Texas › Kendall County › Boerne
Carechoice of Boerne
200 E Ryan St, Boerne, TX 78006
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Carechoice of Boerne, in Boerne, Texas, is certified for 74 beds under for-profit, corporation ownership and belongs to the Charleston Healthcare Group chain.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 3, staffing 1 and quality measures 4.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (13, 7, 10 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 40.5 per 100 beds, more than the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $34K.
Reported nurse staffing is 2.7 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 41.2%.
Compared with county, state and nation
| Measure | This facility | Kendall Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 36 | 25 | 28.7 |
| Citations per 100 beds | 40.5 | 45.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 41.2% | 65.9% | 52.1% | 45.8% |
| Fines listed | $33,937 | $88,390 | $16,801 | — |
County and state figures are medians across facilities (6 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 Feb 2026, 22 Nov 2024.
Severity mix: J ×2 D ×20 E ×8
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 May 2026 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 11 Jun 2026 |
| 28 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 11 Jun 2026 |
| 28 May 2026 | F0761 | 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. | D | Complaint investigation | 11 Jun 2026 |
| 14 Feb 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Standard survey | 15 Mar 2026 |
| 14 Feb 2026 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | E | Standard survey | 25 Mar 2026 |
| 14 Feb 2026 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 15 Mar 2026 |
| 14 Feb 2026 | F0637 | Assess the resident when there is a significant change in condition | D | Standard survey | 15 Mar 2026 |
| 14 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 15 Mar 2026 |
| 14 Feb 2026 | F0761 | 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. | D | Standard survey | 15 Mar 2026 |
| 14 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 15 Mar 2026 |
| 19 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 21 Nov 2025 |
| 19 Nov 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 21 Nov 2025 |
| 19 Nov 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 21 Nov 2025 |
| 22 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 23 Nov 2024 |
| 22 Nov 2024 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 20 Dec 2024 |
| 22 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 23 Nov 2024 |
| 22 Nov 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 20 Dec 2024 |
| 22 Nov 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 20 Dec 2024 |
| 1 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 24 Sep 2024 |
| 1 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 25 Jun 2024 |
| 1 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 22 Apr 2024 |
| 18 Oct 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 20 Oct 2023 |
| 18 Oct 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 24 Oct 2023 |
| 18 Oct 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 1 Nov 2023 |
| 18 Oct 2023 | F0761 | 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. | D | Standard survey | 1 Nov 2023 |
| 18 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 2 Nov 2023 |
| 18 Oct 2023 | F0849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard survey | 2 Nov 2023 |
| 27 Sep 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 2 Oct 2023 |
| 15 Sep 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 18 Sep 2023 |
| 15 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 18 Sep 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 1 Nov 2024 | Fine | $21,363 | |
| 1 Nov 2024 | Fine | $12,574 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 41.2%, RNs 71.4%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 32.6% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 27.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.6% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Uvalde County Hospital Authority. Chain: Charleston Healthcare Group (4 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Ddf Investments LLC | 5% or greater direct ownership interest | 15% | 02/23/2015 |
| John Davidson Properties LLC | Indirect ownership interest | NOT APPLICABLE | 06/12/2024 |
| L&J Healthcare LLC | Indirect ownership interest | NOT APPLICABLE | 06/12/2024 |
| Charleston Boerne Operations LLC | Operational/managerial control | NOT APPLICABLE | 06/12/2024 |
| Charleston Boerne Operations LLC | Adp of the snf | NOT APPLICABLE | 07/10/2025 |
| Charleston Properties of Boerne LLC | Adp of the snf | NOT APPLICABLE | 06/12/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Kendall County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Comfort | Comfort | 76 | 5 | 4 | 4 | 36 | 47.4 | — | 27 May 2026 |
| Kendall House Wellness & Rehabilitation | Boerne | 40 | 3 | 4 | 1 | 22 | 55.0 | $88K | 23 Jan 2026 |
| Cibolo Creek | Boerne | 120 | 2 | 2 | 2 | 26 | 21.7 | $14K | 5 Sep 2025 |
| Avir At Boerne | Boerne | 96 | 1 | 1 | 3 | 38 | 39.6 | $133K | 8 May 2026 |
| Town and Country Nursing and Rehabilitation Center | Boerne | 126 | 1 | 2 | 1 | 57 | 45.2 | $151K | 24 Apr 2026 |
All 6 facilities in Kendall County
Questions and answers
How many deficiencies has Carechoice of Boerne been cited for?
30 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Carechoice of Boerne been fined?
Yes. CMS lists fines totalling $34K in the period covered.
How does staffing at Carechoice of Boerne compare?
Reported total nurse staffing is 2.7 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Carechoice of Boerne?
It is part of the Charleston Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Ddf Investments LLC, John Davidson Properties LLC and L&J Healthcare LLC. Individual owners and managers are not listed on this site.
When was Carechoice of Boerne last inspected?
The most recent survey or investigation in the CMS record is dated 28 May 2026; the most recent standard health survey was 14 Feb 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.