Silver Creek Nursing and Rehabilitation
San Antonio, Texas · CCN 455652
32 surveys since 2011. The first finding at harm level was recorded in 2023.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 113
- Surveys
- 32
- Harm or worse
- 1
- Immediate jeopardy
- 1
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- For profit - Limited Liability company
- Chain
- EDURO HEALTHCARE
- County
- Bexar
- Medicare-certified since
- 1986
CMS ratings
- Overall
- 3
- Health inspection
- 4
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded fewer weighted findings than most of its peer group.
Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.
Last survey on record
Jul 2, 2025
495 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.04 | 3.25 |
| Registered-nurse hours per resident day | 0.35 | — |
| Annual nurse turnover | 39.7% | 54.0% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1470.0% | E630.0% | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F8803×
Provide and implement an infection prevention and control program.
- F9212×
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
- F5801×
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- F6091×
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
In the surveyor’s words
From the most serious findings on record at Silver Creek Nursing and Rehabilitation, in the surveyor’s own words.
- Immediate jeopardy, isolatedF684Apr 30, 2023
Based on interviews, and record reviews, the facility failed to ensure that, based on the comprehensive assessment of a resident, the resident received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 4 residents (Resident #1) reviewed for receiving nursing services in that: 1. The facility failed to ensure the nurses reported that Resident #1 went without a BM for 72 hours as per facility's PCC alert system to the physician which resulted in a change of condition of abnormal vitals and vomiting. Resident #1 was sent to the ER and had emergency surgery that resulted in a colostomy. 2. […]
- No harm, potential for more than minimal, patternF812Jul 2, 2025
Based on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 facility reviewed for food and nutrition services.1.-The facility failed to ensure an overhead ceiling vent in the main kitchen area was cleaned2. The facility failed to ensure a side wall vent in the main kitchen area was cleaned3. The facility failed to ensure overhead lighting in the main kitchen area was repaired.4. The facility failed to ensure overhead lighting in the dish room area was repaired5. […]
- No harm, potential for more than minimal, patternF880Jul 2, 2025
Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 1 laundry areas, 1 of 5 facility hallways (300 hall), and 3 of 6 residents (Residents #37, #191, and #78) reviewed for infection control. 1. The facility failed to ensure clean linen in the laundry area was stored in a method to reduce the risk of contamination.2. The facility failed to ensure PPE was readily available to staff caring for residents identified as requiring EBP in the 300 hallway.3. […]
- No harm, potential for more than minimal, patternF921Jul 2, 2025
Based on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public for 2 of 5 resident hallways (100 and 500 hallways) and 2 of 2 shower room (West and East Wing shower rooms) reviewed for environmental concerns in that:1-The facility failed to clean a bathroom ceiling vent in room [ROOM NUMBER].2-The facility failed to replace a bathroom light bulb and repair a piece of bathroom floor molding in room [ROOM NUMBER].3-The facility failed to clean a bathroom vent in room [ROOM NUMBER].4-The facility failed to replace a bedroom side wall light in room [ROOM NUMBER].5-The facility failed to clean a ceiling vent and and sprinkler head on the [NAME] Wing shower room.6-The facility… […]
- No harm, potential for more than minimal, patternF921Mar 14, 2025
Based on observations, interviews, and record review, the facility failed to provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public on 4 (Hallways 100, 200, 400, 500) of 5 resident hallways reviewed for environmental concerns. The facility failed to replace dirty ceiling tiles and clean rusted air vents on halls 100, 200, 400, and 500. These failures could place residents at risk of a diminished quality of life due to exposure to an environment that was unpleasant and unsafe. The findings included: During an observation on 03/12/25 from 5:30 am-6:00 am the following observations were made on resident hallways 100, 200, 400, and 500. […]
Read 21 findings in full →The most serious and the most recent: 21 of 113 on record.
Every survey on record
FindingsAt actual harm or above
- Jul 2, 2025Standard6 findings
- Mar 19, 2025Complaint2 findings
- Mar 14, 2025Complaint1 finding
- Aug 27, 2024Complaint3 findings
- Jun 6, 2024Standard2 findings
- Nov 22, 2023Complaint2 findings
- May 12, 2023Standard4 findings
- Apr 30, 2023Complaint2 findings · 1 harm
Show the 24 earlier surveys
- Mar 25, 2022Standard4 findings
- Mar 18, 2022Infection control1 finding
- Aug 12, 2021Complaint2 findings
- May 21, 2021Standard3 findings
- Feb 5, 2021Infection control3 findings
- Dec 11, 2020Complaint5 findings
- Oct 15, 2020Infection control3 findings
- Aug 30, 2019Standard and complaint10 findings
- Jun 5, 2019Complaint1 finding
- Jan 18, 2019Complaint5 findings
- Aug 3, 2018Standard7 findings
- Jun 29, 2018Complaint1 finding
- Mar 7, 2018Complaint4 findings
- Nov 30, 2017Complaint1 finding
- Jun 23, 2017Standard14 findings
- May 31, 2017Complaint3 findings
- Jul 20, 2016Complaint2 findings
- May 6, 2016Standard3 findings
- Apr 2, 2015Standard3 findings
- Feb 13, 2014—6 findings
- Aug 6, 2013—1 finding
- Jun 6, 2013—1 finding
- Jan 16, 2013—4 findings
- Nov 18, 2011—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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