Quick answers
- Where is Cibolo Creek?
- 1440 River Rd, Boerne, TX 78006, in Kendall County, Texas.
- What is the phone number of Cibolo Creek?
- (830) 816-5095, as listed by Medicare (CMS).
- What is the Medicare star rating of Cibolo Creek?
- Medicare overall rating: 2 out of 5 stars (CMS data updated 2026-10-01).
- Has Cibolo Creek been fined?
- Medicare lists 1 fine totaling $13,627 and 1 payment denial.
- What did inspectors find at Cibolo Creek?
- In its last three inspection cycles (May 26, 2023 to September 5, 2025), Medicare lists 26 health citations; the most serious was level J. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (May 26, 2023 to September 5, 2025), Cibolo Creek had 26 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $13,627 in total (1 fine, the latest on November 23, 2024) and had 1 Medicare payment denial. Nurse staffing is 3.24 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 5, 2025 — 6 health citations
Inspections in this cycle: September 5, 2025 (standard health inspection).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 5 less serious citations (levels A to F)
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0908 Level E
“Keep all essential equipment working safely.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
Previous cycle: August 2, 2024 — 11 health citations
Inspections in this cycle: August 2, 2024 (standard health inspection); November 23, 2024 (complaint investigation).
F0580 Level J
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Rights Deficiencies
F0684 Level J
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 8 less serious citations (levels A to F)
F0755 Level E
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0558 Level E
“Reasonably accommodate the needs and preferences of each resident.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0583 Level D
“Keep residents' personal and medical records private and confidential.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
Earlier cycle: May 26, 2023 — 9 health citations
Inspections in this cycle: May 26, 2023 (standard health inspection); December 29, 2023 (complaint investigation).
Show 9 citations (levels A to F, no actual harm)
F0847 Level F
“Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.”
F0760 Level E
“Ensure that residents are free from significant medication errors.”
F0602 Level D
“Protect each resident from the wrongful use of the resident's belongings or money.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0755 Level D
“Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0808 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0848 Level D
“Provide a neutral and fair arbitration process and agree to arbitrator and venue.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (7)
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0916 Level F
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0919 Level F
“Meet requirements for the use of electrical equipment.”
K0923 Level F
“Have proper medical gas storage and administration areas.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0353 Level E
“Inspect, test, and maintain automatic sprinkler systems.”
Fines and payment denials
Total fines over about the last three years: $13,627 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| September 5, 2025 | Payment denial | from October 4, 2025, 11 days |
| November 23, 2024 | Fine | $13,627 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.41 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.97 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.86 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.24 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.98 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.24 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 68.2% | 50.8% | 45.3% |
| RN turnover (per year) | 57.1% | 49.8% | 42.5% |
| Administrators who left in the last year | 2.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Medina County Hospital District.
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Medina County Hospital District | Direct owner | 100% | May 1, 2021 |
| Cascade-Kendall Health Services, LTD | Management company (operational or managerial control) | NOT APPLICABLE | May 1, 2021 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 120 |
| Average residents per day | 86.1 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Legal business name | Medina County Hospital District |
| First approved by Medicare/Medicaid | 2009-12-02 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1440 River Rd, Boerne, TX 78006 |
| County | Kendall County |
| State | Texas |
| Phone | (830) 816‑5095 |
| CMS Certification Number | 676240 |
| Name in Medicare records | CIBOLO CREEK |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Avir at Boerne0.1 mi · Boerne, TX · 1 of 5 stars
- Carechoice of Boerne1.1 mi · Boerne, TX · 2 of 5 stars
- Town and Country Nursing and Rehabilitation Center1.3 mi · Boerne, TX · 3 of 5 stars
- Kendall House Wellness & Rehabilitation1.4 mi · Boerne, TX · 4 of 5 stars
- Estates at Shavano Park17 mi · Shavano Park, TX · 2 of 5 stars
Nearest hospital emergency rooms
- South Texas Spine and Surgical Hospital19 mi · San Antonio, TX · Acute Care Hospital
- Bandera Family Hospital19 mi · San Antonio, TX · Acute Care Hospital
- Methodist Hospital Stone Oak19 mi · San Antonio, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13