Nursing home report
Registered name: CIBOLO CREEK
BOERNE, TX · Medicare-certified · 120 beds
Cibolo Creek Health and Rehabilitation Center in Boerne, TX has an overall rating of 2 out of 5 stars, with 2-star health inspection and staffing ratings and 4-star quality measures. It reports 3.00 nurse staffing hours per resident day versus the 4.1 federal benchmark, and it has $13,627 in fines in the last 24 months plus a recent federal penalty flag.
Health inspections
Staffing
2.9964 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9964.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 607 — 42 CFR §483.12 — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
A federal payment denial was recorded.
Health inspection found 6 health deficiencies.
A federal fine of $13,627 was recorded.
Health inspection found 6 health deficiencies.
Health inspection found 5 health deficiencies.
On record with Medicare: 1 fine · $13,627 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Sep 5, 2025
Federal fine
Nov 23, 2024
Now operated by Medina County Hospital District, previously Cascade-kendall Health Services, LTD.
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.
