nursing home in Boerne, TX
Cibolo Creek
1440 River Rd, Boerne, TX 78006 · (830) 816-5095
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Cibolo Creek at a glance
Cibolo Creek is a 120-bed government nursing home in Boerne, Texas (Kendall County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 5, 2025) found 6 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $13,627.
Nursing staff turnover is 60.8% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 2, 2009
- Resident/family council
- Resident
- County
- Kendall County
- CMS Certification Number
- 676240
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 4 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 2 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.00 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.46 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.54 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.59 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 60.8% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 3 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 6 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 127 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $13,627 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 113 | 107 | |
| Average residents per day | 89 | 76 | 86 | |
| Occupancy | 73.8% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.3% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 7.8% | 3.8% | 4.6% | Worse |
| Long-stay residents given antipsychotic medication (lower is better) | 9.3% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.8% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.9% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 9.4% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 8.7% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 1.3% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 98.6% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.8% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.8% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 87.9% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 97.1% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| September 5, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 5, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 5, 2025 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 5, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 5, 2025 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | F Potential harm, widespread | Corrected October 15, 2025 |
| September 5, 2025 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected October 15, 2025 |
| September 5, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 6, 2025 |
| September 5, 2025 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected September 25, 2025 |
| September 5, 2025 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected September 25, 2025 |
| September 5, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected September 25, 2025 |
| September 5, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected September 25, 2025 |
| September 5, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected September 25, 2025 |
| November 23, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | J Immediate jeopardy, isolated | Corrected November 19, 2024 |
| November 23, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected November 24, 2024 |
| November 23, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | J Immediate jeopardy, isolated | Corrected November 19, 2024 |
| November 23, 2024 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected November 24, 2024 |
| November 23, 2024 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 24, 2024 |
| November 23, 2024 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 24, 2024 |
| August 2, 2024 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | E Potential harm, pattern | Corrected August 3, 2024 |
| August 2, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected August 3, 2024 |
| August 2, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 3, 2024 |
| August 2, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | D Potential harm, isolated | Corrected August 3, 2024 |
| August 2, 2024 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected August 3, 2024 |
| December 29, 2023 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | D Potential harm, isolated | Corrected October 2, 2023 |
| December 29, 2023 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected October 7, 2023 |
| December 29, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | D Potential harm, isolated | Corrected August 28, 2023 |
| May 26, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected June 8, 2023 |
| May 26, 2023 Standard | Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Administration Deficiencies · Tag F0847 | F Potential harm, widespread | Corrected May 27, 2023 |
| May 26, 2023 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected May 27, 2023 |
| May 26, 2023 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected May 27, 2023 |
| May 26, 2023 Standard | Provide a neutral and fair arbitration process and agree to arbitrator and venue. Administration Deficiencies · Tag F0848 | D Potential harm, isolated | Corrected May 27, 2023 |
| May 26, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected May 27, 2023 |
| May 26, 2023 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected May 27, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $13,627 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| September 5, 2025 | Payment Denial | 11 days from October 4, 2025 |
| November 23, 2024 | Fine | $13,627 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT Organization | 5% or greater direct ownership interest | 100% | 05/01/2021 |
| BOERNE HC LLC Organization | adp of the snf | NOT APPLICABLE | 05/01/2021 |
| COLLIER, TAYLOR Individual | adp of the snf | NOT APPLICABLE | 08/22/2023 |
| HANEY, RONALD Individual | adp of the snf | NOT APPLICABLE | 05/01/2021 |
| SORRELLS, JOHN Individual | adp of the snf | NOT APPLICABLE | 05/01/2021 |
| BELL, BILLIE Individual | corporate officer | NOT APPLICABLE | 06/03/2023 |
| DORROW, MARJORIE Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/17/2025 |
| HANEY, MAX Individual | individual is an owner, partner or trustee of any adp of the snf | NOT APPLICABLE | 11/17/2025 |
| CASCADE-KENDALL HEALTH SERVICES, LTD Organization | operational/managerial control | NOT APPLICABLE | 05/01/2021 |
| HANEY, RONALD Individual | operational/managerial control | NOT APPLICABLE | 05/01/2021 |
Other nursing homes near Cibolo Creek
Avir at Boerne
1102 River Road, Boerne, TX 78006 · under 1 mi
For-profit · 96 beds · Part of Avir Health Group
★★★★★1Much below averageCarechoice of Boerne
200 E Ryan St, Boerne, TX 78006 · 1.1 mi
For-profit · 74 beds · Part of Charleston Healthcare Group
★★★★★2Below averageTown and Country Nursing and Rehabilitation Center
625 N Main St, Boerne, TX 78006 · 1.3 mi
Government · 126 beds · Part of Wellsential Health
★★★★★1Much below averageKendall House Wellness & Rehabilitation
1050 Grand Blvd., Boerne, TX 78006 · 1.4 mi
Non-profit · 40 beds
★★★★★4Above average- ★★★★★3Average
Coronado at Stone Oak
19638 Stone Oak Parkway, San Antonio, TX 78258 · 17 mi
For-profit · 112 beds · Part of Cantex Continuing Care
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Cibolo Creek's rating?
Cibolo Creek has 2 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Cibolo Creek receive?
Its most recent standard health inspection found 6 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Cibolo Creek accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Cibolo Creek?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Cibolo Creek and how do I contact it?
Cibolo Creek is at 1440 River Rd, Boerne, TX 78006. Phone: (830) 816-5095.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.