Nursing homeFAID #14608

Cibolo Creek

1440 RIVER RD, BOERNE, TX, 78006

(830) 816-5095

120 licensed beds

CMS rates Cibolo Creek 2 out of 5 overall. Federal inspectors issued 33 citations across 8 inspections in the last three years, with $13,627 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall2/5 health inspections2/5 staffing3/5 quality measuresSource: CMS Care Compare

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Address

1440 River Rd

Boerne, TX 78006

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Public record summary

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Bed capacity

120

CMS facility ID

676240

Care type

Nursing home

County

Kendall

Facility name

Cibolo Creek

Street address

1440 RIVER RD

City / state / ZIP

Boerne, TX 78006

Phone

(830) 816-5095

About this facility — Cibolo Creek

Cibolo Creek is a Medicare/Medicaid-certified skilled nursing facility in Boerne, Texas. It is licensed for 120 beds — close to 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 Cibolo Creek 33 times across 8 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $13,627 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

Ownership type

Government - Hospital district

Registered owners & officers

Medina County Hospital District

Direct owner — 100% stake — since 2021

Bell, Billie

Officer — since 2023

Boerne Hc Llc

Additional disclosable party — since 2021

Cascade-kendall Health Services, Ltd

Operational control — since 2021

Collier, Taylor

Additional disclosable party — since 2023

Dorrow, Marjorie

Owner of a disclosable party — since 2025

Haney, Max

Owner of a disclosable party — since 2025

Haney, Ronald

Operational control · Additional disclosable party — since 2021

Sorrells, John

Additional disclosable party — since 2021

Regulatory standing

Federal court records

1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2009-12-02

CMS overall rating

2 of 5 stars

Health deficiencies

6 at the last standard inspection

Federal fines

$13,627 total

Last standard inspection

2025-09-05

Nurse staffing

3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$274 per day (≈ $8,330/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

53% Medicaid · 11% Medicare · 35% private/other

Occupancy

72% (fiscal year 2023)

Vs. state median

1% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

120

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 4 food-safety citations on its three-year record — flagged below among the inspections.

2025-09-05Health inspection6 citations

F-0607

E · No harm found

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

Corrected 2025-09-25

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 2025-09-25

F-0689

J · Immediate jeopardy

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

Corrected 2025-09-06

F-0812

E · 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 2025-09-25

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 2025-09-25

F-0908

E · No harm found

Keep all essential equipment working safely.

Corrected 2025-09-25

2024-11-23Health inspectionComplaint-triggered6 citations

F-0580

J · Immediate jeopardyFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-11-19

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 2024-11-24

F-0684

J · Immediate jeopardyFrom a complaint

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-11-19

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 2024-11-24

F-0755

E · No harm foundFrom a complaint

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

Corrected 2024-11-24

F-0842

D · No harm foundFrom a complaint

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

Corrected 2024-11-24

5 earlier / fire-safety inspections (21 citations)

2024-08-02Health inspection5 citations

F-0558

E · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2024-08-03

F-0583

D · No harm found

Keep residents' personal and medical records private and confidential.

Corrected 2024-08-03

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2024-08-03

F-0812

E · 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 2024-08-03

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-03

2023-12-29Health inspectionComplaint-triggered3 citations

F-0602

D · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2023-10-02

F-0607

D · No harm foundFrom a complaint

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

Corrected 2023-08-28

F-0755

D · No harm foundFrom a complaint

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

Corrected 2023-10-07

2023-05-26Health inspection6 citations

F-0677

D · No harm found

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-27

F-0760

E · No harm found

Ensure that residents are free from significant medication errors.

Corrected 2023-05-27

F-0808

D · No harm foundFood safety

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2023-05-27

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 2023-05-27

F-0847

F · No harm found

Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.

Corrected 2023-05-27

F-0848

D · No harm found

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Corrected 2023-05-27

2025-09-05Fire-safety inspection6 citations

K-0293

D · No harm found

Have properly located and lighted "Exit" signs.

Corrected 2025-10-15

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2025-10-15

K-0916

F · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2025-10-15

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-10-15

K-0919

F · No harm found

Meet requirements for the use of electrical equipment.

Corrected 2025-10-15

K-0923

F · No harm found

Have proper medical gas storage and administration areas.

Corrected 2025-10-15

2023-05-26Fire-safety inspection1 citation

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-06-08

Federal penalties

2024-11-23Fine$13,627

2025-09-05Medicare payment denial — 11 days

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 676240.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 48% of nursing homes in the state

State median: 33

Federal fines, 3 years

$13,627

More than 45% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

3.2

Higher than 43% of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

68%

Higher than 90% 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 6. 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	8.7%	15.8%	13.5%	Better than state
Lose too much weight	3.2%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.9%	0.3%	0.7%	Worse than state
With a urinary tract infection	0.8%	0.8%	1.5%	Near state average
Have depressive symptoms	1.7%	2.3%	13.5%	Better than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	2.3%	3.2%	3.2%	Better than state
Assessed and appropriately given the pneumococcal vaccine	98.9%	96.4%	93.7%	Near state average
Ability to walk independently worsened	9.6%	12.9%	12.7%	Better than state
Received an antianxiety or hypnotic medication	16.8%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	92.0%	97.0%	95.3%	Near state average
With pressure ulcers	7.1%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	15.3%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	8.2%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	0.68	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	1.20	1.97	1.69	Better than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	96.7%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	2.3%	1.4%	1.5%	Worse than state
Were assessed and appropriately given the seasonal influenza vaccine	82.3%	85.4%	80.1%	Near state average
Were rehospitalized after a nursing home admission	26.4%	25.5%	23.4%	Near state average
Had an outpatient emergency department visit	13.8%	12.2%	11.8%	Worse 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-0812 3 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0607 2 inspections. Develop and implement policies and procedures to prevent abuse, neglect, and theft.
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-0689 2 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0755 2 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

What its owners also hold

Medina County Hospital District has an ownership stake on file at 6 nursing homes, averaging 2.2 of 5 on CMS's overall rating.

Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

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

South Texas Spine and Surgical Hospital, about 19 miles.
Bandera Family Hospital, about 19 miles.
Methodist Hospital Stone Oak, about 19 miles. CMS rating 4 of 5.

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

Nearby facilities with inspection records

Avir At Boerne, Boerne, less than 0.1 miles. CMS rating 1 of 5.
Carechoice of Boerne, Boerne, about 1.1 miles. CMS rating 2 of 5.
Town and Country Nursing and Rehabilitation Center, Boerne, about 1.3 miles. CMS rating 3 of 5.
Kendall House Wellness & Rehabilitation, Boerne, about 1.4 miles. CMS rating 4 of 5.
Estates At Shavano Park, Shavano Park, about 17 miles. CMS rating 2 of 5.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 33 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