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4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
4/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 277th out of 289 homes in Texas for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 19m per day | ▼ 27% State avg: 26m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 52m per day | ▼ 10% State avg: 57m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 51m per day | ▼ 8% State avg: 2h 1m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 38m per day | ▼ 12% State avg: 2h 59m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 49% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 24% State avg: 21m per day · National avg: 29m per day |
Higher than the Texas average: 63.5%Silver Creek Nursing and Rehab is administrated by Daniella Suarez.
Key information about the people who lead and staff this community.
In Texas, the Health and Human Services Commission (HHSC) is the primary regulatory body that conducts unannounced inspections and publishes quality reports for all long-term care homes.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Texas state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Citations
| This Facility | TX Average | vs. TX Avg |
|---|---|---|---|
|
Total citations
Formal regulatory issues recorded by inspectors across all inspection types.
| 23 | 6 | This facility has 283% more total citations than a typical Texas nursing home (23 vs. TX avg 6).↑ 283% worse |
|
Citations per year
Average citations per year since 2023.
| 7.7 | 2 | This facility has 285% more citations per year than a typical Texas nursing home (7.7 vs. TX avg 2).↑ 285% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Texas average 7.4
Last Health inspection on Jul 2025
Texas average 25.9
Texas average 3.67
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.
50% better than Texas averageTexas average: 2
100% better than Texas averageTexas average: 0.4
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
20% fewer staff per resident than Texas average
0% compared with Texas average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 7 full-time employees and 1 contractor.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.7 hoursAssists with medical care and medications.
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursHelps with daily care and mobility.
42 total: 41 full-time employees and 1 contractor.
42
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
188 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 41 | 1 | 42 | 14,743 | 92 | 100% | 8.1 |
| Licensed Practical Nurse | 17 | 0 | 17 | 6,855 | 92 | 100% | 8.4 |
| Physical Therapy Aide | 6 | 0 | 6 | 2,916 | 78 | 85% | 7.8 |
| Medication Aide/Technician | 9 | 0 | 9 | 2,544 | 92 | 100% | 8.4 |
| Speech Language Pathologist | 5 | 0 | 5 | 1,991 | 89 | 97% | 6.6 |
| Registered Nurse | 7 | 1 | 8 | 1,931 | 92 | 100% | 7.7 |
| Qualified Social Worker | 4 | 0 | 4 | 1,888 | 68 | 74% | 7.7 |
| RN Director of Nursing | 3 | 0 | 3 | 1,168 | 64 | 70% | 8 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 931 | 68 | 74% | 7.3 |
| Other Dietary Services Staff | 2 | 0 | 2 | 692 | 76 | 83% | 6 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 518 | 66 | 72% | 6.9 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 464 | 58 | 63% | 8 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 415 | 56 | 61% | 7.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 95 | 18 | 20% | 5.3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 45 | 6 | 7% | 7.5 |
| Medical Director | 0 | 1 | 1 | 30 | 25 | 27% | 1.2 |
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)
46% lower than Texas averageTexas average: $80K
60% fewer fines than Texas averageTexas average: 2.5
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Texas averageTexas average: 0.2
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 averageTexas average: 8.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
12.6
22% better than Texas averageTexas average: 16.0
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.6%
16% better than Texas averageTexas average: 16.2%
Percent of long-stay residents whose ability to move independently worsened
6.2%
62% better than Texas averageTexas average: 16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.9%
14% worse than Texas averageTexas average: 15.7%
Percent of long-stay residents experiencing one or more falls with major injury
5.6%
74% worse than Texas averageTexas average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
8.3%
88% worse than Texas averageTexas average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.0%
20% worse than Texas averageTexas average: 0.8%
Percent of long-stay residents who lose too much weight
6.7%
94% worse than Texas averageTexas average: 3.5%
Percent of long-stay residents who have depressive symptoms
5.3%
85% worse than Texas averageTexas average: 2.9%
Percent of long-stay residents who received an antipsychotic medication
6.7%
15% better than Texas averageTexas average: 7.9%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with Texas averageTexas average: 97.3%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.9%
In line with Texas averageTexas average: 97.9%
Number of hospitalizations per 1,000 long-stay resident days.
3.30
55% worse than Texas averageTexas average: 2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.54
26% better than Texas averageTexas average: 2.07
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
97.3%
8% better than Texas averageTexas average: 90.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Texas averageTexas average: 1.4%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
14% better than Texas averageTexas average: 88.0%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
18.4%
29% better than Texas averageTexas average: 25.9%
Percentage of short-stay residents who had an outpatient emergency department visit.
4.5%
63% better than Texas averageTexas average: 12.0%
Percentage of SNF residents who experience falls with major injury during their stay.
3.8%
387% worse than Texas averageTexas average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.6%
30% better than Texas averageTexas average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
39% of new residents, usually for short-term rehab.
27% of new residents, often for short stays.
35% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
91Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Silver Creek Nursing and Rehab from 2012–2024, based on CMS SNF Cost Reports.
Based on the 2024 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #173 / 297Payroll — State benchmarkedThis home is ranked 173rd out of 297 homes in Texas. Shows total annual staff payroll benchmarked to the Texas average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Building Type: Single-story
Care Cost
Most residents typically stay for a few weeks or months before returning home or moving on.
New residents most often arrive under Medicare (39% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
15.3 miles from city center
Estimated distance in miles from San Antonio's city center to Silver Creek Nursing and Rehab's address, calculated via Google Maps.
— 2.53 miles to nearest hospital (CHRISTUS Santa Rosa Hospital - Westover Hills)
Add your location
Silver Creek Nursing and Rehab is located in San Antonio, Texas.
Here are the financial assistance programs available to residents in Texas.
The information below is reported by the Texas Health and Human Services Commission.
| Silver Creek Nursing and Rehab |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | San Antonio (Far West Side) | 120
Facility
120
TX AVG
80
Rank
#210 / 988 |
67.7%
Facility
67.7%
TX AVG
63.5%
Rank
#143 / 297 | +7% | 2.70
Facility
2.70
TX AVG
3.63
Rank
#277 / 289 | -2% | -26% | $0
Facility
$0
TX AVG
$81.8k
Rank
#187 / 294 | 22
Facility
22
TX AVG
25.9
Rank
#158 / 292 | 2.8
Facility
2.8
TX AVG
3.7
Rank
#91 / 292 | 1 | 101 | - |
62
Facility
62
TX AVG
41
Rank
#249 / 1391 | Timber Nursing And Rehab Center LLC | $11.6M
Facility
$11.6M
TX AVG
$8.4M
Rank
#131 / 297 | $4.6M
Facility
$4.6M
TX AVG
$3.5M
Rank
#173 / 297 | 40.2%
Facility
40.2%
TX AVG
47%
Rank
#223 / 297 | 455652 | ||||
| Mystic Park Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | San Antonio (Far West Side) | 119
Facility
119
TX AVG
80
Rank
#258 / 988 |
81.8%
Facility
81.8%
TX AVG
63.5%
