CIBOLO CREEK – BOERNE, TX

CMS Verified | 2026-03-01

Cibolo Creek

1440 RIVER RD, Boerne, TX 78006
(830) 816-5095
120 beds
All Boerne facilities
2.0*
Overall
2.0*
Health Inspection
5.0*
Quality Care
1.0*
Staffing
80.26
Score /100
#3571
National Rank

#3571
of 14703 facilities
National
75.7% position
#159
of 1177 in TX
State Rank
#2
of 6 in Kendall
County Rank
#1
of 5 in Boerne
City Rank
#1
of 5 in ZIP 78006
ZIP Rank






About Cibolo CreekCibolo Creek is located at 1440 River Rd, Boerne, TX, reachable at (830) 816-5095. This Government – Hospital district facility operates 120.0 certified beds and serves an average of 85 residents per day. Medicare and Medicaid services have been provided since 2009-12-02. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

Cibolo Creek

Address

1440 River Rd, Boerne, TX 78006

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 120 Certified Beds
  • Ownership: Government – Hospital district
  • Resident Council: Resident
  • Automatic Sprinklers: Yes

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
⚠️ Below Average (2★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 8 fine(s) over 5 years
5-Year Trend
Declining over 5 years
80.26
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#3571 of 14703 nationally – #159 of 1177 in Texas

Who Is This Facility Best For?

Cibolo Creek may be considered for families with limited options in Boerne, TX, but its lower CMS ratings suggest careful due diligence is warranted. It scores well for both long-term residents and short-stay rehabilitation patients. Families should inquire about nurse-to-resident ratios, as the CMS Staffing Rating is currently 1 out of 5.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

2 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

4 / 5

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightCibolo Creek currently provides N/A of total nurse staffing per resident per day, including N/A of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. Total nursing staff turnover is high at 64.1%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing
Nurse Aide Hours
Licensed Practical Nurse (LPN) Hours
Registered Nurse (RN) Hours
Physical Therapist Hours

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours
Weekend Registered Nurse (RN) Hours

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $13,627. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period.
Number of Fines (current period) 1
Total Fines Amount $13627.0
Payment Denials 1
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 128.0 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#3,571
of 14,703
National
Top 24%
#159
TX State
Top 14% in TX
#2
of 6
️ Kendall County
#2 of 6
#1
of 5
️ Boerne
Best in city
#1
of 5
ZIP 78006
Best in ZIP

Nationally, Cibolo Creek ranks 3571st out of 14,703 facilities (composite score: 80.3/100), placing it in the top 25% nationwide. Within TX, it ranks 159th out of 1,177 nursing homes. In Boerne, it ranks 1st out of 5 facilities. Among facilities sharing its ZIP code, it ranks 1st of 5. For 2025 staffing: total nurse hours rank #12,422 nationally and RN hours rank #9,767 nationally (#347 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 3.31 #9,430 / 14,703 #513 / 1,177 Below average
2023 2.96 #12,185 / 14,703 #829 / 1,177 ⚠️ Bottom 25%
2024 3.26 #10,503 / 14,703 #487 / 1,177 Below average
2025 3.09 #12,422 / 14,703 #754 / 1,177 ⚠️ Bottom 25%
2026 #14,175 / 14,703 #1,121 / 1,177 ⚠️ Bottom 5%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.37 #11,365 / 14,703 #501 / 1,177 ⚠️ Bottom 25%
2023 0.40 #10,271 / 14,703 #345 / 1,177 Below average
2024 0.37 #11,067 / 14,703 #453 / 1,177 ⚠️ Bottom 25%
2025 0.44 #9,767 / 14,703 #347 / 1,177 Below average
2026 #14,175 / 14,703 #1,121 / 1,177 ⚠️ Bottom 5%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

Cibolo Creek is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2009-12-02. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (830) 816-5095 or your local Medicaid office to verify current eligibility.

Cibolo Creek holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 80.3/100, placing it #3571 of 14703 facilities nationally and #159 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Cibolo Creek receives a reported average of N/A of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — N/A; Licensed Practical Nurse (LPN) — N/A; Nurse Aide — N/A. On weekends, total nurse staffing is N/A per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 64.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 1 fine(s) totaling $13,627. 4 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $13,627, and 1 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 128.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Cibolo Creek ranks 3571st out of 14,703 facilities (composite score: 80.3/100), placing it in the top 25% nationwide. Within TX, it ranks 159th out of 1,177 nursing homes. In Boerne, it ranks 1st out of 5 facilities. Among facilities sharing its ZIP code, it ranks 1st of 5. For 2025 staffing: total nurse hours rank #12,422 nationally and RN hours rank #9,767 nationally (#347 in TX). Our composite quality score of 80.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Boerne, visit: https://nursinghomesnearme.org/texas/boerne/

Contact and Location

ADR
Address

1440 RIVER RD, Boerne, TX 78006
Get directions on Google Maps

TEL
LLC
Legal Name

MEDINA COUNTY HOSPITAL DISTRICT

MAP
Browse by Location

All Texas ·
Kendall County ·
Boerne ·
ZIP 78006

Facility Details

Number of Certified Beds 120
Average Residents / Day 85 (72% occupancy)
Ownership Type Government – Hospital district
Provider Type Medicare and Medicaid
County Kendall County, TX
City Boerne, TX
ZIP Code 78006
Approved Since December 2, 2009
Resident Council ✅ Yes
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 676240
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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