Carechoice Of Boerne
200 E RYAN ST, Boerne, TX, 78006
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Charleston Healthcare Group
- Certified beds
- 74 · avg 45 residents/day
- Total nursing staff turnover
- 43.6% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $33,937 total
State licensing & capacity
- License number
- 144351
- Service type
- Medicare/medicaid
- Licensed capacity
- 74 beds
- Bed type breakdown
- 12 Medicare-only · 62 Medicaid/Medicare
- Current license effective
- February 23, 2025
- Current license expires
- February 23, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Uvalde County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Charleston Boerne Operations Llc
- Administrator
- Richard F Longoria
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Charleston Healthcare Group chain — 5 facilities across 2 states. Chain-wide average overall rating 2.4 / 5.
Parent entity
Uvalde County Hospital Authority
Disclosed owners (20 on record)
- Charleston Boerne Operations Llc
Adp of The Snf · since 2025
- Annette Briley
Corporate Director · since 2024
- Alton r Delrie
Indirect Ownership Interest · since 2024
- Charleston Properties of Boerne LlcREIT
Adp of The Snf · since 2024
- John Davidson
Indirect Ownership Interest · since 2024
- John Davidson Properties Llc
Indirect Ownership Interest · since 2024
+ 14 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 27)
- D0657·Nov 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D0641·Nov 19, 2025Complaint
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0550·Nov 19, 2025Complaint
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D0880·Nov 22, 2024
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Nov 22, 2024
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E0760·Nov 22, 2024
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0759·Nov 22, 2024
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
- E0689·Nov 22, 2024
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20242 fines · $34K
Most recent events
- Nov 1, 2024Fine · $21K
- Nov 1, 2024Fine · $13K
Largest single fine on record: $21K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Nov 22, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Carechoice of Boerne is a 74-bed nursing home in Boerne, TX, accepting Medicare and Medicaid. CMS rates it 4 stars overall, with a 5-star quality-of-care rating and a 2-star staffing rating. The facility is operating at about 61% of licensed capacity — roughly 45 residents on a typical day. Two CMS fines totaling $33,937 have been issued. Managed by Charleston Boerne Operations LLC under a hospital district licensee.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here 2 stars. Each resident receives about 182 minutes of nursing care per day — roughly 59 minutes less than at a 4-star-staffing facility in Texas. Residents here need more hands-on care than at a typical facility — sicker, or less mobile on average — so the same staffing hours stretch thinner than the raw minutes suggest. RN coverage comes to 17 minutes per resident per day, compared to 37 minutes at a 4-star-staffing facility in Texas.
CMS issued 2 fines totaling $33,937 since the available inspection record. The state median for fined facilities in Texas is $20,699, and about 30% of Texas nursing homes have no fines at all — placing this facility above the state median in fine dollars.
The facility is operating at roughly 61% of its 74 licensed beds, with about 45 residents on a typical day. Other signals in this record — staffing and fines — give context for that vacancy level.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing on nights and weekends
Weekend nursing hours here average 2.5 hours per resident per day versus 3.0 on weekdays — ask how many nurses and aides are scheduled on a typical Saturday night.
What the two fines covered
CMS recorded two fines totaling $33,937; ask what deficiencies triggered each fine and what changes were made afterward.
Why occupancy is at 61 percent
With about 29 of 74 beds unfilled on a typical day, ask whether that reflects a recent admission pause, staffing constraints, or market conditions.
RN presence during off-hours
Reported RN time averages 17 minutes per resident per day — ask whether a registered nurse is on-site around the clock or on-call after hours.
Resident Council meetings and access
The facility has a Resident Council but no Family Council — ask how families receive feedback from council meetings and how concerns are escalated.
Management company's role day to day
The licensee is a hospital district authority, but day-to-day operations are managed by Charleston Boerne Operations LLC — ask who makes staffing and care decisions on the ground.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.