Rank
#51 / 297 | +29% | 3.50
Facility
3.50
TX AVG
3.63
Rank
#140 / 289 | -5% | -4% | $111.1k
Facility
$111.1k
TX AVG
$81.8k
Rank
#251 / 294 | 21
Facility
21
TX AVG
25.9
Rank
#147 / 292 | 4.2
Facility
4.2
TX AVG
3.7
Rank
#222 / 292 | 2 | 108 | - |
59
Facility
59
TX AVG
41
Rank
#311 / 1391 | Fox Sparrow Healthcare, Inc. | $14.5M
Facility
$14.5M
TX AVG
$8.4M
Rank
#78 / 297 | $6.7M
Facility
$6.7M
TX AVG
$3.5M
Rank
#66 / 297 | 46.5%
Facility
46.5%
TX AVG
47%
Rank
#149 / 297 | 676012 | ||||
| San Pedro Manor |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | San Antonio (Monte Vista) | 150
Facility
150
TX AVG
80
Rank
#63 / 988 | - | - | 3.63
Facility
3.63
TX AVG
3.63
Rank
#122 / 289 | +2% | 0% | $24.3k
Facility
$24.3k
TX AVG
$81.8k
Rank
#199 / 294 | 43
Facility
43
TX AVG
25.9
Rank
#253 / 292 | 3.9
Facility
3.9
TX AVG
3.7
Rank
#204 / 292 | 5 | 19 | A+ |
79
Facility
79
TX AVG
41
Rank
#38 / 1391 | West Ashby Healthcare, Inc. | $12.1M
Facility
$12.1M
TX AVG
$8.4M
Rank
#117 / 297 | $6.1M
Facility
$6.1M
TX AVG
$3.5M
Rank
#88 / 297 | 50.8%
Facility
50.8%
TX AVG
47%
Rank
#96 / 297 | 455689 | ||||
| River City Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | San Antonio (Eastside Promise Neighborhood) | 92
Facility
92
TX AVG
80
Rank
#410 / 988 |
45.7%
Facility
45.7%
TX AVG
63.5%
Rank
#251 / 297 | -28% | 3.63
Facility
3.63
TX AVG
3.63
Rank
#122 / 289 | +37% | 0% | $23.4k
Facility
$23.4k
TX AVG
$81.8k
Rank
#145 / 294 | 32
Facility
32
TX AVG
25.9
Rank
#223 / 292 | 5.3
Facility
5.3
TX AVG
3.7
Rank
#268 / 292 | 2 | 47 | - |
68
Facility
68
TX AVG
41
Rank
#158 / 1391 | - | $4.4M
Facility
$4.4M
TX AVG
$8.4M
Rank
#285 / 297 | $2.1M
Facility
$2.1M
TX AVG
$3.5M
Rank
#287 / 297 | 48%
Facility
48%
TX AVG
47%
Rank
#124 / 297 | 675896 | ||||
| Buena Vida Nursing and Rehab Center San Antonio |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | San Antonio (East Side) | 222
Facility
222
TX AVG
80
Rank
#10 / 988 |
27.6%
Facility
27.6%
TX AVG
63.5%
Rank
#279 / 297 | -57% | 3.48
Facility
3.48
TX AVG
3.63
Rank
#140 / 289 | +31% | -4% | $269.1k
Facility
$269.1k
TX AVG
$81.8k
Rank
#278 / 294 | 44
Facility
44
TX AVG
25.9
Rank
#256 / 292 | 4.4
Facility
4.4
TX AVG
3.7
Rank
#235 / 292 | 3 | 61 | - |
26
Facility
26
TX AVG
41
Rank
#1005 / 1391 | West Wharton County Hospital District | $6.7M
Facility
$6.7M
TX AVG
$8.4M
Rank
#254 / 297 | $3.2M
Facility
$3.2M
TX AVG
$3.5M
Rank
#254 / 297 | 47.3%
Facility
47.3%
TX AVG
47%
Rank
#137 / 297 | 455390 |
Silver Creek Nursing and Rehab is in the Far West Side neighborhood of San Antonio.
The legal owner and operator of Silver Creek Nursing and Rehab is Uvalde County Hospital Authority.
Silver Creek Nursing and Rehab has a walk score of 62. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to TX state health department records, Silver Creek Nursing and Rehab's license number is 147808.
According to TX state health department records, Silver Creek Nursing and Rehab's license expires on March 31, 2026.
Silver Creek Nursing and Rehab's occupancy is 68%.
Daniella Suarez is the administrator of Silver Creek Nursing and Rehab.
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