Nursing HomeInspections

Carechoice of Boerne

Nursing home in Boerne, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (830) 249-2594Send a messageMap ↗

Public-record details

Address
200 E Ryan St, Boerne, TX 78006
Phone
(830) 249-2594
Listed under
For-profit
Medicare CCN
675678
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
74
Average residents per day
49
Ownership
For-profit, corporation
Legal business name
Uvalde County Hospital Authority
Chain
Charleston Healthcare Group (4 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Apr 11, 1997
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675678. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Feb 14, 2026. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 15, 2023 to May 28, 2026): 12 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
May 28, 2026Ensure 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…
Pharmacy Service · complaint inspection
D
Potential for more than minimal harm, isolated
May 28, 2026Keep residents' personal and medical records private and confidential.
Resident Rights · complaint inspection
E
Potential for more than minimal harm, pattern
May 28, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service · complaint inspection
E
Potential for more than minimal harm, pattern
Feb 14, 2026Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation
D
Potential for more than minimal harm, isolated
Feb 14, 2026Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated
Feb 14, 2026Develop 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
D
Potential for more than minimal harm, isolated
Feb 14, 2026Ensure 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…
Pharmacy Service
D
Potential for more than minimal harm, isolated
Feb 14, 2026Provide and implement an infection prevention and control program.
Infection Control
D
Potential for more than minimal harm, isolated
Feb 14, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation
E
Potential for more than minimal harm, pattern
Feb 14, 2026Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Nov 19, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection
D
Potential for more than minimal harm, isolated
Nov 19, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $33,937 in the last three years.

Nov 1, 2024Fine: $12,574
Nov 1, 2024Fine: $21,363

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.70 hours
Registered nurse (RN) time per resident per day
0.22 hours
Nurse aide time per resident per day
1.35 hours
Total nurse staffing on weekends
2.38 hours
Nursing staff turnover (yearly)
41%
RN turnover (yearly)
71%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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