Cibolo Creek in Boerne, TX has an overall 1-star rating, with 2 stars for health inspections, 1 star for staffing, and 4 stars for quality measures. It has $13,627 in fines in the last 24 months and a recent federal penalty; recent inspection issues included accident hazards/supervision, notification of changes, and providing care according to orders.
Last inspection: September 5, 2025Penalties, last 24 months: $13,627recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
Staffing detail
Total staff turnover: 64%
Registered nurse turnover: 69%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
9.7%Steady
Residents with a fall causing major injury
2%Steady
Residents with pressure ulcers (bedsores)
6.2%Worsening
Residents with a urinary tract infection
0.8%Improving
Residents who lost too much weight
3.4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
9.7%Steady
Residents whose ability to walk got worse
8.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
15.5%Worsening
Short-stay residents newly given an antipsychotic
1.2%Worsening
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
18.5%Improving
Residents with depressive symptoms
1.4%Worsening
Long-stay residents given the seasonal flu vaccine
98.6%Steady
Long-stay residents given the pneumonia vaccine
99.6%Worsening
Short-stay residents given the seasonal flu vaccine
87.9%Steady
Short-stay residents given the pneumonia vaccine
97.6%Worsening
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited November 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, immediate jeopardy to residents.
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F-Tag 684 — 42 CFR §483.25 — S/S: J
The home failed to clearly tell residents or their representatives that they could refuse a binding arbitration agreement. Cited May 2023 — widespread issue, potential for harm.
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F-Tag 847 — 42 CFR §483.70 — S/S: F
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited September 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: E
Recent history
PENALTY
A federal payment denial was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $13,627 was recorded.
INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $13,627 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 5, 2025
11 days
Federal fine
Nov 23, 2024
$13,627
Operator & ownership
Ownership
Government - Hospital district
Occupancy
88.3 residents on an average day (74% of 120 beds)
Resident voice
Resident council
Medicare history
Certified for 16 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.