Kendall House Wellness & Rehabilitation

1050 Grand Blvd. · Boerne, TX · 78006 · 8308164100

40 certified beds Non profit - Corporation Part of a CCRC

Why this verdict

  • Federal penalties on record: $88,390 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

$88,390 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 58
Serious harm & abuse 20% 94
Staffing 20% 43
Federal penalties 15% 42
Trend 10% 89
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.48 min · 4.1 strong
RN hours / resident-day0.55–0.75
Weekend hours / resident-day≈ weekday level
Nursing turnover / year59%median 45%
Fines (3-yr window)1 · $88,390

Inspection citations (22 in the current record)

  • Potential for harm · D January 23, 2026

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Corrected March 6, 2026 · Resident Rights

  • Potential for harm · D January 23, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected March 6, 2026 · Pharmacy Service

  • Potential for harm · D January 23, 2026

    Ensure medication error rates are not 5 percent or greater.

    Corrected March 9, 2026 · Pharmacy Service

  • Potential for harm · D January 23, 2026

    Ensure that residents are free from significant medication errors.

    Corrected March 9, 2026 · Pharmacy Service

  • Potential for harm · E January 23, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected March 9, 2026 · Nutrition and Dietary

  • Potential for harm · D January 2, 2025 · 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 January 29, 2025 · Resident Assessment and Care Planning

  • Immediate jeopardy · J November 24, 2024 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected December 30, 2024 · Quality of Life and Care

  • Potential for harm · D October 11, 2024

    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 November 19, 2024 · Resident Rights

  • Potential for harm · E October 11, 2024

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected November 19, 2024 · Resident Assessment and Care Planning

  • Potential for harm · E October 11, 2024

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected November 19, 2024 · Pharmacy Service

  • Potential for harm · D October 11, 2024

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Corrected November 19, 2024 · Nutrition and Dietary

  • Potential for harm · D September 8, 2023

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected September 11, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 8, 2023

    Ensure each resident receives an accurate assessment.

    Corrected September 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 8, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected September 11, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 8, 2023

    Observe each nurse aide's job performance and give regular training.

    Corrected September 11, 2023 · Nursing and Physician Services

  • Potential for harm · E September 8, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 11, 2023 · Pharmacy Service

  • Potential for harm · E September 8, 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 September 11, 2023 · Pharmacy Service

  • Potential for harm · E September 8, 2023

    Provide and implement an infection prevention and control program.

    Corrected September 11, 2023 · Infection Control

  • Potential for harm · E September 8, 2023

    Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program.

    Corrected September 11, 2023 · Administration

  • Potential for harm · D September 8, 2023

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Corrected September 11, 2023 · Infection Control

  • Potential for harm · D August 18, 2023 · found via complaint

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected October 5, 2023 · Nutrition and Dietary

  • Potential for harm · E August 18, 2023 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected October 5, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
November 24, 2024Fine$88,390
November 24, 2024Payment Denial6 days

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676228 · certified since July 1, 2009. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.