Cibolo Creek
1440 River Rd · Boerne, TX · 78006 · 8308165095
120 certified beds Government - Hospital district
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
64% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
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: 2 of 5 Staffing: 2 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | 3.18 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.91 | ≈ weekday level |
| Nursing turnover / year | 64% | median 45% |
| Fines (3-yr window) | 1 · $13,627 |
Inspection citations (26 in the current record)
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Immediate jeopardy · J September 5, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 6, 2025 · Quality of Life and Care
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Potential for harm · E September 5, 2025
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 25, 2025 · Nutrition and Dietary
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Potential for harm · E September 5, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E September 5, 2025
Keep all essential equipment working safely.
Corrected September 25, 2025 · Environmental
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Immediate jeopardy · J November 23, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected November 19, 2024 · Resident Rights
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Immediate jeopardy · J November 23, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 19, 2024 · Quality of Life and Care
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Immediate jeopardy · J November 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected November 24, 2024 · Quality of Life and Care
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Potential for harm · D November 23, 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 November 24, 2024 · Resident Assessment and Care Planning
-
Potential for harm · E November 23, 2024 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected November 24, 2024 · Pharmacy Service
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Potential for harm · D November 23, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected November 24, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 2, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected August 3, 2024 · Resident Rights
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Potential for harm · D August 2, 2024
Keep residents' personal and medical records private and confidential.
Corrected August 3, 2024 · Resident Rights
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Potential for harm · D August 2, 2024
Ensure each resident receives an accurate assessment.
Corrected August 3, 2024 · Resident Assessment and Care Planning
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Potential for harm · E August 2, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 3, 2024 · Nutrition and Dietary
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Potential for harm · E August 2, 2024
Provide and implement an infection prevention and control program.
Corrected August 3, 2024 · Infection Control
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Potential for harm · D December 29, 2023 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected October 2, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 29, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected August 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D December 29, 2023 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected October 7, 2023 · Pharmacy Service
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Potential for harm · D May 26, 2023
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected May 27, 2023 · Quality of Life and Care
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Potential for harm · E May 26, 2023
Ensure that residents are free from significant medication errors.
Corrected May 27, 2023 · Pharmacy Service
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Potential for harm · D May 26, 2023
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.
Corrected May 27, 2023 · Nutrition and Dietary
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Potential for harm · D May 26, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 27, 2023 · Nutrition and Dietary
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Potential for harm · F May 26, 2023
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected May 27, 2023 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2025 | Payment Denial | 11 days |
| November 23, 2024 | Fine | $13,627 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676240 · certified since December 2, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.