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Nursing home report

CIBOLO CREEK

BOERNE, TX · Medicare-certified · 120 beds

Needs attention
Government-run
1 of 5 overall

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.

Facility ratings

Health inspections

Staffing

Quality measures

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.

View the original federal record

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.

View the original federal record

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

  1. PENALTY

    A federal payment denial was recorded.

  2. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  3. PENALTY

    A federal fine of $13,627 was recorded.

  4. INSPECTION

    Health inspection found 6 health deficiencies.

    See what inspectors found
  5. 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.