All states › Texas › Boerne › Carechoice of Boerne
200 E Ryan St Boerne, TX 78006 · Kendall County
All 5 nursing homes in Boerne, TX (5 take Medicaid)
CMS certification number 675678 · See this home on Medicare Care Compare
Is Carechoice of Boerne a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Carechoice of Boerne as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 2.79 hours per resident per day at Carechoice of Boerne, below the Texas median of 3.30 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 2.43 hours, 13% below its all-week average. 44.1% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Carechoice of Boerne: Medicare and Medicaid
Carechoice of Boerne is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on February 14, 2026 and found 7 deficiencies, plus 6 from complaint inspections in the same period. In total, inspectors issued 27 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 27 citations at Carechoice of Boerne across 7 inspection dates, 9 of them from complaint investigations. 2 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on November 1, 2024 (complaint inspection). The most common areas cited were pharmacy service (6) and resident assessment and care planning (6). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level J, November 1, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
May 28, 2026 · 3 citations · includes complaint inspection
EKeep residents' personal and medical records private and confidential.
EEnsure medication error rates are not 5 percent or greater.
DEnsure 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.
February 14, 2026 · 7 citations
ETimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
EEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
DRespond appropriately to all alleged violations.
DAssess the resident when there is a significant change in condition
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DEnsure 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.
DProvide and implement an infection prevention and control program.
November 19, 2025 · 3 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DEnsure each resident receives an accurate assessment.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
November 22, 2024 · 5 citations
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EEnsure that residents are free from significant medication errors.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
DEnsure medication error rates are not 5 percent or greater.
DProvide and implement an infection prevention and control program.
November 1, 2024 · 2 citations, includes immediate jeopardy · includes complaint inspection
JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 1, 2024 · 1 citation · includes complaint inspection
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
October 18, 2023 · 6 citations
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Questions to ask on a tour of Carechoice of Boerne
- Inspectors cited the home at the immediate-jeopardy level on November 1, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on February 14, 2026. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $33,937 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 1, 2024 | Fine | $12,574 |
| Nov 1, 2024 | Fine | $21,363 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
| August 2026 | 2/5 | 3/5 | 1/5 | 4/5 |
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Location
Hospitals near Carechoice of Boerne
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 16.6 mi
- 19.6 mi
-
19.8 mi
South Texas Spine and Surgical Hospital San AntonioEmergency roomMedian ER visit 2h 1m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Carechoice of Boerne › All nursing homes in Boerne ›
Compare Carechoice of Boerne with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Kendall House Wellness & Rehabilitation · Boerne · 4 stars · 1.5 mi
- Town and Country Nursing and Rehabilitation Center · Boerne · 3 stars · 0.2 mi
Other Charleston Healthcare Group nursing homes in Texas
- High Hope Care Center of Brenham · Brenham · 2 stars
- Woodland Springs Nursing Center · Waco · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 4 Charleston Healthcare Group nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.