Federal inspection record · CMS data as of October 1, 2026
Cibolo Creek
1440 River Rd, Boerne, TX · (830) 816-5095
- Certified beds
- 120
- Residents per day
- 86
- Ownership
- Government
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 2, 2009
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.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Texas.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Texas homes
Cibolo Creek carries 127 inspection points. That is fewer than 25% 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
26 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 (4)
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
J
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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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
Resident Assessment and Care Planning5E
- 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.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
Nutrition and Dietary4E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
- D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation3E
- E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Pharmacy Service3E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure that residents are free from significant medication errors.
Resident Rights2E
- E
Reasonably accommodate the needs and preferences of each resident.
- D
Keep residents' personal and medical records private and confidential.
Administration2F
- F
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
- D
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Environmental1E
- E
Keep all essential equipment working safely.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Quality of Life and Care1D
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspection history
2025-09-05
6 health deficiencies · 6 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
2024-08-02
11 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2023-05-26
9 health deficiencies · 1 fire-safety deficiencies
Top issue: Administration (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 14 min of nursing staff time a day, 25 min of it from a registered nurse.
This home
3 h 14 min
Texas average
3 h 25 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 68% of nursing staff and 57% of registered nurses left in the past year, along with 2 administrators.
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
$13,627 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-09-05 | Payment Denial · 11 day denial | $0 |
| 2024-11-23 | Fine | $13,627 |
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 days1.3 pts better | 0.7 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.8 pts better | 1.2 | 2.0 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.5 pts better | 98.9% | 96.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5 pts worse | 92.0% | 97.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.9 pts better | 2.3% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.6 pts better | 1.7% | 2.3% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.3 pts worse | 3.2% | 2.9% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1 pts better | 16.8% | 17.8% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication1.6 pts better | 8.2% | 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 worsened3.3 pts better | 9.6% | 12.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.1 pts better | 8.7% | 15.8% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts worse | 0.9% | 0.3% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 0.8% | 0.8% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence2.8 pts worse | 15.3% | 12.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.4 pts worse | 7.1% | 3.7% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8 pts better | 96.7% | 88.7% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse | 13.8% | 12.2% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 2.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine3.1 pts worse | 82.3% | 85.4% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.9 pts worse | 26.4% | 25.5% | 23.4% |
·
Who owns and runs it
10 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 |
|---|---|---|---|
| Medina County Hospital District | 5% Or Greater Direct Ownership Interest · Organization | 100% | 6 facilities |
| Bell, Billie | Corporate Officer · Individual | 0% | 7 facilities |
| Boerne Hc LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Cascade-Kendall Health Services, Ltd | Operational/Managerial Control · Organization | 0% | 1 facilities |
| Collier, Taylor | Adp Of The SNF · Individual | 0% | 1 facilities |
| Dorrow, Marjorie | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Haney, Max | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 1 facilities |
| Haney, Ronald | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Haney, Ronald | Adp Of The SNF · Individual | 0% | 1 facilities |
| Sorrells, John | Adp Of The SNF · Individual | 0% | 2 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Gas, Vacuum, and Electrical Systems4F
- F
Have a battery powered remote alarm panel in a location accessible by operating personnel.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Meet requirements for the use of electrical equipment.
- F
Have proper medical gas storage and administration areas.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Egress1D
- D
Have properly located and lighted "Exit" signs.
Smoke1E
- E
Inspect, test, and maintain automatic sprinkler systems.
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Other homes nearby
-
Avir at Boerne
Boerne, TX · Avir Health Group
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 16 min
- Fines
- $92,137
-
Carechoice Of Boerne
Boerne, TX · Charleston Healthcare Group
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 2 h 48 min
- Fines
- $33,937
-
Town and Country Nursing and Rehabilitation Center
Boerne, TX · Wellsential Health
★★★★★- Worst citation, 3 yrs
- K
- Nursing / resident / day
- 3 h 26 min
- Fines
- $150,922