healthcarefacts

Nursing home in Boerne, Texas

Carechoice of Boerne

Medicare and Medicaid

200 E RYAN ST, Boerne, TX 78006
(830) 249-2594

CMS star ratings

CMS gives this nursing home an overall star rating of 2 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home2
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home3
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home1
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home4
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Feb 14, 2026. CMS counts 13 health deficiencies in rating cycle 1.

  • This nursing home13
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 27 health deficiencies on 7 inspection dates since Sep 30, 2023. By level of harm: 2 immediate jeopardy, 25 potential for harm.

  • 2 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 25 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
The 10 most recent of 27 health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
May 28, 2026F0583Keep residents' personal and medical records private and confidential.Resident Rights DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Jun 11, 2026
May 28, 2026F0759Ensure medication error rates are not 5 percent or greater.Pharmacy Service DeficienciesE Potential for harm, patternComplaintDeficient, Provider has date of correction Jun 11, 2026
May 28, 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Jun 11, 2026
Feb 14, 2026F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 15, 2026
Feb 14, 2026F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Nutrition and Dietary DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Mar 25, 2026
Feb 14, 2026F0610Respond appropriately to all alleged violations.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 15, 2026
Feb 14, 2026F0637Assess the resident when there is a significant change in conditionResident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 15, 2026
Feb 14, 2026F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 15, 2026
Feb 14, 2026F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 15, 2026
Feb 14, 2026F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Mar 15, 2026
Show the other 17 deficiencies
Older health deficiencies since Sep 30, 2023
DateTagDeficiencyScope and severityInspection typeStatus
Nov 19, 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 21, 2025
Nov 19, 2025F0641Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 21, 2025
Nov 19, 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Nov 21, 2025
Nov 22, 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Nov 23, 2024
Nov 22, 2024F0760Ensure that residents are free from significant medication errors.Pharmacy Service DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Dec 20, 2024
Nov 22, 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Resident Assessment and Care Planning DeficienciesE Potential for harm, patternStandardDeficient, Provider has date of correction Nov 23, 2024
Nov 22, 2024F0759Ensure medication error rates are not 5 percent or greater.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Dec 20, 2024
Nov 22, 2024F0880Provide and implement an infection prevention and control program.Infection Control DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Dec 20, 2024
Nov 1, 2024F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Freedom from Abuse, Neglect, and Exploitation DeficienciesJ Immediate jeopardy, isolatedComplaintPast Non-Compliance Sep 24, 2024
Nov 1, 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care DeficienciesJ Immediate jeopardy, isolatedComplaintPast Non-Compliance Jun 25, 2024
Apr 1, 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedComplaintDeficient, Provider has date of correction Apr 22, 2024
Oct 18, 2023F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Oct 20, 2023
Oct 18, 2023F0583Keep residents' personal and medical records private and confidential.Resident Rights DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Oct 24, 2023
Oct 18, 2023F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 1, 2023
Oct 18, 2023F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Pharmacy Service DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 1, 2023
Oct 18, 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 2, 2023
Oct 18, 2023F0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Administration DeficienciesD Potential for harm, isolatedStandardDeficient, Provider has date of correction Nov 2, 2023

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home2.70 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.22 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.

  • This nursing home41.2%
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 2 penalties for this nursing home: 2 fines totaling $33,937, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds74
Average residents per day48.5
OwnershipFor profit - Corporation
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainCharleston Healthcare Group (4 facilities)
Legal business nameUVALDE COUNTY HOSPITAL AUTHORITY
First approved for Medicare and MedicaidApr 11, 1997
CountyKendall
CMS certification number675678

Also in Boerne

Other nursing homes in Boerne
Nursing homeCMS overall ratingHealth inspection ratingCertified bedsOwnership
Kendall House Wellness & Rehabilitation40Non profit - Corporation
Cibolo Creek120Government - Hospital district
Avir at Boerne96For profit - Limited Liability company
Town and Country Nursing and Rehabilitation Center126Government - Hospital district

All 5 nursing homes and 0 hospitals in Boerne