q2 2025)

115
Total Staff
103
Employees
12
Contractors
33,271
Total Hours (Quarter)
47
Avg Staff/Day
7.8
Avg Shift (hrs)
Nursing Staff Breakdown
Role Count Avg Shift (hrs) Uses Contractors?
Registered Nurse97.9 Yes
Licensed Practical Nurse188.1 Yes
Certified Nursing Assistant478.1 Yes
Staff by Category
Administration
2 staff
6.7hs shift avg
Nursing Staff
88 staff
8hs shift avg
Physicians & Practitioners
2 staff
7.4hs shift avg
Therapy Services
15 staff
6.9hs shift avg
Activities & Recreation
1 staff
6.3hs shift avg
Social Services
4 staff
7.6hs shift avg
Dietary Services
2 staff
6.7hs shift avg
Other Services
1 staff
8hs shift avg
Contractor Analysis
0.8%
of total hours from contractors
250 contractor hours this quarter
Certified Nursing Assistant: 5 Licensed Practical Nurse: 1 Registered Nurse: 1 Medication Aide/Technician: 2 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1
Role Employees Contractors Total Staff Total Hours Days Worked % of Days Avg Shift (hrs)
Certified Nursing Assistant4254711,46691100%8.1
Licensed Practical Nurse171185,62791100%8.1
Physical Therapy Aide6062,7098189%7.4
Medication Aide/Technician82102,2469099%8
Registered Nurse8192,24591100%7.9
Qualified Social Worker4041,8337178%7.6
Speech Language Pathologist5051,5548998%6.2
RN Director of Nursing3031,4486875%8.1
Respiratory Therapy Technician2028436774%7
Other Dietary Services Staff2028187987%6.7
Administrator1015126470%8
Nurse Practitioner1015126571%7.9
Mental Health Service Worker1015126470%8
Nurse Aide in Training1013975459%7.4
Therapeutic Recreation Specialist1013776066%6.3
Occupational Therapy Aide0111082022%5.4
Occupational Therapy Assistant0112344%5.8
Medical Director011221618%1.4
Clinical Nurse Specialist1012178%3

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total census
91 residents
Residents by payment source
Medicare
6 residents (6.6%)
Medicaid
76 residents (83.5%)
Private pay or other
9 residents (9.9%)
Programs & Services
Residents' Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 8.1
6% better than Texas average

Texas average: 8.6

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 12.6
22% better than Texas average

Texas average: 16.0

Long-stay resident measures
Above average Texas avg: 4.2 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 13.6%
16% better than Texas average

Texas average: 16.2%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 6.2%
62% better than Texas average

Texas average: 16.2%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 17.9%
14% worse than Texas average

Texas average: 15.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.6%
74% worse than Texas average

Texas average: 3.2%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 8.3%
88% worse than Texas average

Texas average: 4.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.0%
20% worse than Texas average

Texas average: 0.8%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 6.7%
94% worse than Texas average

Texas average: 3.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.3%
85% worse than Texas average

Texas average: 2.9%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 6.7%
15% better than Texas average

Texas average: 7.9%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
In line with Texas average

Texas average: 97.3%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.9%
In line with Texas average

Texas average: 97.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 3.30
55% worse than Texas average

Texas average: 2.13

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.54
26% better than Texas average

Texas average: 2.07

Short-stay resident measures
Significantly above average Texas avg: 2.9 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 97.3%
8% better than Texas average

Texas average: 90.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than Texas average

Texas average: 1.4%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
14% better than Texas average

Texas average: 88.0%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 18.4%
29% better than Texas average

Texas average: 25.9%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 4.5%
63% better than Texas average

Texas average: 12.0%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 3.8%
387% worse than Texas average

Texas average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 69.6%
30% better than Texas average

Texas average: 53.7%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database (Data as of Jan 2026)

Total fines amount $43K
46% lower than Texas average

Texas average: $80K

Number of fines 1
60% fewer fines than Texas average

Texas average: 2.5

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
100% fewer payment denials than Texas average

Texas average: 0.2

Fines amount comparison
Fines amount comparison
This facility $43K
Texas average $80K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Apr 30, 2023
$43K

Last updated: Jan 2026

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Financial Aid for Texas Seniors

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Community Care for the Aged and Disabled (CCAD)

TX Medicaid CCAD

Age 65+ or disabled, Texas resident, Medicaid-eligible, care need (not always nursing home level).

~$2,829/month (300% FBR, individual).

$2,000 (individual), $3,000 (couple).

Large state; rural access challenges.

Texas Community Care Services

TX CCS

Age 60+, Texas resident, at risk of decline.

~$2,000/month (individual, varies).

$5,000 (individual).

Limited funding; high demand in urban areas.

Area Agency on Aging (AAA) Services

Texas AAA Services

Age 60+, TX resident; no income/asset limits.

None; donations encouraged.

Not assessed.

28 AAAs; includes Meals on Wheels in some areas.

Medicare Savings Program (MSP)

Texas Medicare Savings Program

Age 65+ or disabled, TX resident, Medicare Part A/B.

~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.

$9,430 (individual), $14,130 (couple).

Includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIHEAP)

Texas Comprehensive Energy Assistance Program (CEAP)

Age 60+ prioritized, TX resident, low-income.

~$3,970/month (185% FPL).

Not assessed.

Priority for elderly/disabled; covers gas, electric, propane.

Family Caregiver Support Program (FCSP)

Texas Family Caregiver Support Program

Caregivers of 60+ needing care or 55+ caregivers of others; TX resident; 2+ ADLs.

No strict cap; prioritizes low-income (~$24,980/year).

Not assessed.

High rural demand; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

Texas SCSEP

Age 55+, unemployed, low-income, TX resident.

~$1,983/month (125% FPL).

Not specified.

Priority for veterans, rural residents; AARP partnership.

VA Aid and Attendance (A&A) and Housebound Benefits

Texas VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse, TX resident, wartime service, ADL help (A&A) or homebound.

Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.

~$155,356 (net worth).

High veteran population; supports rural/urban needs.

Property Tax Exemption for Seniors

Texas Senior Property Tax Exemption

Age 65+, TX resident, homeowner (homestead).

None; tax-based eligibility.

Not assessed.

$25,000+ exemption; optional freeze in some counties; saves ~$500-$1,000/year.

Senior Farmers’ Market Nutrition Program (SFMNP)

Texas SFMNP

Age 60+, TX resident, low-income.

~$2,322/month (185% FPL).

Not assessed.

Vouchers (~$50/season); serves ~20,000 via 28 AAAs.