For profit - Corporation · 74 certified beds · CMS number 675678
Carechoice of Boerne, Boerne, TX
CMS records 30 health deficiencies at Carechoice of Boerne in Boerne, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Feb 14, 2026. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 2 fines totaling $33,937 in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 13in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $33,937fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Carechoice of Boerne as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Carechoice of Boerne may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (13 deficiencies)
Standard inspection Feb 14, 2026. CMS counts 13 health deficiencies and 4 fire safety deficiencies in this cycle.
May 28, 2026 · Complaint inspection
3 deficiencies, highest E
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 11, 2026
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 11, 2026
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 11, 2026
Feb 14, 2026 · Standard inspection
7 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2026
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 25, 2026
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2026
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2026
F610 · Investigating and responding to allegations
Requirement cited (CMS): Respond appropriately to all alleged violations.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 15, 2026
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 15, 2026
Nov 19, 2025 · Complaint inspection
3 deficiencies, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 21, 2025
Previous cycle: 7 deficiencies (standard inspection Nov 22, 2024)
Standard inspection Nov 22, 2024. CMS counts 7 health deficiencies and 5 fire safety deficiencies in this cycle.
Nov 22, 2024 · Standard inspection
5 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 23, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Dec 20, 2024
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 20, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 23, 2024
Nov 1, 2024 · Complaint inspection
2 deficiencies, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Jun 25, 2024
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Sep 24, 2024
Earlier cycle: 10 deficiencies (standard inspection Oct 18, 2023)
Standard inspection Oct 18, 2023. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.
Apr 1, 2024 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 22, 2024
Oct 18, 2023 · Standard inspection
6 deficiencies, highest D
F849 · Hospice services
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 2, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 2, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2023
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 1, 2023
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 24, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 20, 2023
Sep 27, 2023 · Complaint inspection
1 deficiency, highest D
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 2, 2023
Sep 15, 2023 · Complaint inspection
2 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 18, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 18, 2023
Tags cited in more than one inspection
9 tags cited on more than one inspection date at Carechoice of Boerne; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F583 Personal privacy and confidential records | 3 | May 28, 2026; Oct 18, 2023; Sep 27, 2023 |
| F761 Drug labeling and secure storage | 3 | May 28, 2026; Feb 14, 2026; Oct 18, 2023 |
| F550 Dignity and the right to exercise rights | 2 | Nov 19, 2025; Oct 18, 2023 |
| F609 Reporting suspected abuse and crimes | 2 | Feb 14, 2026; Oct 18, 2023 |
| F656 Comprehensive person-centered care plan | 2 | Feb 14, 2026; Apr 1, 2024 |
| F689 Accident prevention and supervision | 2 | Nov 22, 2024; Nov 1, 2024 (PNC) |
| F759 Medication error rate under 5 percent | 2 | May 28, 2026; Nov 22, 2024 |
| F812 Food safety and sanitation | 2 | Oct 18, 2023; Sep 15, 2023 |
| F880 Infection prevention and control program | 2 | Feb 14, 2026; Nov 22, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Nov 1, 2024 | Fine | $12,574 |
| Nov 1, 2024 | Fine | $21,363 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.70 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.22 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.38 h
- Nursing staff turnover
- 41.2% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Carechoice of Boerne, copied as published; Texas medians are ours.
Facility details
- Address
- 200 E Ryan St, Boerne, TX 78006
- Phone
- (830) 249-2594
- County
- Kendall
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Charleston Healthcare Group
- Certified beds
- 74
- Average residents per day
- 48.5
- In Medicare/Medicaid since
- Apr 11, 1997
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff protect residents' privacy during bathing, dressing, and treatments? (F583, cited 3 times)
- How are medications stored and secured on each unit? (F761, cited 3 times)
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 2 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
Other nursing homes in Boerne and the same chain
- Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Avir at Boerne
Boerne · 38 deficiencies - Cibolo Creek
Boerne · 26 deficiencies - Kendall House Wellness & Rehabilitation
Boerne · 20 deficiencies - Woodland Springs Nursing Center
Waco · 29 deficiencies - High Hope Care Center of Brenham
Brenham · 18 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.