Texas ›Boerne

Carechoice of Boerne

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200 E Ryan St, Boerne, TX 78006 (opens Google Maps) · Kendall County · (830) 249-2594· 74 certified beds · avg 49 residents/day · certified since Apr 11, 1997 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

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

3/5
Health inspection rating (on-site)
inspected Feb 14, 2026
2
Serious findings on record
most recent Nov 1, 2024
$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)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 2/5 · how star ratings work →

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 quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · 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): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

▲ Immediate jeopardy, isolated · 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.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

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

Inspection findings in the public record

Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.

  1. E · Potential for more than minimal harm, pattern

    The facility did not keep residents' personal and medical information private and confidential. · from a complaint F-0583

  2. E · Potential for more than minimal harm, pattern

    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 F-0759

  3. D · Potential for more than minimal harm, isolated

    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 F-0761

View all 30 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
May 28, 2026E · Potential for more than minimal harm, patternThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
May 28, 2026E · Potential for more than minimal harm, patternThe 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 · F-0759
May 28, 2026D · Potential for more than minimal harm, isolatedThe 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 · F-0761
Feb 14, 2026E · Potential for more than minimal harm, patternThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Feb 14, 2026E · Potential for more than minimal harm, patternThe facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. · F-0801
Feb 14, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0610
Feb 14, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0637
Feb 14, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0656
Feb 14, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Feb 14, 2026D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Nov 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0550
Nov 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0641
Nov 19, 2025D · Potential for more than minimal harm, isolatedThe 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 · F-0657
Nov 22, 2024E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Nov 22, 2024E · Potential for more than minimal harm, patternThe facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · F-0760
Nov 22, 2024E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Nov 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0759
Nov 22, 2024D · Potential for more than minimal harm, isolatedThe 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. · F-0880
Nov 1, 2024▲ J · Immediate jeopardy, isolatedThe 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 · F-0600
Nov 1, 2024▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Apr 1, 2024D · Potential for more than minimal harm, isolatedThe 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 · F-0656
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0550
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · F-0609
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0761
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Oct 18, 2023D · Potential for more than minimal harm, isolatedThe 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. · F-0849
Sep 27, 2023D · Potential for more than minimal harm, isolatedThe facility did not keep residents' personal and medical information private and confidential. · from a complaint · F-0583
Sep 15, 2023E · Potential for more than minimal harm, patternThe 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 · F-0812
Sep 15, 2023D · Potential for more than minimal harm, isolatedThe 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 · F-0558

Inspection trend by year

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

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 9
Serious citations (G–L): 0
2024
All citations: 8
Serious citations (G–L): 2
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 10
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202390E
202482J ▲
202530D
2026100E

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)

How to file a complaint about care →

2 fines totaling $33,937.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Nov 1, 2024Fine$12,574
Nov 1, 2024Fine$21,363

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

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.96
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.24
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.60
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.963.463.95bottom 21% in Texas; bottom 12% in the U.S.
Registered Nurse hours0.240.440.69bottom 16% in Texas; bottom 5% in the U.S.
Weekend total nurse staffing2.603.043.50bottom 22% in Texas; bottom 12% in the U.S.
Weekend RN hours (not acuity-adjusted)0.170.340.48bottom 14% in Texas; bottom 8% in the U.S.
Total nursing staff turnover (%)41.255.345.8top 23% in Texas; top 40% in the U.S.
RN turnover (%)71.454.642.9bottom 28% in Texas; bottom 11% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.70 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 1/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

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

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Carechoice of Boerne. CMS inspection and staffing records do not tell us what this home will charge you.

Calculate a stay from a quote you receive

Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.

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Before you compare prices

  • Request the room type, effective date and itemized daily rate in writing.
  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Broussard, KendallIndividual5% or Greater Indirect Ownership Interest65%06/12/2024
Broussard, ReubenIndividual5% or Greater Indirect Ownership Interest10%06/12/2024
Broussard, ToddIndividual5% or Greater Indirect Ownership Interest10%06/12/2024
Davidson, JohnIndividualIndirect Ownership InterestNOT APPLICABLE06/12/2024
Davidson, JoshuaIndividualIndirect Ownership InterestNOT APPLICABLE06/12/2024
Davidson, ZacharyIndividualIndirect Ownership InterestNOT APPLICABLE06/12/2024
DDF Investments LLCOrganization5% or Greater Direct Ownership Interest15%02/23/2015
Delrie, AltonIndividualIndirect Ownership InterestNOT APPLICABLE06/12/2024
Fuller, LaurieIndividualIndirect Ownership InterestNOT APPLICABLE06/12/2024
Fuller, RobertIndividualIndirect Ownership InterestNOT APPLICABLE06/12/2024
John Davidson Properties LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/12/2024
L&J Healthcare LLCOrganizationIndirect Ownership InterestNOT APPLICABLE06/12/2024
Apolinar, AdamIndividualCorporate OfficerNOT APPLICABLE07/23/2015
Apolinar, AdamIndividualADP of the SNFNOT APPLICABLE07/23/2015
Briley, AnnetteIndividualCorporate DirectorNOT APPLICABLE07/29/2024
Briley, AnnetteIndividualADP of the SNFNOT APPLICABLE07/29/2024
Charleston Boerne Operations LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/12/2024
Charleston Boerne Operations LLCOrganizationADP of the SNFNOT APPLICABLE07/10/2025
Charleston Properties of Boerne LLCOrganizationADP of the SNFNOT APPLICABLE06/12/2024
Contreras, TerriIndividualCorporate OfficerNOT APPLICABLE04/29/2019

Showing 20 of 25 parties CMS has on file for this facility; 5 are not displayed. The full list is in the CMS Ownership dataset.

Other facilities in the same chain

CMS lists this facility under the chain Charleston Healthcare Group — 4 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

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?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Texas midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 41% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 25 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 13 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Town and Country Nursing and Rehabilitation Center0.2 miBoerne, TX★☆☆☆☆2/5
Avir at Boerne1.1 miBoerne, TX★☆☆☆☆1/5
Cibolo Creek1.1 miBoerne, TX★★☆☆☆2/5
Kendall House Wellness & Rehabilitation1.5 miBoerne, TX★★★☆☆4/5
Avir at Comfort16.0 miComfort, TX★★★★★4/5
Estates at Shavano Park17.8 miShavano Park, TX★★★☆☆3/5
Coronado at Stone Oak18.1 miSan Antonio, TX★★★★★4/5
The Heights of Bulverde18.6 miSpring Branch, TX★★☆☆☆2/5
Stone Oak Care Center18.7 miSan Antonio, TX★★☆☆☆3/5
Sonterra Health Center18.9 miSan Antonio, TX★☆☆☆☆2/5
Mystic Park Nursing and Rehabilitation Center19.7 miSan Antonio, TX★★★☆☆2/5
The Enclave19.7 miSan 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.

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