Nursing HomeInspections

Cibolo Creek

Nursing home in Boerne, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (830) 816-5095Send a messageMap ↗

Public-record details

Address
1440 River Rd, Boerne, TX 78006
Phone
(830) 816-5095
Listed under
Government-owned
Medicare CCN
676240
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
120
Average residents per day
89
Ownership
Government, hospital district
Legal business name
Medina County Hospital District
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 2, 2009
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 676240. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 5, 2025. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (May 26, 2023 to Sep 5, 2025): 9 from complaint inspections, 4 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 5, 2025Develop 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
Sep 5, 2025Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
Sep 5, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Sep 5, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Sep 5, 2025Keep all essential equipment working safely.
Environmental		E
Potential for more than minimal harm, pattern
Sep 5, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		J
Immediate jeopardy, isolated
Nov 23, 2024Develop 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 23, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Nov 23, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		E
Potential for more than minimal harm, pattern
Nov 23, 2024Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights · complaint inspection		J
Immediate jeopardy, isolated
Nov 23, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated
Nov 23, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 26. 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 1 fine totalling $13,627 and 1 denial of Medicare payment for new admissions in the last three years.

Sep 5, 2025Payment denial for 11 days from Oct 4, 2025
Nov 23, 2024Fine: $13,627

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
3.00 hours
Registered nurse (RN) time per resident per day
0.46 hours
Nurse aide time per resident per day
1.54 hours
Total nurse staffing on weekends
2.59 hours
Nursing staff turnover (yearly)
61%
RN turnover (yearly)
58%
Administrators who left in the past year
3

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.

Other nursing homes in Boerne

Kendall House Wellness & Rehabilitation1050 Grand Blvd. · Boerne, TX 78006 · (830) 816-4100 · Nonprofit22 health citations in 3 inspection cycles · last standard inspection Jan 23, 2026 · $88,390 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Carechoice of Boerne200 E Ryan St · Boerne, TX 78006 · (830) 249-2594 · For-profit30 health citations in 3 inspection cycles · last standard inspection Feb 14, 2026 · $33,937 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Avir at Boerne1102 River Road · Boerne, TX 78006 · (830) 249-2799 · For-profit38 health citations in 3 inspection cycles · last standard inspection May 8, 2026 · $133,341 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)Town and Country Nursing and Rehabilitation Center625 N Main St · Boerne, TX 78006 · (830) 249-3085 · Government-owned57 health citations in 3 inspection cycles · last standard inspection May 22, 2025 · $150,922 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 5 in Boerne →