Federal inspection record · CMS data as of October 1, 2026
Carechoice Of Boerne
200 E Ryan St, Boerne, TX · (830) 249-2594
- Certified beds
- 74
- Residents per day
- 46
- Ownership
- For-Profit
- Chain
- Charleston Healthcare Group
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- April 11, 1997
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Carechoice Of Boerne carries 70 inspection points. That is fewer than 51% of Texas's 1,166 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Texas: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–26 pts
- 4★ 26–51 pts
- 3★ 51–85 pts
- 2★ 85–145.75 pts
- 1★ over 145.75 pts
Bars show every rated home in Texas by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
27 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
J
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Pharmacy Service6E
- E
Ensure medication error rates are not 5 percent or greater.
- D
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.
- D
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.
- E
Ensure that residents are free from significant medication errors.
- D
Ensure medication error rates are not 5 percent or greater.
- D
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.
Resident Assessment and Care Planning6E
- D
Assess the resident when there is a significant change in condition
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure each resident receives an accurate assessment.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Rights4E
- E
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary2E
- E
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2D
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Quality of Life and Care1E
- E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration1D
- D
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.
Inspection history
2026-02-14
13 health deficiencies · 4 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
2024-11-22
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-10-18
7 health deficiencies · 3 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 48 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
2 h 48 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 80% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$33,937 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2024-11-01 | Fine | $12,574 |
| 2024-11-01 | Fine | $21,363 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.7 pts better | 1.3 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.2 pts worse | 4.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.6 pts better | 100.0% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.3 pts worse | 95.7% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury8 pts worse | 11.2% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms5.3 pts worse | 7.6% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight5.6 pts worse | 8.5% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication25.1 pts worse | 42.9% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.4 pts better | 5.4% | 9.8% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened9.1 pts worse | 22.0% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased9.9 pts worse | 25.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.4% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.4 pts worse | 1.2% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.4 pts worse | 19.9% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts better | 2.5% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine9.2 pts better | 97.9% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit3.5 pts better | 8.7% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.4 pts better | 0.0% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine14.6 pts better | 100.0% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission9.8 pts worse | 35.3% | 25.5% | 23.4% |
·
Who owns and runs it
25 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Broussard, Kendall | 5% Or Greater Indirect Ownership Interest · Individual | 65% | 9 facilities |
| Ddf Investments LLC | 5% Or Greater Direct Ownership Interest · Organization | 15% | 1 facilities |
| Broussard, Reuben | 5% Or Greater Indirect Ownership Interest · Individual | 10% | 3 facilities |
| Broussard, Todd | 5% Or Greater Indirect Ownership Interest · Individual | 10% | 2 facilities |
| Apolinar, Adam | Corporate Officer · Individual | 0% | 38 facilities |
| Apolinar, Adam | Adp Of The SNF · Individual | 0% | 38 facilities |
| Briley, Annette | Corporate Director · Individual | 0% | 1 facilities |
| Briley, Annette | Adp Of The SNF · Individual | 0% | 1 facilities |
| Charleston Boerne Operations LLC | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Charleston Boerne Operations LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Charleston Properties Of Boerne LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Contreras, Terri | Corporate Officer · Individual | 0% | 19 facilities |
| Contreras, Terri | Adp Of The SNF · Individual | 0% | 19 facilities |
| Davidson, John | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Davidson, Joshua | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Davidson, Zachary | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Delrie, Alton | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| Fuller, Laurie | Indirect Ownership Interest · Individual | 0% | 1 facilities |
| Fuller, Robert | Indirect Ownership Interest · Individual | 0% | 2 facilities |
| John Davidson Properties LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| L&J Healthcare LLC | Indirect Ownership Interest · Organization | 0% | 1 facilities |
| Longoria, Richard | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Longoria, Richard | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sorrells, John | Corporate Director · Individual | 0% | 2 facilities |
| Sorrells, John | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
- F
Install a fire alarm system that can be heard throughout the facility.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Egress2E
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Gas, Vacuum, and Electrical Systems2E
- D
Have proper medical gas storage and administration areas.
- E
Ensure proper usage of power strips and extension cords.
Services2C
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
·
Other homes nearby
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Town and Country Nursing and Rehabilitation Center
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★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 26 min
- Fines
- $150,922
-
Avir at Boerne
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- K
- Nursing / resident / day
- 3 h 16 min
- Fines
- $92,137
-
Cibolo Creek
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★★★★★- Worst citation, 3 yrs
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- 3 h 14 min
- Fines
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