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CARE CHOICE OF BOERNE

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CARE CHOICE OF BOERNE is a for profit - limited liability company facility in BOERNE, TX with 74 certified beds and a 4-star overall CMS rating. The facility has 27 deficiency records on file. Total penalties: $34K.

200 E RYAN ST, BOERNE, TX 78006

Phone: 8302492594

Overall Rating

4/5

Health Inspection

3/5

Staffing

2/5

Quality Measures

5/5

Long-Stay Quality

4/5

Facility Information

Provider Number
675678
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
74
Residents
45
In Hospital
No
County
Kendall
Last Inspection
Nov 22, 2024

Staffing Data

RN Hours
0.28 (nat'l avg: 0.68)
LPN Hours
1.27
CNA Hours
1.49
Total Nursing Hours
3.04 (nat'l avg: 3.89)
PT Hours
0.12
Nursing Turnover
43.6%
RN Turnover
66.7%

What the CMS Record Reveals About CARE CHOICE OF BOERNE

CARE CHOICE OF BOERNE operates 74 certified beds in BOERNE, TX with approximately 45 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (2★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 27 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $34K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.04 total nursing hours per resident day (national average 3.89), with RN coverage at 0.28 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, CARE CHOICE OF BOERNE falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 43.6%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (27 most recent)

D — Isolated - Minimal harm Nov 19, 2025 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Nov 19, 2025 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Nov 19, 2025 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Nov 22, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Nov 22, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 23, 2024

E — Pattern - Minimal harm Nov 22, 2024 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

D — Isolated - Minimal harm Nov 22, 2024 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Dec 20, 2024

E — Pattern - Minimal harm Nov 22, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 23, 2024

J — Isolated - Jeopardy Nov 1, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 25, 2024

J — Isolated - Jeopardy Nov 1, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 24, 2024

D — Isolated - Minimal harm Apr 1, 2024 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Apr 22, 2024

D — Isolated - Minimal harm Oct 18, 2023 Tag: 0849

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Category: Administration Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Oct 18, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Nov 2, 2023

D — Isolated - Minimal harm Oct 18, 2023 Tag: 0761

Ensure 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.

Category: Pharmacy Service Deficiencies

Corrected: Nov 1, 2023

D — Isolated - Minimal harm Oct 18, 2023 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 1, 2023

D — Isolated - Minimal harm Oct 18, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 24, 2023

D — Isolated - Minimal harm Oct 18, 2023 Tag: 0550

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Category: Resident Rights Deficiencies

Corrected: Oct 20, 2023

D — Isolated - Minimal harm Sep 27, 2023 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 2, 2023

E — Pattern - Minimal harm Sep 15, 2023 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 18, 2023

D — Isolated - Minimal harm Sep 15, 2023 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Sep 18, 2023

D — Isolated - Minimal harm Aug 19, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 19, 2022 Tag: 0808

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 19, 2022 Tag: 0806

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 19, 2022 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Sep 19, 2022

E — Pattern - Minimal harm Aug 19, 2022 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2022

E — Pattern - Minimal harm Aug 19, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2022

D — Isolated - Minimal harm Aug 19, 2022 Tag: 0644

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 19, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 26.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.7% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.0% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 11.0% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 5.8% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 100.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 97.8% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 26.6% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 43.0% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 100.0% No
Percentage of long-stay residents with pressure ulcers Long Stay 3.6% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.5% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History 2 penalties totaling $34K

Date Type Amount
Nov 1, 2024 Fine $13K
Nov 1, 2024 Fine $21K

Frequently Asked Questions

What is the overall CMS rating for CARE CHOICE OF BOERNE?
CARE CHOICE OF BOERNE has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (3★), staffing levels (2★), and quality measures (5★).
What are the staffing levels at CARE CHOICE OF BOERNE?
CARE CHOICE OF BOERNE reports 3.04 total nursing hours per resident day (national average: 3.89). RN hours are 0.28 per resident day (national average: 0.68). Nursing staff turnover is 43.6%.
How many beds does CARE CHOICE OF BOERNE have?
CARE CHOICE OF BOERNE has 74 certified beds with approximately 45 residents. The facility is located at 200 E RYAN ST, BOERNE, TX 78006.
Does CARE CHOICE OF BOERNE have any deficiencies on record?
Yes, CARE CHOICE OF BOERNE has 27 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has CARE CHOICE OF BOERNE received any fines or penalties?
Yes, CARE CHOICE OF BOERNE has received 2 penalties totaling $34K.
Who owns CARE CHOICE OF BOERNE?
CARE CHOICE OF BOERNE is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was CARE CHOICE OF BOERNE last inspected?
The most recent health inspection for CARE CHOICE OF BOERNE was on Nov 22, 2024. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for CARE CHOICE OF BOERNE?
CARE CHOICE OF BOERNE is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial