All states › Texas › Boerne › Cibolo Creek
1440 River Rd Boerne, TX 78006 · Kendall County
All 5 nursing homes in Boerne, TX (5 take Medicaid)
CMS certification number 676240 · See this home on Medicare Care Compare
Is Cibolo Creek 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 Cibolo Creek 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 3.24 hours per resident per day at Cibolo Creek, about the same as the Texas median of 3.30 (US median: 3.72). About 0.41 of those hours are from registered nurses. On weekends it falls to 2.98 hours, 8% below its all-week average. 68.2% of nursing staff left within a year (Texas median 50.2%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 2 administrators left in the past year.
About this nursing home
Paying for care at Cibolo Creek: Medicare and Medicaid
Cibolo Creek 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 September 5, 2025 and found 6 deficiencies. In total, inspectors issued 26 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 26 citations at Cibolo Creek across 5 inspection dates, 9 of them from complaint investigations. 4 were at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on September 5, 2025. The most common areas cited were resident assessment and care planning (5) and nutrition and dietary (4). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, September 5, 2025). 3 citations were under CMS's abuse, neglect and exploitation rules.
September 5, 2025 · 6 citations
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
ESafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
EKeep all essential equipment working safely.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
November 23, 2024 · 6 citations, includes immediate jeopardy · includes complaint inspection
JImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
JProvide appropriate treatment and care according to orders, resident’s preferences and goals.
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 2, 2024 · 5 citations
EReasonably accommodate the needs and preferences of each resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DKeep residents' personal and medical records private and confidential.
DEnsure each resident receives an accurate assessment.
December 29, 2023 · 3 citations · includes complaint inspection
DProtect each resident from the wrongful use of the resident's belongings or money.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
May 26, 2023 · 6 citations
FInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
EEnsure that residents are free from significant medication errors.
DProvide care and assistance to perform activities of daily living for any resident who is unable.
DEnsure 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.
DProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DProvide a neutral and fair arbitration process and agree to arbitrator and venue.
Questions to ask on a tour of Cibolo Creek
- Inspectors cited the home at the immediate-jeopardy level on September 5, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on September 5, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 68.2% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- 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 $13,627 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Sep 5, 2025 | Payment Denial | 11 days of payments denied |
| Nov 23, 2024 | Fine | $13,627 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 3/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Cibolo Creek
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
- 15.6 mi
-
18.7 mi
South Texas Spine and Surgical Hospital San AntonioEmergency roomMedian ER visit 2h 1m for patients treated and sent home
-
18.7 mi
Methodist Stone Oak Hospital San AntonioEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 46m 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 Cibolo Creek › All nursing homes in Boerne ›
Compare Cibolo Creek with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Kendall House Wellness & Rehabilitation · Boerne · 4 stars · 1.4 mi
- Town and Country Nursing and Rehabilitation Center · Boerne · 3 stars · 1.3 mi
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.