Government - Hospital district · 120 certified beds · CMS number 676240
Cibolo Creek, Boerne, TX
CMS records 26 health deficiencies at Cibolo Creek in Boerne, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 5, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level, 2 of them recorded as past non-compliance (fixed before the inspection). CMS lists 1 fine totaling $13,627 and 1 payment denial in the last three years.
- 26deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $13,627fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Cibolo Creek as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Cibolo Creek may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Sep 5, 2025. CMS counts 6 health deficiencies and 6 fire safety deficiencies in this cycle.
Sep 5, 2025 · Standard inspection
6 deficiencies, highest J
F908 · Equipment kept in safe working order
Requirement cited (CMS): Keep all essential equipment working safely.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 25, 2025
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 Sep 25, 2025
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 25, 2025
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
- Correction date Sep 6, 2025
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 Sep 25, 2025
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 25, 2025
Previous cycle: 11 deficiencies (standard inspection Aug 2, 2024)
Standard inspection Aug 2, 2024. CMS counts 11 health deficiencies and 0 fire safety deficiencies in this cycle.
Nov 23, 2024 · Complaint inspection
6 deficiencies, highest J
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Nov 24, 2024
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 24, 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
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Nov 24, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Nov 19, 2024
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 Nov 24, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Past non-compliance (fixed before the inspection), Nov 19, 2024
Aug 2, 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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 3, 2024
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 Aug 3, 2024
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 Aug 3, 2024
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 Aug 3, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 3, 2024
Earlier cycle: 9 deficiencies (standard inspection May 26, 2023)
Standard inspection May 26, 2023. CMS counts 9 health deficiencies and 1 fire safety deficiency in this cycle.
Dec 29, 2023 · Complaint inspection
3 deficiencies, highest D
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 7, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Aug 28, 2023
F602 · Protecting residents' money and belongings
Requirement cited (CMS): Protect each resident from the wrongful use of the resident's belongings or money.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Past non-compliance (fixed before the inspection), Oct 2, 2023
May 26, 2023 · Standard inspection
6 deficiencies, highest F
F848 · Neutral arbitrator and convenient venue
Requirement cited (CMS): Provide a neutral and fair arbitration process and agree to arbitrator and venue.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 27, 2023
F847 · Arbitration agreements must be optional
Requirement cited (CMS): Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date May 27, 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 May 27, 2023
F808 · Physician-ordered therapeutic diets
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 27, 2023
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 May 27, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 27, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Cibolo Creek; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F812 Food safety and sanitation | 3 | Sep 5, 2025; Aug 2, 2024; May 26, 2023 |
| F607 Abuse prevention policies | 2 | Sep 5, 2025; Dec 29, 2023 (PNC) |
| F656 Comprehensive person-centered care plan | 2 | Sep 5, 2025; Nov 23, 2024 |
| F689 Accident prevention and supervision | 2 | Sep 5, 2025; Nov 23, 2024 |
| F755 Pharmacy services and a consultant pharmacist | 2 | Nov 23, 2024; Dec 29, 2023 (PNC) |
| F842 Complete, confidential medical records | 2 | Sep 5, 2025; Nov 23, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Sep 5, 2025 | Payment Denial | 11 days from Oct 4, 2025 |
| Nov 23, 2024 | Fine | $13,627 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.00 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.46 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.59 h
- Nursing staff turnover
- 60.8% (Texas median 52.1%)
- Administrators who left
- 3
- CMS overall rating
- 2 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Cibolo Creek, copied as published; Texas medians are ours.
Facility details
- Address
- 1440 River Rd, Boerne, TX 78006
- Phone
- (830) 816-5095
- County
- Kendall
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 120
- Average residents per day
- 88.5
- In Medicare/Medicaid since
- Dec 2, 2009
- 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.
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- Can families get a summary of the home's abuse prevention and reporting policy? (F607, cited 2 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
Other nursing homes in Boerne
- Town and Country Nursing and Rehabilitation Center
Boerne · 51 deficiencies - Avir at Boerne
Boerne · 38 deficiencies - Carechoice of Boerne
Boerne · 30 deficiencies - Kendall House Wellness & Rehabilitation
Boerne · 20 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.