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CARECHOICE OF BOERNE Inspection Report, Violations & Safety Grade (BOERNE, Texas)

200 E RYAN ST, BOERNE, Texas 78006

Phone: 8302492594

CMS Overall:2/5

Overview & Bed Count

Certified Beds
74
Avg Residents/Day
45.8
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
County
Kendall
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall2/5
Health3/5
Staffing1/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityTexas AvgDifference
RN Hours per Resident per Day0.260.44-0.18
Total Nurse Hours per Resident per Day2.793.42-0.62
CMS Staffing Rating1/51.9/5-
Nursing Staff Turnover44.1%50.8%-

Health Citation History

27 health citations on record

DateCategoryDescriptionSeverity
2026-05-28Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.E – Moderate Harm Potential
2026-05-28Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.E – Moderate Harm Potential
2026-05-28Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2026-02-14Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E – Moderate Harm Potential
2026-02-14Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.E – Moderate Harm Potential
2026-02-14Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.D – Moderate Harm Potential
2026-02-14Resident Assessment and Care Planning DeficienciesAssess the resident when there is a significant change in conditionD – Moderate Harm Potential
2026-02-14Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2026-02-14Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2026-02-14Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2025-11-19Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2025-11-19Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2025-11-19Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D – Moderate Harm Potential
2024-11-22Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.E – Moderate Harm Potential
2024-11-22Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.E – Moderate Harm Potential
2024-11-22Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E – Moderate Harm Potential
2024-11-22Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-11-22Infection Control DeficienciesProvide and implement an infection prevention and control program.D – Moderate Harm Potential
2024-11-01Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J – Immediate Jeopardy
2024-11-01Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.J – Immediate Jeopardy
2024-04-01Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D – Moderate Harm Potential
2023-10-18Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.D – Moderate Harm Potential
2023-10-18Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.D – Moderate Harm Potential
2023-10-18Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2023-10-18Pharmacy Service DeficienciesEnsure 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.D – Moderate Harm Potential
2023-10-18Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2023-10-18Administration DeficienciesArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D – Moderate Harm Potential

Fire Safety Citation History

12 fire safety citations on record

DateCategoryDescriptionSeverity
2026-02-14Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.F – Moderate Harm Potential
2026-02-14Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.D – Moderate Harm Potential
2026-02-14Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.D – Moderate Harm Potential
2026-02-14Smoke DeficienciesProperly select, install, inspect, or maintain portable fire extinguishes.D – Moderate Harm Potential
2024-11-22Smoke DeficienciesInstall a fire alarm system that can be heard throughout the facility.F – Moderate Harm Potential
2024-11-22Miscellaneous DeficienciesHave simulated fire drills held at unexpected times.F – Moderate Harm Potential
2024-11-22Egress DeficienciesKeep aisles, corridors, and exits free of obstruction in case of emergency.E – Moderate Harm Potential
2024-11-22Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential
2024-11-22Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential
2023-10-18Gas, Vacuum, and Electrical Systems DeficienciesEnsure proper usage of power strips and extension cords.E – Moderate Harm Potential
2023-10-18Smoke DeficienciesEnsure smoke barriers are constructed to a 1 hour fire resistance rating.D – Moderate Harm Potential
2023-10-18Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.C – Minimal Harm Potential

Total Penalties & Fines

$33,937
Total Fine Amount (CMS)
2
Number of Fines
2
Total Penalties
DateTypeFine AmountPayment Denial
2024-11-01Fine$12,574-
2024-11-01Fine$21,363-

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