Carechoice of Boerne

Name: Carechoice of Boerne
Address: 200 E RYAN ST, Boerne, TX, 78006, US
Telephone: 8302492594

200 E Ryan St, Boerne, TX 78006 · Kendall County · 74 certified beds · avg 49 residents/day · certified since Apr 11, 1997

Part of chain: CHARLESTON HEALTHCARE GROUP (4 facilities, chain avg rating 2.5★)

3/5

Health inspection rating (on-site)

Serious findings on record

$33,937

Fines, last 3 years

2.96

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, one-off · Nov 1, 2024 · F-0600 · triggered by a complaint

The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.

Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.

Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.

Corrected: Sep 24, 2024 (Past Non-Compliance)

▲ Immediate jeopardy, one-off · Nov 1, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Corrected: Jun 25, 2024 (Past Non-Compliance)

All citations in the current public record (30)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
May 28, 2026	E · Potential for harm, repeated	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
May 28, 2026	E · Potential for harm, repeated	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · from a complaint
May 28, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · from a complaint
Feb 14, 2026	E · Potential for harm, repeated	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Feb 14, 2026	E · Potential for harm, repeated	The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service.
Feb 14, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Feb 14, 2026	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Feb 14, 2026	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 14, 2026	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 14, 2026	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 19, 2025	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint
Nov 19, 2025	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint
Nov 19, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Nov 22, 2024	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 22, 2024	E · Potential for harm, repeated	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 22, 2024	E · Potential for harm, repeated	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Nov 22, 2024	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 22, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Nov 1, 2024	▲ J · Immediate jeopardy, one-off	The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint
Nov 1, 2024	▲ J · Immediate jeopardy, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Apr 1, 2024	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 18, 2023	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 18, 2023	D · Potential for harm, one-off	The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life.
Sep 27, 2023	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Sep 15, 2023	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint
Sep 15, 2023	D · Potential for harm, one-off	The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · from a complaint

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (5 → 7).

Year	Citations	Serious (G–L)	Worst severity that year
2023	9	0	E
2024	8	2	J ▲
2025	3	0	D
2026	10	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

2 fines totaling $33,937.

Date	Type	Amount / length
Nov 1, 2024	Fine	$12,574
Nov 1, 2024	Fine	$21,363

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Texas avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	2.96	3.46	3.95	bottom 21% in Texas; bottom 12% in the U.S.
Registered Nurse hours	0.24	0.44	0.69	bottom 16% in Texas; bottom 5% in the U.S.
Weekend total nurse staffing	2.60	3.04	3.50	bottom 22% in Texas; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.34	0.48	bottom 14% in Texas; bottom 8% in the U.S.
Total nursing staff turnover (%)	41.2	55.3	45.8	top 23% in Texas; top 40% in the U.S.
RN turnover (%)	71.4	54.6	42.9	bottom 28% in Texas; bottom 11% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.70, RN 0.22, weekend 2.38. Staffing rating: 1/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 3/5 · short-stay residents: 5/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Broussard, Kendall	Individual	5% or Greater Indirect Ownership Interest	65%	06/12/2024
Broussard, Reuben	Individual	5% or Greater Indirect Ownership Interest	10%	06/12/2024
Broussard, Todd	Individual	5% or Greater Indirect Ownership Interest	10%	06/12/2024
Davidson, John	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
Davidson, Joshua	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
Davidson, Zachary	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
DDF Investments LLC	Organization	5% or Greater Direct Ownership Interest	15%	02/23/2015
Delrie, Alton	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
Fuller, Laurie	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
Fuller, Robert	Individual	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
John Davidson Properties LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
L&J Healthcare LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	06/12/2024
Apolinar, Adam	Individual	Corporate Officer	NOT APPLICABLE	07/23/2015
Apolinar, Adam	Individual	ADP of the SNF	NOT APPLICABLE	07/23/2015
Briley, Annette	Individual	Corporate Director	NOT APPLICABLE	07/29/2024
Briley, Annette	Individual	ADP of the SNF	NOT APPLICABLE	07/29/2024
Charleston Boerne Operations LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	06/12/2024
Charleston Boerne Operations LLC	Organization	ADP of the SNF	NOT APPLICABLE	07/10/2025
Charleston Properties of Boerne LLC	Organization	ADP of the SNF	NOT APPLICABLE	06/12/2024
Contreras, Terri	Individual	Corporate Officer	NOT APPLICABLE	04/29/2019

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"What is your current medication error rate, and what have you changed to bring errors down?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
"Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Town and Country Nursing and Rehabilitation Center	0.2 mi	Boerne, TX	★☆☆☆☆	2/5
Avir at Boerne	1.1 mi	Boerne, TX	★☆☆☆☆	1/5
Cibolo Creek	1.1 mi	Boerne, TX	★★☆☆☆	2/5
Kendall House Wellness & Rehabilitation	1.5 mi	Boerne, TX	★★★☆☆	4/5
Avir at Comfort	16.0 mi	Comfort, TX	★★★★★	4/5
Estates at Shavano Park	17.8 mi	Shavano Park, TX	★★★☆☆	3/5
Coronado at Stone Oak	18.1 mi	San Antonio, TX	★★★★★	4/5
The Heights of Bulverde	18.6 mi	Spring Branch, TX	★★☆☆☆	2/5
Stone Oak Care Center	18.7 mi	San Antonio, TX	★★☆☆☆	3/5
Sonterra Health Center	18.9 mi	San Antonio, TX	★☆☆☆☆	2/5
Mystic Park Nursing and Rehabilitation Center	19.7 mi	San Antonio, TX	★★★☆☆	2/5
The Enclave	19.7 mi	San Antonio, TX	★☆☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Boerne →

Facility data as of CMS processing date 2026-08-01. CCN 675678.

The Care File

Visit checklist — Carechoice of Boerne

200 E Ryan St, Boerne, TX 78006 · 8302492594

Health inspection rating 3/5 · CMS overall 2/5· Fines (3y): $33,937

Most serious findings on record:

▲ Nov 1, 2024 (F-0600, Immediate jeopardy, one-off): The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
▲ Nov 1, 2024 (F-0689, Immediate jeopardy, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "What is your current medication error rate, and what have you changed to bring errors down?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
☐ "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 675678 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)