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Data / Nursing homes / Texas / Cibolo Creek

Cibolo Creek, Boerne, TX: 2 star rating, fined $13,627 across 1 fine and had 1 payment denial

Cibolo Creek in Boerne, TX is owned by Medina County Hospital District, is rated 2 of 5 stars by Medicare, and was fined $13,627 across 1 fine and had 1 payment denial in the three years to October 1, 2026. CMS lists 20 health citations from inspections in that time, the latest survey on September 5, 2025, and 4 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.

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Address
1440 River Rd, Boerne, TX 78006
Overall rating
2 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
3 of 5
Certified beds
120
Residents per day
86 on average
Ownership type
Government, Hospital district
Legal business name
Medina County Hospital District
Fines
$13,627 across 1 fine, three years to October 1, 2026
Payment denials
1
Health citations
20, of which 4 with actual harm or immediate jeopardy
Latest survey
September 5, 2025
CMS Certification Number
676240
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
September 5, 2025Payment denialNot listedOctober 4, 202511data.cms.gov
November 23, 2024Fine$13,627Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
September 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedSeptember 6, 2025data.cms.gov
September 5, 2025F908Keep all essential equipment working safely.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2025data.cms.gov
September 5, 2025F842Safeguard 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 harmCorrectedSeptember 25, 2025data.cms.gov
September 5, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2025data.cms.gov
September 5, 2025F656Develop 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 harmCorrectedSeptember 25, 2025data.cms.gov
September 5, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedSeptember 25, 2025data.cms.gov
November 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J: isolated, immediate jeopardyCorrectedNovember 24, 2024data.cms.gov
November 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.J: isolated, immediate jeopardyPast noncomplianceNovember 19, 2024data.cms.gov
November 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.J: isolated, immediate jeopardyPast noncomplianceNovember 19, 2024data.cms.gov
November 23, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
November 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E: pattern, no actual harm, potential for more than minimal harmCorrectedNovember 24, 2024data.cms.gov
November 23, 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 harmCorrectedNovember 24, 2024data.cms.gov
August 2, 2024F880Provide and implement an infection prevention and control program.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2024data.cms.gov
August 2, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2024data.cms.gov
August 2, 2024F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2024data.cms.gov
August 2, 2024F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2024data.cms.gov
August 2, 2024F558Reasonably accommodate the needs and preferences of each resident.E: pattern, no actual harm, potential for more than minimal harmCorrectedAugust 3, 2024data.cms.gov
December 29, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceOctober 7, 2023data.cms.gov
December 29, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceAugust 28, 2023data.cms.gov
December 29, 2023F602Protect each resident from the wrongful use of the resident's belongings or money.D: isolated, no actual harm, potential for more than minimal harmPast noncomplianceOctober 2, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 7 individual or personal trusts (1 managers, 3 officers, directors or trustees, 3 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Medina County Hospital DistrictDirect owner100%May 1, 2021data.cms.gov
Cascade-Kendall Health Services, LTDOperational or managerial controlNot listedMay 1, 2021data.cms.gov
Boerne HC LLCAdditional disclosable partyNot listedMay 1, 2021data.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.