Carechoice of Boerne

In the surveyor’s words

From the most serious findings on record at Carechoice of Boerne, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Nov 1, 2024

  Based on interview and record review, the facility failed to ensure the resident's right to be free from abuse for 1 of 11 residents (Resident #2) reviewed for abuse, in that: The facility failed to protect Resident #2 from Resident #3 during a resident-to-resident altercation on 09/21/2024. The non-compliance was identified as past non-compliance (PNC). The PNC IJ began on 09/21/2024 and ended on 09/24/2024. The facility had corrected the non-compliance before the state's investigation began on 10/29/2024 at 9:30 a.m. This deficient practice could place residents at risk of physical injury and/or psychosocial harm. […]

• Immediate jeopardy, isolatedF689Nov 1, 2024

  Based on observations, interviews and record reviews the facility failed to ensure 1 (Resident #1) of 7 residents reviewed for mechanical device used by staff received adequate supervision and assistance with devices to prevent accidents. On [DATE] Agency nurse aide A transferred Resident#1 with a mechanical lift by herself. The mechanical lift tipped over causing Resident #1 to obtain a head laceration and a left femur fracture requiring surgery. The non-compliance was identified as past non-compliance (PNC). The PNC IJ began on [DATE] and ended on [DATE]. […]

• No harm, potential for more than minimal, patternF583May 28, 2026

  Based on observations, interviews, and record reviews, the facility failed to protect the confidentiality of personal and medical records for two (2) of three (3) staff (LPN A and LPN B) observed for confidentiality of records. 1. The facility failed to ensure LPN A locked the computer on the 100-Hall medication cart, which exposed 100-Hall resident names and room numbers, so the residents' information could be seen and/or accessed by someone walking by on 05/27/2026 at 09:39 a.m. 2. The facility failed to ensure LPN B locked the computer on the 200-Hall medication cart, which exposed Resident #3's medication list, so the resident's information could be seen and/or accessed by someone walking by on 05/27/2026 at 10:18 a.m. […]

• No harm, potential for more than minimal, patternF759May 28, 2026

  Based on observation, interview, and record review, the facility failed to ensure that it was free of a medication error rate below 5 percent (%) or greater. The facility had a medication error rate of 100% based on 25 out of 25 opportunities which involved four (4) of four (4) residents (Resident #1, Resident #2, Resident #3, and Resident #4) and three (3) of three (3) staff (LPN A, LPN B, and LPN C) observed for medication administration errors. 1. LPN A administered Namenda (a drug used to treat moderate-to-severe dementia, the impaired ability to remember, think, or make decisions) and Pataday (an eyedrop used to treat eye itching caused by allergies) to Resident #1 on 05/27/2026 at 09:44 a.m., 44 minutes after the scheduled administration window, 07:00 a.m. to 09:00 a.m. 2. […]

• No harm, potential for more than minimal, patternF609Feb 14, 2026

  Based on interview and record review, the facility failed to ensure all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in serious bodily injury, or not later than 24 hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the administrator of the facility and to other officials (including to the State Survey Agency) in accordance with State law through established procedure. […]