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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasCibolo Creek

Cibolo Creek

1440 River Rd, Boerne, TX 780068308165095
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
5/5
Beds
120
certified
1 fine(s) totaling $13,627

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 120 certified beds with an average of 85.9 residents per day (72% occupancy)

• Last health inspection found 6 deficiencies (inspected Sep 5, 2025)

• Has been fined a total of $13,627 across 1 fine(s)

• Total nursing staff: 3.33 hours per resident per day

• Staff turnover rate: 64.1% (high)

Cibolo Creek is a 3-star Medicare and Medicaid certified nursing home in Boerne, Texas with 120 certified beds. It has been operating since 2009. The facility scored at average compared to Texas facilities.

Beds
120
Avg Residents/Day
85.9
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
128.0
Infection Citations
0

Deficiency Citations (27)

F0607Potential for Harm

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

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
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
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
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
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
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
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
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
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
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
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Apr 11, 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
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

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
F0847Potential for Harm

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

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 Aide1.79 hrs
National avg: 2.35 hrs
LPN0.98 hrs
National avg: 0.86 hrs
RN0.57 hrs
National avg: 0.68 hrs
Total Nursing3.33 hrs
National avg: 3.89 hrs
Weekend Total2.85 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
64.1%
RN Turnover
53.8%
Administrators Left
2

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

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2021
CASCADE-KENDALL HEALTH SERVICES, LTDOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2021
HANEY, RONALDOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2021
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023

Nearby Nursing Homes

All Texas facilities

Riverview Nursing & Rehabilitation

Boerne, TX · 96 beds

For profit$175,728 in fines
Health
Staffing
Quality
317 ft

Care Choice of Boerne

Boerne, TX · 74 beds

For profit$33,937 in fines
Health
Staffing
Quality
1.1 mi

Town and Country Nursing and Rehabilitation Center

Boerne, TX · 126 beds

Government$150,922 in fines
Health
Staffing
Quality
1.3 mi

Kendall House Wellness & Rehabilitation

Boerne, TX · 40 beds

Non profit$88,390 in fines
Health
Staffing
Quality
1.4 mi

Frequently Asked Questions

What is the CMS rating for Cibolo Creek?▾
Cibolo Creek has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 5/5. This facility is rated average.
Has Cibolo Creek had any health inspection violations?▾
Cibolo Creek had 6 deficiency citations in its most recent health inspection (Sep 5, 2025). The facility has been fined a total of $13,627 across 1 fine(s).
What are the staffing levels at Cibolo Creek?▾
Cibolo Creek provides 3.33 total nursing staff hours per resident per day, including 0.57 RN hours, 0.98 LPN hours, and 1.79 nurse aide hours. The total staff turnover rate is 64.1%.
How many beds does Cibolo Creek have?▾
Cibolo Creek has 120 certified beds with an average of 85.9 residents per day, resulting in approximately 72% occupancy. The facility is Government - Hospital district owned.
Are there other nursing homes near Cibolo Creek?▾
Yes, there are 4 other nursing homes in Boerne, Texas with an average rating of 2.6/5. You can compare all facilities on the Boerne nursing homes page.