28 health deficiencies
Top issue: Resident Assessment and Care Planning (9 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Schertz, TX
2-star overall rating with 1-star inspections with $122,677 in total fines with 28 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
930 Roy Richard Dr, Schertz, TX
(210) 566-9100
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
88
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Creative Solutions In Healthcare
Operator or chain grouping
Approved since
2006-11-21
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
149 facilities
Chain averages 3 overall / 3 health / 2 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
0.67
Registered nurse staffing · state 0.44 · national 0.68
LPN hours / resident day
1.02
Licensed practical nurse staffing · state 0.95 · national 0.87
Aide hours / resident day
1.90
Nurse aide staffing · state 2.01 · national 2.35
Total nurse hours
3.59
All reported nurse hours · state 3.40 · national 3.89
Licensed hours
1.69
RN + LPN hours · state 1.38 · national 1.54
Weekend hours
3.31
Weekend nurse staffing · state 2.99 · national 3.43
Weekend RN hours
0.52
Weekend registered nurse coverage · state 0.34 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.07 · national 0.07
Adjusted RN hours
0.75
CMS adjusted RN staffing hours
Adjusted total hours
4.00
CMS adjusted total nurse staffing hours
Case-mix index
1.23
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 52% · national 45%
Total nurse turnover
63%
Annual nurse turnover · state 52% · national 46%
SNF VBP
Program rank
9,162
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.60
Composite VBP score used to determine payment impact.
Payment multiplier
0.9835
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
5.20
Baseline 21.99% · Performance 19.16% · Measure score 5.20 · Achievement 4.90 · Improvement 5.20
Healthcare-associated infections
2.79
Baseline 7.03% · Performance 7.00% · Measure score 2.79 · Achievement 2.79 · Improvement 0
Total nurse turnover
0
Baseline 34.78% · Performance 65.39% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
1.85
Baseline 3.13 hours · Performance 3.60 hours · Measure score 1.85 · Achievement 1.85 · Improvement 1.27
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.69% |
10.72%
2 pts better
|
No Different than the National Rate · Eligible stays 172 · Observed rate 5.81% · Lower 95% interval 6.39% |
| Discharge to community | 52.8% |
50.57%
2.2 pts better
|
No Different than the National Rate · Eligible stays 170 · Observed rate 48.82% · Lower 95% interval 45.14% |
| Medicare spending per beneficiary | 1.23 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 97.84% |
95.27%
2.6 pts better
|
Numerator 136 · Denominator 139 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 139 |
| Discharge self-care score | 72.73% |
53.69%
19 pts better
|
Numerator 64 · Denominator 88 |
| Discharge mobility score | 67.05% |
50.94%
16.1 pts better
|
Numerator 59 · Denominator 88 |
| Pressure ulcers or injuries, new or worsened | 4.32% |
2.29%
2 pts worse
|
Numerator 6 · Denominator 139 · Adjusted rate 3.66% |
| Healthcare-associated infections requiring hospitalization | 7% |
7.12%
0.1 pts better
|
No Different than the National Rate · Eligible stays 108 · Observed rate 6.48% · Lower 95% interval 4.21% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 137 |
| Staff flu vaccination coverage | 43.62% |
42%
1.6 pts better
|
Numerator 82 · Denominator 188 |
| Discharge function score | 71.59% |
56.45%
15.1 pts better
|
Numerator 63 · Denominator 88 |
| Transfer of health information to provider | 98.18% |
95.95%
2.2 pts better
|
Numerator 54 · Denominator 55 |
| Transfer of health information to patient | 97.33% |
96.28%
1 pts better
|
Numerator 73 · Denominator 75 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 76 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 3.3 |
2.1
1.2 pts worse
|
1.9
1.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.3 · Observed 2.9 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.8 |
2.1
0.3 pts better
|
1.8
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
97.9%
2.1 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.8% |
3.3%
1.5 pts better
|
3.3%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.0% · Q3 1.5% · Q4 1.4% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
2.7%
2.7 pts better
|
11.4%
11.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents who lose too much weight | 0.9% |
3.3%
2.4 pts better
|
5.4%
4.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.9% · Q3 0.0% · Q4 1.7% · 4Q avg 0.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 4.5% |
18.9%
14.4 pts better
|
19.6%
15.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 1.9% · Q3 7.1% · Q4 3.3% · 4Q avg 4.5% |
| Percentage of long-stay residents who received an antipsychotic medication | 3.6% |
10.8%
7.2 pts better
|
16.7%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 8.1% · 4Q avg 3.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 1.5% |
15.4%
13.9 pts better
|
16.3%
14.8 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 8.4% |
16.1%
7.7 pts better
|
14.9%
6.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 4.0% · Q3 10.9% · Q4 10.2% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.0% |
0.5%
0.5 pts better
|
1.0%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 5.3% |
15.0%
9.7 pts better
|
19.8%
14.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.3% · Q3 1.8% · Q4 8.6% · 4Q avg 5.3% |
| Percentage of long-stay residents with pressure ulcers | 2.9% |
4.2%
1.3 pts better
|
5.1%
2.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 5.2% · Q3 2.4% · Q4 2.7% · 4Q avg 2.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.4% |
89.7%
9.7 pts better
|
81.7%
17.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.2% · Q3 100.0% · Q4 99.3% · 4Q avg 99.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 18.7% |
12.0%
6.7 pts worse
|
12.0%
6.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 18.7% · Observed 18.2% · Expected 10.9% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.3% |
1.5%
1.2 pts better
|
1.6%
1.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.1% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 77.3% |
88.0%
10.7 pts worse
|
79.7%
2.4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 77.3% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.7% |
25.9%
3.8 pts worse
|
23.9%
5.8 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.7% · Observed 28.2% · Expected 22.6% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (9 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Resident Assessment and Care Planning (4 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-04-19
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-04-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-04-19
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-04-19
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-19
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-19
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2025-04-19
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-07
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-28
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-28
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-28
Inspection history
Health
Ensure each resident receives an accurate assessment.
Corrected 2026-01-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-01-29
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-12-02
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-08-29
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-11
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-10-11
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-04-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-04-25
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-04-19
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-19
Health
Provide and implement an infection prevention and control program.
Corrected 2025-04-19
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2025-04-19
Health
Provide training in compliance and ethics.
Corrected 2025-04-19
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-04-19
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-04-19
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2025-04-19
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-19
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-19
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-04-19
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-04-19
Health
Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Corrected 2025-04-19
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-19
Health
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members.
Corrected 2025-04-19
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2025-04-19
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2025-04-19
Health
Provide behavior health training consistent with the requirements and as determined by a facility assessment.
Corrected 2025-04-19
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-18
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2024-08-01
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-01-18
Health
Provide and implement an infection prevention and control program.
Corrected 2025-01-18
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-06-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-08
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-08
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-03-08
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2024-03-08
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-03-08
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-03-08
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2024-03-08
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-08
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-03-08
Health
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected 2024-03-08
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-03-08
Health
Provide and implement an infection prevention and control program.
Corrected 2024-02-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-31
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-23
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-12-23
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-23
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-05-16
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-06
Penalties and ownership
Fine · fine $24,845
Fine
Fine · fine $15,156
Fine
Fine · fine $82,676
Fine
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Director · Individual
Operational/Managerial Control · Organization
Corporate Officer · Individual
Corporate Director · Individual
Nearby options
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Selma, TX
3-star overall rating with 4-star inspections with 7 recent health deficiencies
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