Silver Creek Nursing and Rehab

    9014 Timber Path, San Antonio, TX, 78250
    4.2 · 47 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Excellent care, but safety concerns

    I had a very mixed experience. The activity program, rehab team and many nurses/CNAs (Rebecca and others) were outstanding - engaging activities, great meals, compassionate care, and my loved one improved and felt at home. At the same time I encountered serious problems: staffing shortages, poor night coverage and communication, an unresponsive administrator, secrecy, and even allegations of CNA misconduct/assault with police and hospital involvement. Because of that contrast - excellent people and programs but real safety and management concerns - I hesitate to fully recommend it.

    Pricing

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    Amenities

    4.17 · 47 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.0
    • Staff

      4.2
    • Meals

      4.0
    • Amenities

      5.0
    • Value

      4.2

    Pros

    • Caring and compassionate nursing staff
    • Attentive nurse's aides/CNAs providing gentle support
    • Exceptional rehabilitation and therapy services
    • Engaged activity director (Rebecca Vera) and strong activities program
    • One-on-one resident engagement and personalized attention
    • Spiritual services and daily prayers
    • Friendly, family-like atmosphere
    • In-house beautician and personal grooming services
    • Active volunteer involvement and positive volunteer experiences
    • Facility frequently described as clean and well-maintained
    • Strong interdepartmental collaboration among staff
    • Visible and responsive director/administrator (in many reviews)
    • Help with VA paperwork and administrative assistance
    • Good, filling meals and regular dining activities
    • Respect and honoring of veterans
    • Managers who handle issues quickly in some cases
    • Documented improvements in mobility and independence
    • Polite, professional medical care reported by several families
    • Warm and hospitable day-shift staff
    • Engaging social programming (Bingo, holiday events, crafts)

    Cons

    • Inconsistent staff quality between shifts (notably disconnected night crew)
    • Unresponsive or absent management/administrator reported by some families
    • Allegations of abuse and assault by CNAs (including named employee)
    • Medication administration problems reported
    • Reports of negligent care causing serious harm (dehydration, choking) in some cases
    • Wound infections and transfers to hospital documented
    • Poor communication, secrecy, and hiding information alleged
    • Staffing shortages and insufficient CNA coverage
    • Dirty rooms and poor cleanliness reported by some reviewers
    • Unprofessional, rude, or abusive staff behavior in some accounts
    • Facility security/service lapses (door not answered, refused deliveries)
    • Negative corporate handling and system outages affecting service
    • APS involvement or threats of APS raised by reviewers
    • Police involvement in serious incidents per some summaries
    • Billing/payment disputes or confusion ('not paid for services')
    • Turnover or new management transitions linked to problems
    • Some residents and families felt unwelcome or unsafe
    • Late-night service issues and delayed responses
    • Ethical concerns and staff misconduct allegations
    • Mixed recommendations — some strongly recommend, others strongly advise against

    Summary review

    Overall sentiment across the reviews is highly mixed, with a substantial number of strongly positive accounts praising personal care, therapy outcomes, activities, and a compassionate culture, counterbalanced by several serious negative reports that raise safety, staffing, and management concerns. Many families and residents describe Silver Creek Nursing and Rehab as a place where staff are warm, attentive, and treat residents like family. Multiple reviews single out the activity director (named Rebecca or Rebecca Vera) for running an engaging program of crafts, Bingo, holiday events, and one-on-one activities that boost mood and participation. Rehabilitation and therapy receive repeated praise for improving mobility and independence, sometimes allowing residents to stop using walkers. Several reviewers highlight exceptional bedside manner from nurses and CNAs, visible and helpful administrators, an in-house beautician who enhances dignity, spiritual/prayer services, and assistance with VA paperwork. Numerous accounts also emphasize that the facility is clean and well-maintained and that volunteers and interdepartmental collaboration contribute to good resident experiences.

    At the same time, there is a clear pattern of inconsistency. Several reviews report that the night shift is less responsive than the day shift, and others describe intermittent staffing shortages or insufficient CNA coverage. Communication and management responsiveness were praised in many accounts but criticized in others: some families say the administrator was visible and helpful, while others call the administrator unresponsive or incompetent. These differences suggest variability by shift, by unit, or over time—possibly linked to changes in management referenced by some reviewers.

    More concerning are the serious adverse allegations appearing in multiple summaries. A few reviewers allege medication errors, negligent care leading to dehydration or choking requiring an ER visit (and, in one account, death), wound infections requiring hospital transfer, and even assault or abusive conduct by CNAs—one complaint names an employee. Some reports describe secrecy, hiding information, police involvement, and threats to involve Adult Protective Services. These are severe claims that stand in stark contrast to the many positive testimonials. They indicate that while many residents thrive, there have been incidents with significant negative outcomes for some individuals.

    Patterns around operations and corporate handling also emerge. A subset of reviews mentions systems outages, poor customer service from corporate, billing/payment disputes, and a perception that under new management some problems worsened. Others report rapid, effective managerial responses to issues and praise for a team approach. This mixed feedback points to uneven administrative performance and potential transitional challenges when leadership or systems change.

    Facility environment and programming are frequently cited as strengths: clean rooms, robust activities, honoring veterans, and strong volunteer involvement. Dining is described positively by several reviewers as filling and enjoyable. Yet again, not all reviewers agreed: a few described dirty rooms, trashy impressions, late-night service problems, and occasional refusal to accept deliveries. These divergent observations further support the conclusion of inconsistent experience levels across residents and stays.

    In summary, Silver Creek Nursing and Rehab elicits polarized reactions. Many families report excellent, compassionate care, effective rehab outcomes, engaging activities (notably led by Rebecca), and a family-like atmosphere. Conversely, some reports raise red flags about safety, abuse, medication and nursing lapses, cleanliness, and inconsistent management responsiveness—issues serious enough that they merit investigation. For prospective residents or family members, the reviews suggest it is important to verify current staffing patterns and leadership stability, ask about incident history and how concerns are handled, tour the facility during different shifts (day and night), and follow up on any specific safety or clinical questions. The facility clearly provides very positive outcomes for numerous residents, but the presence of multiple severe negative reports means that individual experiences may vary significantly and that due diligence is advisable.

    Location

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