Texas › Kendall County › Boerne
Cibolo Creek
1440 River Rd, 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.
Certified for 120 beds, Cibolo Creek serves Boerne in Kendall County, Texas and has taken Medicare and Medicaid residents since 2009.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (6, 11, 9 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 21.7 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $14K and 1 payment denial.
Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 60.8%.
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 | 26 | 36 | 25 | 28.7 |
| Citations per 100 beds | 21.7 | 45.2 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 60.8% | 65.9% | 52.1% | 45.8% |
| Fines listed | $13,627 | $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: 5 Sep 2025, 2 Aug 2024.
Severity mix: J ×4 D ×12 E ×9 F ×1
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 |
|---|---|---|---|---|---|
| 5 Sep 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 6 Sep 2025 |
| 5 Sep 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 25 Sep 2025 |
| 5 Sep 2025 | 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 | 25 Sep 2025 |
| 23 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 19 Nov 2024 |
| 23 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 19 Nov 2024 |
| 23 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 24 Nov 2024 |
| 23 Nov 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Complaint investigation | 24 Nov 2024 |
| 23 Nov 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 | 24 Nov 2024 |
| 23 Nov 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 Nov 2024 |
| 2 Aug 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 3 Aug 2024 |
| 2 Aug 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 3 Aug 2024 |
| 2 Aug 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Aug 2024 |
| 2 Aug 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 3 Aug 2024 |
| 2 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 3 Aug 2024 |
| 29 Dec 2023 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 2 Oct 2023 |
| 29 Dec 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 28 Aug 2023 |
| 29 Dec 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 7 Oct 2023 |
| 26 May 2023 | F0847 | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | F | Standard survey | 27 May 2023 |
| 26 May 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Standard survey | 27 May 2023 |
| 26 May 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 27 May 2023 |
| 26 May 2023 | F0808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Standard survey | 27 May 2023 |
| 26 May 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 | 27 May 2023 |
| 26 May 2023 | F0848 | Provide a neutral and fair arbitration process and agree to arbitrator and venue. | D | Standard survey | 27 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Sep 2025 | Payment denial | — | 11 days |
| 23 Nov 2024 | Fine | $13,627 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 60.8%, RNs 58.3%; 3 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 | 9.4% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.9% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.8% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 8.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 7.8% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 9.3% | 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: government, hospital district. Legal business name: Medina County Hospital District.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medina County Hospital District | 5% or greater direct ownership interest | 100% | 05/01/2021 |
| Cascade-Kendall Health Services, Ltd | Operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| Boerne Hc LLC | Adp of the snf | NOT APPLICABLE | 05/01/2021 |
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 |
| Carechoice of Boerne | Boerne | 74 | 2 | 3 | 1 | 30 | 40.5 | $34K | 28 May 2026 |
| 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 Cibolo Creek been cited for?
26 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Cibolo Creek been fined?
Yes. CMS lists fines totalling $14K in the period covered, plus 1 payment denial.
How does staffing at Cibolo Creek compare?
Reported total nurse staffing is 3.0 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Cibolo Creek?
Ownership type is government, hospital district. Organisations in the CMS ownership record include Medina County Hospital District and Cascade-Kendall Health Services, Ltd. Individual owners and managers are not listed on this site.
When was Cibolo Creek last inspected?
The most recent survey or investigation in the CMS record is dated 5 Sep 2025; the most recent standard health survey was 5 Sep 2025.
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.