Kendall House Wellness & Rehabilitation in Boerne, TX has a 4-star overall rating, with 4 stars in health inspections, staffing, and quality measures. It reports 5.17 nurse staffing hours per resident per day, above the 4.1 federal benchmark, but it also has $88,390 in fines in the last 24 months and a recent federal penalty.
Last inspection: January 23, 2026Penalties, last 24 months: $88,390recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1708.
Staffing detail
Registered nurses
1.02
Licensed practical nurses
1.64
Nurse aides
2.51
Weekend nursing
4.63
Hours per resident per day.
Total staff turnover: 59%
Registered nurse turnover: 43%
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
Residents with a fall causing major injury
—18.9%—
Residents with pressure ulcers (bedsores)
—18.7%—
Residents with a urinary tract infection
—0%—
Residents who lost too much weight
—8.7%—
Residents who were physically restrained
—0%—
Long-stay residents on antianxiety or sleep medication
—37.9%—
Short-stay residents newly given an antipsychotic
1.9%0%Improving
Residents with a long-term catheter
—11.1%—
Residents with new or worsening incontinence
—35.7%—
Residents with depressive symptoms
—23.5%—
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 pneumonia vaccine
—100%—
Short-stay residents given the seasonal flu vaccine
—90.4%—
Short-stay residents given the pneumonia vaccine
99.4%100%Improving
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 home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited October 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 655 — 42 CFR §483.21 — S/S: E
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $88,390 was recorded.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $88,390 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Nov 24, 2024
6 days
Federal fine
Nov 24, 2024
$88,390
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
32.9 residents on an average day (82% of 40 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.