Care Choice of Boerne
200 E Ryan St · Boerne, TX · 78006 · 8302492594
74 certified beds For profit - Corporation Chain: Charleston Healthcare Group
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.76 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 2.76 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 2.34 | ≈ weekday level |
| Nursing turnover / year | 39% | median 45% |
| Fines (3-yr window) | 2 · $33,937 |
Inspection citations (27 in the current record)
-
Potential for harm · E February 14, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 14, 2026
Respond appropriately to all alleged violations.
Corrected March 15, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 14, 2026
Assess the resident when there is a significant change in condition
Corrected March 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2026
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 15, 2026 · Resident Assessment and Care Planning
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Potential for harm · D February 14, 2026
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 March 15, 2026 · Pharmacy Service
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Potential for harm · E February 14, 2026
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.
Corrected March 25, 2026 · Nutrition and Dietary
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Potential for harm · D February 14, 2026
Provide and implement an infection prevention and control program.
Corrected March 15, 2026 · Infection Control
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Potential for harm · D November 19, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 21, 2025 · Resident Rights
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Potential for harm · D November 19, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · D November 19, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected November 21, 2025 · Resident Assessment and Care Planning
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Potential for harm · E November 22, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 23, 2024 · Quality of Life and Care
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Potential for harm · D November 22, 2024
Ensure medication error rates are not 5 percent or greater.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · E November 22, 2024
Ensure that residents are free from significant medication errors.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · E November 22, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 23, 2024 · Resident Assessment and Care Planning
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Potential for harm · D November 22, 2024
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Immediate jeopardy · J November 1, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · J November 1, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 25, 2024 · Quality of Life and Care
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Potential for harm · D April 1, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 18, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 20, 2023 · Resident Rights
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Potential for harm · D October 18, 2023
Keep residents' personal and medical records private and confidential.
Corrected October 24, 2023 · Resident Rights
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Potential for harm · D October 18, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected November 1, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 18, 2023
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 November 1, 2023 · Pharmacy Service
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Potential for harm · D October 18, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 2, 2023 · Nutrition and Dietary
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Potential for harm · D October 18, 2023
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.
Corrected November 2, 2023 · Administration
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Potential for harm · D September 27, 2023 · found via complaint
Keep residents' personal and medical records private and confidential.
Corrected October 2, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 1, 2024 | Fine | $12,574 |
| November 1, 2024 | Fine | $21,363 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675678 · certified since April 11, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.