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Carechoice of Boerne, Boerne, TX: 2 star rating, fined $33,937 across 2 fines

Carechoice of Boerne in Boerne, TX is owned by DDF Investments LLC, is rated 2 of 5 stars by Medicare, and was fined $33,937 across 2 fines in the three years to October 1, 2026. CMS lists 27 health citations from inspections in that time, the latest survey on May 28, 2026, and 2 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

Watch this facility's inspections and finesGet nursing homes in Texas
Address
200 E Ryan St, Boerne, TX 78006
Overall rating
2 of 5 stars
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
74
Residents per day
46 on average
Ownership type
For profit, corporation
Legal business name
Uvalde County Hospital Authority
Chain
Charleston Healthcare Group, 4 facilities
Fines
$33,937 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
27, of which 2 with actual harm or immediate jeopardy
Latest survey
May 28, 2026
CMS Certification Number
675678
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
November 1, 2024Fine$21,363Not listeddata.cms.gov
November 1, 2024Fine$12,574Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
May 28, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 28, 2026F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
May 28, 2026F583Keep residents' personal and medical records private and confidential.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 11, 2026data.cms.gov
February 14, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 14, 2026F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 25, 2026data.cms.gov
February 14, 2026F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 14, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 14, 2026F637Assess the resident when there is a significant change in conditionD: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 14, 2026F610Respond appropriately to all alleged violations.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
February 14, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 15, 2026data.cms.gov
November 19, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 19, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 19, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 21, 2025data.cms.gov
November 22, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
November 22, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 23, 2024data.cms.gov
November 22, 2024F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
November 22, 2024F759Ensure medication error rates are not 5 percent or greater.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 20, 2024data.cms.gov
November 22, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 23, 2024data.cms.gov
November 1, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyPast noncomplianceJune 25, 2024data.cms.gov
November 1, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncomplianceSeptember 24, 2024data.cms.gov
April 1, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 22, 2024data.cms.gov
October 18, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 2, 2023data.cms.gov
October 18, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 2, 2023data.cms.gov
October 18, 2023F761Ensure 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2023data.cms.gov
October 18, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 1, 2023data.cms.gov
October 18, 2023F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 24, 2023data.cms.gov
October 18, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 19 individual or personal trusts (9 owners, 1 managers, 4 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
DDF Investments LLCDirect owner15%February 23, 2015data.cms.gov
John Davidson Properties LLCIndirect ownerNot listedJune 12, 2024data.cms.gov
L&J Healthcare LLCIndirect ownerNot listedJune 12, 2024data.cms.gov
Charleston Boerne Operations LLCOperational or managerial controlNot listedJune 12, 2024data.cms.gov
Charleston Boerne Operations LLCAdditional disclosable partyNot listedJuly 10, 2025data.cms.gov
Charleston Properties of Boerne LLCAdditional disclosable partyNot listedJune 12, 2024data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.