Kendall House Wellness & Rehabilitation
1050 Grand Blvd., Boerne, TX 78006 · Kendall County · 40 certified beds · avg 30 residents/day · certified since Jul 1, 2009
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 3/5
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 24, 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): 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: Dec 30, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (22)
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 |
|---|---|---|
| Jan 23, 2026 | 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. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Jan 23, 2026 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 23, 2026 | 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. |
| Jan 23, 2026 | D · Potential for harm, one-off | 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. |
| Jan 2, 2025 | 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 |
| Nov 24, 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 |
| Oct 11, 2024 | E · Potential for harm, repeated | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Oct 11, 2024 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Oct 11, 2024 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Oct 11, 2024 | D · Potential for harm, one-off | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. |
| Sep 8, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 8, 2023 | E · Potential for harm, repeated | 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. |
| Sep 8, 2023 | E · Potential for harm, repeated | 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. |
| Sep 8, 2023 | E · Potential for harm, repeated | The facility did not give all staff the required training on its quality improvement program — the internal system for finding problems and making care better. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Sep 8, 2023 | 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. |
| Sep 8, 2023 | 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. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Sep 8, 2023 | D · Potential for harm, one-off | The facility did not include required infection control training — with written standards, policies, and procedures — as part of its infection prevention program. |
| Aug 18, 2023 | E · Potential for harm, repeated | 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. · from a complaint |
| Aug 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. · from a complaint |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 11 | 0 | E |
| 2024 | 5 | 1 | J ▲ |
| 2025 | 1 | 0 | D |
| 2026 | 5 | 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)
1 fine totaling $88,390, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Nov 24, 2024 | Fine | $88,390 |
| Nov 24, 2024 | Payment Denial | 6 days from Dec 24, 2024 |
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) | 0.00 | 3.46 | 3.95 | — |
| Registered Nurse hours | 0.00 | 0.44 | 0.69 | — |
| Weekend total nurse staffing | 0.00 | 3.04 | 3.50 | — |
| Weekend RN hours (not acuity-adjusted) | 0.00 | 0.34 | 0.48 | — |
| Total nursing staff turnover (%) | 68.1 | 55.3 | 45.8 | bottom 21% in Texas; bottom 7% in the U.S. |
| RN turnover (%) | 80.0 | 54.6 | 42.9 | bottom 21% in Texas; bottom 6% 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 0.00, RN 0.00, weekend 0.00. 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: 3/5 · long-stay residents: 1/5 · short-stay residents: 5/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Morningside Ministries | Organization | Direct Ownership Interest | NOT APPLICABLE | 10/28/2009 |
| Asis, Rissa | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Bryan, Scott | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| Bryan, Scott | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Crump, Patrick | Individual | Corporate Officer | NOT APPLICABLE | 02/13/2017 |
| Crump, Patrick | Individual | ADP of the SNF | NOT APPLICABLE | 02/13/2017 |
| Drought, Jessica | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Drought, Jessica | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2023 |
| Forgione, Dana | Individual | Corporate Director | NOT APPLICABLE | 01/01/2023 |
| Forgione, Dana | Individual | Trustee of the SNF | NOT APPLICABLE | 01/02/2023 |
| Garza, Edward | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Garza, Edward | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2021 |
| Hackett, Greg | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Hackett, Greg | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2022 |
| Kercheville, Scott | Individual | Corporate Director | NOT APPLICABLE | 01/01/2022 |
| Kercheville, Scott | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2022 |
| McCullough, Robert | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| McCullough, Robert | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| McRae, Thomas | Individual | Corporate Director | NOT APPLICABLE | 01/01/2024 |
| McRae, Thomas | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What is your current medication error rate, and what have you changed to bring errors down?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
- "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 | Flags |
|---|---|---|---|---|---|
| Avir at Boerne | 1.4 mi | Boerne, TX | ★☆☆☆☆ | 1/5 | |
| Cibolo Creek | 1.4 mi | Boerne, TX | ★★☆☆☆ | 2/5 | |
| Carechoice of Boerne | 1.5 mi | Boerne, TX | ★★☆☆☆ | 3/5 | |
| Town and Country Nursing and Rehabilitation Center | 1.7 mi | Boerne, TX | ★☆☆☆☆ | 2/5 | |
| Estates at Shavano Park | 16.6 mi | Shavano Park, TX | ★★★☆☆ | 3/5 | |
| Avir at Comfort | 17.2 mi | Comfort, TX | ★★★★★ | 4/5 | |
| Coronado at Stone Oak | 17.3 mi | San Antonio, TX | ★★★★★ | 4/5 | |
| Stone Oak Care Center | 17.8 mi | San Antonio, TX | ★★☆☆☆ | 3/5 | |
| Sonterra Health Center | 18.0 mi | San Antonio, TX | ★☆☆☆☆ | 2/5 | |
| Mystic Park Nursing and Rehabilitation Center | 18.3 mi | San Antonio, TX | ★★★☆☆ | 2/5 | |
| The Heights on Huebner | 18.6 mi | San Antonio, TX | ★★★★☆ | 4/5 | |
| The Heights of Bulverde | 18.8 mi | Spring Branch, TX | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 676228.