Cibolo Creek
Boerne, Texas · CCN 676240
22 surveys since 2010. The first finding at harm level was recorded in 2016.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 135
- Surveys
- 22
- Harm or worse
- 13
- Immediate jeopardy
- 13
Findings at the most serious level CMS records. 2 of these were recorded as past non-compliance — corrected before the survey.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 120
- Ownership
- Government - Hospital district
- Chain
- Independent
- County
- Kendall
- Medicare-certified since
- 2009
CMS ratings
- Overall
- 2
- Health inspection
- 2
- Staffing
- 2
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Since 2021, this facility recorded more weighted findings than most of its peer group.
Weighted by harm level, against 104 government-run facilities of 100–127 beds in Texas.
Last survey on record
Sep 5, 2025
430 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.00 | 3.25 |
| Registered-nurse hours per resident day | 0.46 | — |
| Annual nurse turnover | 60.8% | 48.1% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $13,627 across 1 penalty
- Payment denials
- 1
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J415.4% | K— | L— |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D1246.2% | E934.6% | F13.8% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F6072×
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- F6562×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F7552×
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
In the surveyor’s words
From the most serious findings on record at Cibolo Creek, in the surveyor’s own words.
- Immediate jeopardy, isolatedF689Sep 5, 2025
Based on observation, interview, and record review, the facility failed to ensure the resident environment remains as free of accident hazards as is possible; and to ensure resident receives adequate supervision to prevent accidents for 1 of 2 residents (Resident #70) reviewed for accidents and hazards. The facility failed to ensure Resident #70 received adequate supervision when Resident #70 was missing on 8/28/2025 for approximately 45 minutes and found lying next to her wheelchair outdoors on an enclosed, outdoor patio. An IJ was identified on 9/3/2025. The IJ template was provided to the facility on 9/3/2025 at 12:10 PM. […]
- Immediate jeopardy, isolatedF580Nov 24, 2024
Based on interview and record review the facility failed to immediately consult with the resident's physician and notify, consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status in life-threatening conditions for 1 of 5 residents (Resident #1) reviewed for change of condition, in that; The facility failed to notify Resident #1's physician and family on 11/18/2024 when she was found sleepier than usual or notify Resident #1's physician and the resident's family when the resident was found unresponsive and twitching with a significant alteration in mental status at approximately 5:00 a.m. on 11/19/2024 and was treated for altered mental status at the hospital. […]
- Immediate jeopardy, isolatedF684Nov 24, 2024
Based on interviews and record reviews, the facility failed to ensure that residents receive treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the resident's choices for 1 of 5 residents (Resident #1) reviewed for quality of care, in that; The facility failed to immediately assess and intervene when Resident #1 was found unresponsive and twitching on 11/19/2024 at 5:00 a.m. by LVN A until the next shift arrived and LVN B intervened. This change of condition required treatment in a local hospital for altered mental status. The noncompliance was identified as PNC. The IJ began on 11/19/2024 and ended on 11/19/2024. The facility had corrected the noncompliance before the survey began. […]
- Immediate jeopardy, isolatedF689Nov 24, 2024
Based on interviews and record review, the facility failed to ensure that each resident received adequate supervision to prevent accidents for 1 of 5 residents (Resident #1) reviewed for supervision, in that; The facility failed to adequately supervise Resident #1, who had a history of bringing multiple medications including narcotics into the facility without notifying staff, when she consumed a marijuana laced brownie and was found to have both Ambien and trazadone in an unmarked unlabeled container at bedside on 11/19/2024. On 11/19/2024, Resident #1 was found unresponsive and twitching in her room after staff failed to check on her between 11:00 p.m. on 11/18/2024 to 5:00 a.m. on 11/19/2024 despite seeing an unknown visitor in Resident #1's room on the evening of 11/18/2024 . […]
- Immediate jeopardy, isolatedF580Nov 23, 2024
Based on interview and record review the facility failed to immediately consult with the resident's physician and notify, consistent with his or her authority, the resident representative when there was a significant change in the resident's physical, mental, or psychosocial status in life-threatening conditions for 1 of 5 residents (Resident #1) reviewed for change of condition, in that; The facility failed to notify Resident #1's physician and family on 11/18/2024 when she was found sleepier than usual or notify Resident #1's physician and the resident's family when the resident was found unresponsive and twitching with a significant alteration in mental status at approximately 5:00 a.m. on 11/19/2024 and was treated for altered mental status at the hospital. […]
Read 26 findings in full →The most serious and the most recent: 26 of 135 on record.
Every survey on record
FindingsAt actual harm or above
- Sep 5, 2025Standard6 findings · 1 harm
- Nov 24, 2024Complaint6 findings · 3 harm
- Nov 23, 2024Complaint6 findings · 3 harm
- Aug 2, 2024Standard5 findings
- Dec 29, 2023Complaint3 findings
- May 26, 2023Standard8 findings
- Apr 11, 2023Complaint1 finding
- Mar 25, 2022Standard and complaint10 findings
Show the 14 earlier surveys
- Mar 12, 2021Complaint1 finding · 1 harm
- Dec 9, 2020Infection control7 findings
- May 24, 2019Standard11 findings
- May 18, 2018Standard15 findings
- Nov 28, 2017Complaint1 finding
- Apr 21, 2017Standard7 findings
- Oct 27, 2016Complaint1 finding
- Aug 30, 2016Complaint6 findings · 5 harm
- Apr 15, 2016Standard4 findings
- Feb 27, 2015Standard4 findings
- Dec 13, 2013—6 findings
- Jan 25, 2013—11 findings
- Dec 8, 2011—8 findings
- Dec 30, 2010—8 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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