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Nursing homeFAID #14213

Carechoice of Boerne

200 E RYAN ST, BOERNE, TX, 78006

(830) 249-2594

74 licensed beds

CMS rates Carechoice of Boerne 2 out of 5 overall. Federal inspectors issued 39 citations across 10 inspections in the last three years, with $33,937 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

200 E Ryan St

Boerne, TX 78006

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675678

Care type

Nursing home

County

Kendall

Facility name

Carechoice of Boerne

Street address

200 E RYAN ST

City / state / ZIP

Boerne, TX 78006

Phone

(830) 249-2594

About this facility — Carechoice of Boerne

Carechoice of Boerne is a Medicare/Medicaid-certified skilled nursing facility in Boerne, Texas. It is licensed for 74 beds — below the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Boerne and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Carechoice of Boerne 39 times across 10 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $33,937 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company

Charleston Healthcare Group

Ownership type

For profit - Corporation

Registered owners & officers

Broussard, Kendall

Indirect owner — 65% stake — since 2024

Ddf Investments Llc

Direct owner — 15% stake — since 2015

Broussard, Reuben

Indirect owner — 10% stake — since 2024

Broussard, Todd

Indirect owner — 10% stake — since 2024

Apolinar, Adam

Officer · Additional disclosable party — since 2015

Briley, Annette

Director · Additional disclosable party — since 2024

Charleston Boerne Operations Llc

Operational control · Additional disclosable party — since 2024

Charleston Properties of Boerne Llc

Additional disclosable party — since 2024

Contreras, Terri

Officer · Additional disclosable party — since 2019

Davidson, John

Indirect owner — since 2024

Davidson, Joshua

Indirect owner — since 2024

Davidson, Zachary

Indirect owner — since 2024

Delrie, Alton

Indirect owner — since 2024

Fuller, Laurie

Indirect owner — since 2024

Fuller, Robert

Indirect owner — since 2024

John Davidson Properties Llc

Indirect owner — since 2024

L&j Healthcare Llc

Indirect owner — since 2024

Longoria, Richard

Operational control · Additional disclosable party — since 2023

Sorrells, John

Director · Additional disclosable party — since 2015

Regulatory standing

Licensed / certified since

1997-04-11

CMS overall rating

2 of 5 stars

Health deficiencies

13 at the last standard inspection

Federal fines

$33,937 total

Last standard inspection

2026-02-14

Nurse staffing

2.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$230 per day (≈ $6,990/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

10% Medicaid · 6% Medicare · 84% private/other

Occupancy

69% (fiscal year 2023)

Vs. state median

17% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-28Health inspectionComplaint-triggered3 citations

F-0583

E · No harm foundFrom a complaint

Keep residents' personal and medical records private and confidential.

Corrected 2026-06-11

F-0759

E · No harm foundFrom a complaint

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-06-11

F-0761

D · No harm foundFrom a complaint

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 2026-06-11

2026-02-14Health inspection7 citations

F-0609

E · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-03-15

F-0610

D · No harm found

Respond appropriately to all alleged violations.

Corrected 2026-03-15

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2026-03-15

F-0656

D · No harm found

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

Corrected 2026-03-15

F-0761

D · No harm found

Corrected 2026-03-15

F-0801

E · No harm foundFood safety

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2026-03-25

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-03-15

8 earlier / fire-safety inspections (29 citations)

2025-11-19Health inspectionComplaint-triggered3 citations

F-0550

D · No harm foundFrom a complaint

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-11-21

F-0641

D · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2025-11-21

F-0657

D · No harm foundFrom a complaint

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-11-21

2024-11-22Health inspection5 citations

F-0689

E · No harm found

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

Corrected 2024-11-23

F-0759

D · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2024-12-20

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2024-12-20

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-11-23

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-12-20

2024-11-01Health inspectionComplaint-triggered2 citations

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-24

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2024-06-25

2024-04-01Health inspectionComplaint-triggered1 citation

F-0656

D · No harm foundFrom a complaint

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

Corrected 2024-04-22

2023-10-18Health inspection6 citations

F-0550

D · No harm found

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2023-10-20

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2023-10-24

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2023-11-01

F-0761

D · No harm found

Corrected 2023-11-01

F-0812

D · No harm foundFood safety

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

Corrected 2023-11-02

F-0849

D · No harm found

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2023-11-02

2026-02-14Fire-safety inspection4 citations

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-07

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-03-29

K-0355

D · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2026-03-15

K-0372

F · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2026-03-15

2024-11-22Fire-safety inspection5 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-01-07

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-01-13

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-11-21

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2024-11-21

K-0923

D · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-01-07

2023-10-18Fire-safety inspection3 citations

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-11-03

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2023-10-20

K-0920

E · No harm found

Ensure proper usage of power strips and extension cords.

Corrected 2023-10-20

Federal penalties

2024-11-01Fine$12,574

2024-11-01Fine$21,363

Total fines$33,937

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675678.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 61% of nursing homes in the state

State median: 33

Federal fines, 3 years

$33,937

More than 68% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

2.8

Higher than 8% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

44%

Higher than 32% of nursing homes in the state

State median: 50%

Resident outcomes

On 21 federal quality measures, this facility does better than the Texas average on 8 and worse on 11. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	25.7%	15.8%	13.5%	Worse than state
Lose too much weight	8.5%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.4%	0.3%	0.7%	Worse than state
With a urinary tract infection	1.2%	0.8%	1.5%	Worse than state
Have depressive symptoms	7.6%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	11.2%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	22.0%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	42.9%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	95.7%	97.0%	95.3%	Near state average
With pressure ulcers	2.5%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	19.9%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	5.4%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.34	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	4.18	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	97.9%	88.7%	82.3%	Better than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	100.0%	85.4%	80.1%	Better than state
Were rehospitalized after a nursing home admission	35.3%	25.5%	23.4%	Worse than state
Had an outpatient emergency department visit	8.7%	12.2%	11.8%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0761 3 inspections. 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.
F-0583 2 inspections. Keep residents' personal and medical records private and confidential.
F-0759 2 inspections. Ensure medication error rates are not 5 percent or greater.
F-0609 2 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F-0656 2 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Bandera Family Hospital, about 20 miles.
South Texas Spine and Surgical Hospital, about 20 miles.
Methodist Hospital Stone Oak, about 20 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Town and Country Nursing and Rehabilitation Center, Boerne, about 0.2 miles. CMS rating 3 of 5.
Avir At Boerne, Boerne, about 1.1 miles. CMS rating 1 of 5.
Cibolo Creek, Boerne, about 1.1 miles. CMS rating 2 of 5.
Kendall House Wellness & Rehabilitation, Boerne, about 1.5 miles. CMS rating 4 of 5.
Avir At Comfort, Comfort, about 16 miles. CMS rating 4 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 39 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered