Cibolo Creek
1440 River Rd, Boerne, TX 78006 · (830) 816-5095
Government - Hospital district · 120 certified beds
Cibolo Creek has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 6 citations, 1 for actual harm or immediate jeopardy (the Texas average is 9.4). It was fined 1 time in the last three years, $13,627 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on September 5, 2025 found 6 citations. What an inspection citation means
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 5, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.September 5, 2025 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 5, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 5, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Keep all essential equipment working safely.September 5, 2025 · F0908 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.September 5, 2025 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.November 23, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.November 23, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.November 23, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 23, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.November 23, 2024 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.November 23, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.December 29, 2023 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.December 29, 2023 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 29, 2023 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Fines and payment denials
- Fine of $13,627November 23, 2024
- Medicare payment denial for 11 daysStarting October 4, 2025
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.00 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.46 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.99 | 0.95 | 0.86 |
| Nurse aides | 1.54 | 2.01 | 2.32 |
| Total nursing staff turnover | 60.8% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 120 |
| Average residents per day | 88.5 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Kendall House Wellness & Rehabilitation Boerne · ★★★★★ 4 out of 5 stars
- Carechoice of Boerne Boerne · ★★★★★ 2 out of 5 stars
- Town and Country Nursing and Rehabilitation Center Boerne · ★★★★★ 1 out of 5 stars
- Avir at Boerne Boerne · ★★★★★ 1 out of 5 stars
- Avir at Comfort Comfort · ★★★★★ 5 out of 5 stars
Compare every nursing home in Boerne, TX · Nursing homes in Texas · Home health agencies in Boerne, TX
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Data from Medicare (CMS), updated October 2026, from Cibolo Creek on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.