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D
Poor

SILVER CREEK NURSING AND REHABILITATION

9014 TIMBER PATH · SAN ANTONIO, TX 78250

2105232455 · For profit - Limited Liability company

120 beds94.7 residents106 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

SILVER CREEK NURSING AND REHABILITATION receives an overall staffing grade of D (Poor). With 3.0437 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3511 HPRD, below the recommended 0.75. It is 0.85 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.82% compared to weekdays. The facility has low agency staff usage (0.11% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.0437 HPRD — needs 0.44 more hours per resident per day.
⚠️RN staffing (0.3511 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.11%) — mostly permanent, familiar staff
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.0437hrs/resident/day▼ 0.85
CMS benchmark: 3.48
RN HPRD
0.3511hrs/resident/day▼ 0.33
Recommended: 0.75
Weekend Drop-off
14.82%
3.1767 weekday → 2.7059 weekend
Agency Staff
0.11%
0.62% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5258hrs/resident/day
Direct care aides
LPN HPRD
0.8719hrs/resident/day
Licensed practical nurses
Consistency
0.2666std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Bexar County Average-0.34 HPRD
3.39
03.04 HPRD
vs. Texas State Average-0.36 HPRD
3.40
03.04 HPRD
vs. National Average-0.85 HPRD
3.90
03.04 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
SILVER CREEK NURSING AND REHABILITATION ★
SAN ANTONIO · This facility
—
D
3.04370.3511★★★☆☆
MESA VISTA INN HEALTH CENTER
SAN ANTONIO
4 mi
F
2.64770.2404★★☆☆☆
NORTHGATE HEALTH AND REHABILITATION CENTER
SAN ANTONIO
4 mi
F
2.81180.1853★☆☆☆☆
OAK PARK NURSING AND REHABILITATION CENTER
SAN ANTONIO
5.2 mi
F
3.14460.1328★★☆☆☆
WURZBACH NURSING AND REHABILITATION
SAN ANTONIO
5.5 mi
F
3.07370.2342★☆☆☆☆
THE LEV AT SAN ANTONIO
SAN ANTONIO
6.7 mi
D
3.16180.3085★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

8
Inspections
22
Total Deficiencies
$43,284
Fines Assessed
Jul 2, 2025Health
6 deficiencies cited
▼
Mar 19, 2025Health
2 deficiencies cited
▼
Mar 14, 2025Health
1 deficiency cited
▼
Aug 27, 2024Health
3 deficiencies cited
▼
Jun 6, 2024Health
2 deficiencies cited
▼
Nov 22, 2023Health
2 deficiencies cited
▼
May 12, 2023Health
4 deficiencies cited
▼
Apr 30, 2023Health
2 deficiencies cited· Includes actual harm
▼

Penalty History

Apr 30, 2023Fine
$43,284
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.