Silver Creek Nursing and Rehabilitation

Name: Silver Creek Nursing and Rehabilitation
Address: 9014 TIMBER PATH, San Antonio, TX, 78250, US
Telephone: 2105232455

9014 Timber Path, San Antonio, TX 78250 · Bexar County · 120 certified beds · avg 102 residents/day · certified since May 7, 1986

Part of chain: EDURO HEALTHCARE (34 facilities, chain avg rating 2.4★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

2.87

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (20)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jul 2, 2025	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jul 2, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 2, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jul 2, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Jul 2, 2025	D · Potential for harm, one-off	The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration.
Jul 2, 2025	D · Potential for harm, one-off	The facility did not have a policy covering how food brought in by family and visitors is used and stored safely.
Mar 19, 2025	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Mar 19, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Mar 14, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. · from a complaint
Aug 27, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Aug 27, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Aug 27, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Jun 6, 2024	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Jun 6, 2024	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 22, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Nov 22, 2023	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · from a complaint
May 12, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 12, 2023	D · Potential for harm, one-off	The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail.
May 12, 2023	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
May 12, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (2 → 6).

Year	Citations	Worst severity that year
2023	6	E
2024	5	E
2025	9	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.87	3.46	3.95	bottom 15% in Texas; bottom 10% in the U.S.
Registered Nurse hours	0.33	0.44	0.69	bottom 36% in Texas; bottom 13% in the U.S.
Weekend total nurse staffing	2.43	3.04	3.50	bottom 12% in Texas; bottom 8% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.27	0.34	0.48	bottom 44% in Texas; bottom 26% in the U.S.
Total nursing staff turnover (%)	39.7	55.3	45.8	top 20% in Texas; top 35% in the U.S.
RN turnover (%)	50.0	54.6	42.9	top 41% in Texas; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.04, RN 0.35, weekend 2.58. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Apolinar, Adam	Individual	Corporate Officer	NOT APPLICABLE	07/23/2015
Bewsey, Michael	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	07/26/2025
Contreras, Terri	Individual	Corporate Officer	NOT APPLICABLE	04/29/2019
Contreras, Terri	Individual	Operational/Managerial Control	NOT APPLICABLE	04/29/2019
Contreras, Terri	Individual	ADP of the SNF	NOT APPLICABLE	04/29/2019
Givens, Laura	Individual	Corporate Director	NOT APPLICABLE	08/01/2022
Givens, Laura	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Givens, Laura	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2022
SMV San Antonio Silver Creek LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/01/2022
Suarez, Daniella	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Suarez, Daniella	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2022
Telles, Yolanda	Individual	Corporate Director	NOT APPLICABLE	08/01/2022
Telles, Yolanda	Individual	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Telles, Yolanda	Individual	ADP of the SNF	NOT APPLICABLE	08/01/2022
Timber Nursing and Rehab Center LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/01/2022
Timber Nursing and Rehab Center LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/26/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
"What are your rules for bringing in my family member's favorite foods, and how are they stored?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Las Colinas of Westover	1.9 mi	San Antonio, TX	★★☆☆☆	2/5
Windemere at Westover Hills	1.9 mi	San Antonio, TX	★★☆☆☆	3/5
Mystic Park Nursing and Rehabilitation Center	2.7 mi	San Antonio, TX	★★★☆☆	2/5
Westover Hills Rehabilitation and Healthcare	2.9 mi	San Antonio, TX	★★★★☆	3/5
Lakeside Nursing and Rehabilitation Center	3.7 mi	San Antonio, TX	★★★★★	4/5
Huebner Creek Health & Rehabilitation Center	3.9 mi	San Antonio, TX	★☆☆☆☆	2/5
Mesa Vista Inn Health Center	4.0 mi	San Antonio, TX	★☆☆☆☆	2/5
Avir at San Knoll	4.0 mi	San Antonio, TX	★☆☆☆☆	1/5
Ignite Medical Resort San Antonio, LLC	4.1 mi	San Antonio, TX	★★★☆☆	2/5
Sorrento	4.5 mi	San Antonio, TX	★★☆☆☆	2/5
Remington Transitional Care of San Antonio	4.6 mi	San Antonio, TX	★★★★☆	3/5
Inspiration Hills Rehabilitation Center	5.1 mi	San Antonio, TX	★★★☆☆	3/5

Compare this facility with the 3 closest →

All facilities in San Antonio →

Facility data as of CMS processing date 2026-08-01. CCN 455652.

The Care File

Visit checklist — Silver Creek Nursing and Rehabilitation

9014 Timber Path, San Antonio, TX 78250 · 2105232455

Health inspection rating 4/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
☐ "What are your rules for bringing in my family member's favorite foods, and how are they stored?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 455652 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)