Care Choice of Boerne Nursing & Rehab Center has a 2-star overall rating. The biggest concerns are 1-star staffing with reported nurse staffing at 2.70 hours per resident per day versus the 4.1-hour federal benchmark, plus a recent federal penalty and $33,937 in fines over the last 24 months.
Last inspection: May 28, 2026Penalties, last 24 months: $33,937recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7036.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
1.13
Nurse aides
1.35
Weekend nursing
2.38
Hours per resident per day.
Total staff turnover: 41%
Registered nurse turnover: 71%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
0%11.5%Worsening
Residents with a fall causing major injury
4.8%11.9%Worsening
Residents with pressure ulcers (bedsores)
2.2%1.8%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
8.6%8.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
39.4%36.4%Improving
Residents whose ability to walk got worse
27.6%36.1%Worsening
Long-stay residents on antianxiety or sleep medication
43.2%41.7%Improving
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%1.5%Worsening
Residents with new or worsening incontinence
23.9%31.2%Worsening
Residents with depressive symptoms
14.6%7.3%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
The home failed to keep residents’ personal and medical records private and confidential. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 583 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep medication mistakes below the allowed level. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — S/S: E
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited February 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 7 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $21,363 was recorded.
PENALTY
A federal fine of $12,574 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $33,937 in total fines.
Federal fine
Nov 1, 2024
$21,363
Federal fine
Nov 1, 2024
$12,574
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CHARLESTON HEALTHCARE GROUP · 5 homes · 2.2 stars avg
Occupancy
48.5 residents on an average day (66% of 74 beds)
Resident voice
Resident council
Medicare history
Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.