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CIBOLO CREEK

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CIBOLO CREEK is a government - hospital district facility in BOERNE, TX with 120 certified beds and a 2-star overall CMS rating. The facility has 27 deficiency records on file. Total penalties: $14K.

1440 RIVER RD, BOERNE, TX 78006

Phone: 8308165095

Overall Rating

2/5

Health Inspection

2/5

Staffing

1/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
676240
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
120
Residents
86
In Hospital
No
County
Kendall
Last Inspection
Sep 5, 2025

Staffing Data

RN Hours
N/A (nat'l avg: 0.68)
LPN Hours
N/A
CNA Hours
N/A
Total Nursing Hours
N/A (nat'l avg: 3.89)
PT Hours
N/A
Nursing Turnover
64.1%
RN Turnover
53.8%

What the CMS Record Reveals About CIBOLO CREEK

CIBOLO CREEK operates 120 certified beds in BOERNE, TX with approximately 86 residents currently in care, and carries a CMS overall rating of 2 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 (2★), staffing levels (1★), 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 4 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $14K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, CIBOLO CREEK 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 64.1%, above the level where continuity of care typically begins to suffer. 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)

E — Pattern - Minimal harm Sep 5, 2025 Tag: 0908

Keep all essential equipment working safely.

Category: Environmental Deficiencies

Corrected: Sep 25, 2025

E — Pattern - Minimal harm Sep 5, 2025 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: Sep 25, 2025

E — Pattern - Minimal harm Sep 5, 2025 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 25, 2025

J — Isolated - Jeopardy Sep 5, 2025 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 6, 2025

D — Isolated - Minimal harm Sep 5, 2025 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 25, 2025

E — Pattern - Minimal harm Sep 5, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 25, 2025

D — Isolated - Minimal harm Nov 23, 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 24, 2024

E — Pattern - Minimal harm Nov 23, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Nov 24, 2024

J — Isolated - Jeopardy Nov 23, 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 24, 2024

J — Isolated - Jeopardy Nov 23, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 19, 2024

D — Isolated - Minimal harm Nov 23, 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: Nov 24, 2024

J — Isolated - Jeopardy Nov 23, 2024 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Nov 19, 2024

E — Pattern - Minimal harm Aug 2, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Aug 3, 2024

E — Pattern - Minimal harm Aug 2, 2024 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: Aug 3, 2024

D — Isolated - Minimal harm Aug 2, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 3, 2024

D — Isolated - Minimal harm Aug 2, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Aug 3, 2024

E — Pattern - Minimal harm Aug 2, 2024 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Aug 3, 2024

D — Isolated - Minimal harm Dec 29, 2023 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 7, 2023

D — Isolated - Minimal harm Dec 29, 2023 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Aug 28, 2023

D — Isolated - Minimal harm Dec 29, 2023 Tag: 0602

Protect each resident from the wrongful use of the resident's belongings or money.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 2, 2023

D — Isolated - Minimal harm May 26, 2023 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: May 27, 2023

F — Widespread - Minimal harm May 26, 2023 Tag: 0847

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Category: Administration Deficiencies

Corrected: May 27, 2023

D — Isolated - Minimal harm May 26, 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: May 27, 2023

D — Isolated - Minimal harm May 26, 2023 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: May 27, 2023

E — Pattern - Minimal harm May 26, 2023 Tag: 0760

Ensure that residents are free from significant medication errors.

Category: Pharmacy Service Deficiencies

Corrected: May 27, 2023

D — Isolated - Minimal harm May 26, 2023 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: May 27, 2023

D — Isolated - Minimal harm Apr 11, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Apr 12, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 9.6% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.0% 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 0.8% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.9% 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 1.6% 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 98.6% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.3% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 10.7% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 14.7% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 98.6% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 87.9% No
Percentage of long-stay residents with pressure ulcers Long Stay 5.4% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 17.4% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 9.7% Yes

Penalty History 1 penalties totaling $14K

Date Type Amount
Sep 5, 2025 Payment Denial -
Nov 23, 2024 Fine $14K

Frequently Asked Questions

What is the overall CMS rating for CIBOLO CREEK?
CIBOLO CREEK has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (1★), and quality measures (5★).
What are the staffing levels at CIBOLO CREEK?
CIBOLO CREEK reports N/A total nursing hours per resident day (national average: 3.89). RN hours are N/A per resident day (national average: 0.68). Nursing staff turnover is 64.1%.
How many beds does CIBOLO CREEK have?
CIBOLO CREEK has 120 certified beds with approximately 86 residents. The facility is located at 1440 RIVER RD, BOERNE, TX 78006.
Does CIBOLO CREEK have any deficiencies on record?
Yes, CIBOLO CREEK has 27 deficiencies on record from recent inspections. Of these, 4 are classified as causing actual harm or jeopardy.
Has CIBOLO CREEK received any fines or penalties?
Yes, CIBOLO CREEK has received 1 penalties totaling $14K.
Who owns CIBOLO CREEK?
CIBOLO CREEK is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid".
When was CIBOLO CREEK last inspected?
The most recent health inspection for CIBOLO CREEK was on Sep 5, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for CIBOLO CREEK?
CIBOLO CREEK 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