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HomeTexasCibolo Creek

Cibolo Creek

1440 River Rd, Boerne, TX 780068308165095WebsiteGoogle Maps
3.7on Google(15 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
2/5
Quality
4/5
Beds
120
certified
1 fine(s) totaling $13,627

How Cibolo Creek Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.00 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.46 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
60.8%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 3.00 hours per resident per day, below the state average of 3.39.
Staff turnover is 60.8%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
14
deficiency citations
Inspected Aug 2, 2024
Most recent cycle
6
deficiency citations
Inspected Sep 5, 2025
The most recent cycle recorded 8 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Kendall County 65+
8,897
19.6% of county
County Population
45,376
Kendall County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Cibolo Creek is a 2-star Medicare and Medicaid certified nursing home in Boerne, Texas with 120 certified beds. It has been operating since 2009. Its overall CMS rating is 2 out of 5.

Beds
120
Avg Residents/Day
88.5
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Dec 2, 2009
Sprinklers
Yes
Council
Resident
County
Kendall
Last Inspection
Sep 5, 2025
Deficiencies (Cycle 1)
6
Weighted Score
127.0
Infection Citations
0

Deficiency Citations (26)

F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0908Potential for Harm

Keep all essential equipment working safely.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Sep 5, 2025Corrected: NoCycle: 1
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Nov 23, 2024Corrected: NoCycle: 2
F0684Immediate Jeopardy

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Nov 23, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Nov 23, 2024Corrected: NoCycle: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Nov 23, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Nov 23, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Nov 23, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Aug 2, 2024Corrected: NoCycle: 2
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 29, 2023Corrected: NoCycle: 3
F0847Potential for Harm

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Survey: May 26, 2023Corrected: NoCycle: 3
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 26, 2023Corrected: NoCycle: 3
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: May 26, 2023Corrected: NoCycle: 3
F0808Potential for Harm

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.

Survey: May 26, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 26, 2023Corrected: NoCycle: 3
F0848Potential for Harm

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Survey: May 26, 2023Corrected: NoCycle: 3
Total Fines
$13,627
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineNov 23, 2024
$13,627
Payment DenialSep 5, 2025
11 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.54 hrs
National avg: 2.32 hrs
LPN0.99 hrs
National avg: 0.86 hrs
RN0.46 hrs
National avg: 0.69 hrs
Total Nursing3.00 hrs
National avg: 3.86 hrs
Weekend Total2.59 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
60.8%
RN Turnover
58.3%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2021
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023
CASCADE-KENDALL HEALTH SERVICES, LTDOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2021
HANEY, RONALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2021
DORROW, MARJORIEINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ANov 17, 2025
HANEY, MAXINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualN/ANov 17, 2025
BOERNE HC LLCADP OF THE SNFOrganizationN/AMay 1, 2021
COLLIER, TAYLORADP OF THE SNFIndividualN/AAug 22, 2023
HANEY, RONALDADP OF THE SNFIndividualN/AMay 1, 2021
SORRELLS, JOHNADP OF THE SNFIndividualN/AMay 1, 2021

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Cibolo Creek and nearby alternatives.

All Texas facilities
Cibolo Creek
Boerne, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $13,627
Riverview Nursing & Rehabilitation
Boerne, TX528 ft
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $156,748
Care Choice of Boerne
Boerne, TX1.1 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $33,937
Town and Country Nursing and Rehabilitation Center
Boerne, TX1.3 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $150,922
Kendall House Wellness & Rehabilitation
Boerne, TX1.4 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: $88,390
Estates at Shavano Park
Shavano Park, TX16.8 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
Coronado at Stone Oak
San Antonio, TX17.0 mi
CMS
5/5
Health
4/5
Staffing
3/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Cibolo Creek
Boerne, TX · Current facility
—2/52/52/5$13,627
Riverview Nursing & Rehabilitation
Boerne, TX
528 ft1/51/53/5$156,748
Care Choice of Boerne
Boerne, TX
1.1 mi2/53/51/5$33,937
Town and Country Nursing and Rehabilitation Center
Boerne, TX
1.3 mi1/52/51/5$150,922
Kendall House Wellness & Rehabilitation
Boerne, TX
1.4 mi3/54/51/5$88,390
Estates at Shavano Park
Shavano Park, TX
16.8 mi3/53/52/5None recorded
Coronado at Stone Oak
San Antonio, TX
17.0 mi5/54/53/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Cibolo Creek?▾
Cibolo Creek has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Cibolo Creek cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Cibolo Creek participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Cibolo Creek had any health inspection violations?▾
Cibolo Creek had 6 deficiency citations in its most recent health inspection (Sep 5, 2025). The current CMS dataset records 1 fine(s) totaling $13,627.
What are the staffing levels at Cibolo Creek?▾
Cibolo Creek provides 3.00 total nursing staff hours per resident per day, including 0.46 RN hours, 0.99 LPN hours, and 1.54 nurse aide hours. The total staff turnover rate is 60.8%.
How many beds does Cibolo Creek have?▾
Cibolo Creek has 120 certified beds with an average of 88.5 residents per day, resulting in approximately 74% occupancy. The facility is Government - Hospital district owned.
Are there other nursing homes near Cibolo Creek?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Boerne. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Cibolo Creek?▾
On Google Maps, Cibolo Creek has a rating of 3.7 out of 5 based on 15 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.