Cycle 1
Health 2024-10-11 · Fire 2024-10-11
4 health deficiencies
Top issue: Nutrition and Dietary (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Boerne, TX
Kendall House Wellness & Rehabilitation
3-star overall rating with 3-star inspections with $88,390 in total fines with 4 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1050 Grand Blvd., Boerne, TX
(830) 816-4100
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
40
Certified beds
Average residents
32
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2009-07-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
Hours and turnover
RN hours / resident day
0.92
Registered nurse staffing
LPN hours / resident day
1.56
Licensed practical nurse staffing
Aide hours / resident day
2.27
Nurse aide staffing
Weekend hours
4.39
Weekend nurse staffing
RN turnover
50%
Annual RN turnover
Total nurse turnover
69%
Annual nurse turnover
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 18.9% |
3.3%
15.6 pts worse
|
3.3%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 21.2% |
2.7%
18.5 pts worse
|
11.4%
9.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 4.2% |
3.3%
0.9 pts worse
|
5.4%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.7% |
18.9%
17.8 pts worse
|
19.6%
17.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 13.1% |
0.5%
12.6 pts worse
|
1.0%
12.1 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.0% |
15.0%
13 pts worse
|
19.8%
8.2 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 19.1% |
4.2%
14.9 pts worse
|
5.1%
14 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.3% |
89.7%
9.6 pts better
|
81.7%
17.6 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 19.2% |
12.0%
7.2 pts worse
|
12.0%
7.2 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
1.5%
About the same
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 90.4% |
88.0%
2.4 pts better
|
79.7%
10.7 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.2% |
25.9%
0.7 pts better
|
23.9%
1.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-09-08 · Fire 2023-09-08
11 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Cycle 3
Health 2022-07-15 · Fire 2022-07-15
8 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2024-10-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-11-19
D · Potential for more than minimal harm
2023-09-08
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-10-11
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-01-02
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-01-29
J · Immediate jeopardy
2024-11-24
F689 · Quality of Life and Care Deficiencies
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-12-30
E · Potential for more than minimal harm
2024-10-11
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-11-19
E · Potential for more than minimal harm
2024-10-11
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-10-11
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-11-19
D · Potential for more than minimal harm
2024-10-11
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-11-19
E · Potential for more than minimal harm
2023-09-08
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-09-11
E · Potential for more than minimal harm
2023-09-08
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-09-11
E · Potential for more than minimal harm
2023-09-08
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-09-11
E · Potential for more than minimal harm
2023-09-08
F944 · Administration Deficiencies
Health
Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.
Corrected 2023-09-11
D · Potential for more than minimal harm
2023-09-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-09-11
D · Potential for more than minimal harm
2023-09-08
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-09-11
D · Potential for more than minimal harm
2023-09-08
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-09-11
D · Potential for more than minimal harm
2023-09-08
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2023-09-11
D · Potential for more than minimal harm
2023-09-08
F945 · Infection Control Deficiencies
Health
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2023-09-11
E · Potential for more than minimal harm
2023-08-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-10-05
D · Potential for more than minimal harm
2023-08-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-10-05
E · Potential for more than minimal harm
2022-07-15
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2022-08-04
E · Potential for more than minimal harm
2022-07-15
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2022-07-18
D · Potential for more than minimal harm
2022-07-15
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2022-07-18
D · Potential for more than minimal harm
2022-07-15
F640 · Resident Assessment and Care Planning Deficiencies
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2022-07-18
D · Potential for more than minimal harm
2022-07-15
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2022-07-18
D · Potential for more than minimal harm
2022-07-15
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2022-07-18
Penalties and ownership
What sits behind the stars
$88,390
2024-11-24
Fine
Fine · fine $88,390
Fine
$0
2024-11-24
Payment Denial
Payment Denial · denial start 2024-12-24 · 6 days
6 day denial
Ownership
Morningside Ministries
5% Or Greater Direct Ownership Interest · Organization
Asis, Rissa
Operational/Managerial Control · Individual
Bryan, Scott
Corporate Director · Individual
Crump, Patrick
Corporate Officer · Individual
Drought, Jessica
Corporate Director · Individual
Forgione, Dana
Corporate Director · Individual
Garza, Edward
Corporate Director · Individual
Hackett, Greg
Corporate Director · Individual
Kercheville, Scott
Corporate Director · Individual
Mccullough, Robert
Corporate Director · Individual
Mcrae, Thomas
Corporate Director · Individual
Mendoza, Dora
Corporate Director · Individual
Mobley, Jessica
Corporate Director · Individual
Monfrey, Margaret
Operational/Managerial Control · Individual
Moore, Joe
Corporate Director · Individual
Moreno, Chelsea
Operational/Managerial Control · Individual
Moreno, Chelsea
Corporate Officer · Individual
Munoz, Dionicio
Operational/Managerial Control · Individual
Nguyen, Chrisine
Operational/Managerial Control · Individual
Ortiz, Robert
Corporate Director · Individual
Osanyinlusi, Lisa
Operational/Managerial Control · Individual
Phipps, Amy
Corporate Director · Individual
Powell, Brooks
Operational/Managerial Control · Individual
Prater, Myranda
Operational/Managerial Control · Individual
Read, David
Corporate Director · Individual
Robertson, Cassandra
Operational/Managerial Control · Individual
Scofield, George
Corporate Director · Individual
Tye, Richard
Corporate Director · Individual
Youngquist, Holly
Corporate Director · Individual
Nearby options
Other facilities in reach
#1
Riverview Nursing & Rehabilitation
Boerne, TX
2-star overall rating with 1-star inspections with $156,748 in total fines with 11 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#2
Cibolo Creek
Boerne, TX
2-star overall rating with 2-star inspections with $13,627 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
#3
Care Choice Of Boerne
Boerne, TX
4-star overall rating with 3-star inspections with $33,937 in total fines with 8 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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