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Care Choice of Boerne

Nursing Home Facility

200 E Ryan St, Boerne, TX 78006

Nursing Home Care Senior Living

Care Choice of Boerne is a senior care community located in Boerne, TX. It provides nursing home care and senior living for older adults in the Boerne area. To learn more or schedule a tour, call (830) 249-2594.

Operated by Charleston Healthcare Group, which runs 3 communities in our directory.

Care Choice of Boerne is licensed for 74 beds, about typical for the area, where senior care communities in Boerne average about 73 beds.

Federal reporting puts occupancy at about 66% of its licensed beds.

Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 3 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in February 2026 and recorded 13 deficiencies.

Residents receive about 2.7 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 41%.

The community is located in Kendall County, TX.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 3/5
  • Staffing ★★★★★ 1/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

Inspection record

In its last three standard inspections and any complaint visits, federal inspectors cited 30 problems at Care Choice of Boerne. 2 findings involved harm to a resident, including 2 that put residents in immediate danger. 12 came from investigating complaints by residents or families.

In the last three years Medicare fined this home twice, a total of $33,937.

Findings from the most recent inspection cycle

  • Could cause more than minimal harm, a pattern Resident Rights

    Keep residents' personal and medical records private and confidential.

    Inspected May 2026, after a complaint. Corrected by June 11, 2026.

  • Could cause more than minimal harm, a pattern Pharmacy Service

    Ensure medication error rates are not 5 percent or greater.

    Inspected May 2026, after a complaint. Corrected by June 11, 2026.

  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected May 2026, after a complaint. Corrected by June 11, 2026.

  • Could cause more than minimal harm, a pattern Freedom from Abuse, Neglect, and Exploitation

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

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, a pattern Nutrition and Dietary

    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.

    Inspected February 2026. Corrected by March 25, 2026.

  • Could cause more than minimal harm, one or a few residents Freedom from Abuse, Neglect, and Exploitation

    Respond appropriately to all alleged violations.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Assess the resident when there is a significant change in condition

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected February 2026. Corrected by March 15, 2026.

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  • Could cause more than minimal harm, one or a few residents Pharmacy Service

    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.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Infection Control

    Provide and implement an infection prevention and control program.

    Inspected February 2026. Corrected by March 15, 2026.

  • Could cause more than minimal harm, one or a few residents Resident Rights

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

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

    Ensure each resident receives an accurate assessment.

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

  • Could cause more than minimal harm, one or a few residents Resident Assessment and Care Planning

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

    Inspected November 2025, after a complaint. Corrected by November 21, 2025.

A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

Care Choice of Boerne offers nursing home care and senior living.

Facility details

  • Organization type For profit - Partnership
  • Beds / units 74
  • Occupancy 66%
  • Nursing hours per resident/day 2.7
  • Annual staff turnover 41%
  • Last health inspection February 2026

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