Cibolo Creek
1440 RIVER RD, 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
- Government - Hospital district
- Certified beds
- 120 · avg 86 residents/day
- Total nursing staff turnover
- 64.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 53.8% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $13,627 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 308241
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 24 Medicare-only · 96 Medicaid/Medicare
- Current license effective
- May 1, 2024
- Current license expires
- May 1, 2027
- Initial license date
- December 2, 2009
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Medina County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Cascadekendall Health Services, Ltd
- Administrator
- Taylor Collier
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (7 on record)
- Taylor Collier
Adp of The Snf · since 2023
- Billie Bell
Corporate Officer · since 2023
- Boerne hc Llc
Adp of The Snf · since 2021
- Cascade-kendall Health Services, Ltd
Operational/managerial Control · 100% · since 2021
- John Trenton Sorrells
Adp of The Snf · since 2021
- Medina County Hospital District
5% or Greater Direct Ownership Interest · 100% · since 2021
+ 1 additional owner on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, 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)
- E0908·Sep 5, 2025
Environmental Deficiencies
Keep all essential equipment working safely.
- E0842·Sep 5, 2025
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.
- E0812·Sep 5, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- J0689·Sep 5, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0656·Sep 5, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- E0607·Sep 5, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D0842·Nov 23, 2024Complaint
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.
- E0755·Nov 23, 2024Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Federal penalties
By year
- 20251 payment denial
- 20241 fine · $14K
Most recent events
- Sep 5, 2025Payment denial · 11 days · starting Oct 4, 2025
- Nov 23, 2024Fine · $14K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Sep 5, 2025. 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
Cibolo Creek is a 120-bed nursing home in Boerne, Kendall County, licensed through May 2027 and operated by Cascadekendall Health Services under the Medina County Hospital District. CMS rates it 2 stars overall, with a 1-star staffing rating — the lowest tier — though its quality-of-care outcomes score 5 stars. About 86 residents occupy its 120 beds on a typical day. Two administrators have turned over in the past year.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Cibolo Creek 1 star on staffing — the bottom tier, shared by about 38% of Texas nursing homes. Nursing hours per resident aren't reported in the CMS data, so a precise minute-by-minute comparison isn't possible, but a 1-star staffing rating places this facility among the most lightly staffed in the state.
Roughly 6 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile see about 60% turnover; Cibolo Creek sits above that threshold. A long-stay resident can expect to see familiar caregivers cycle out regularly.
Two administrators have left in the past year. Administrator turnover at that pace typically runs through frontline management and scheduling alongside it.
Cibolo Creek had 1 CMS fine totaling $13,627. The state median fine total is $20,699, and about 30% of Texas nursing homes received no fines at all.
The facility is operating at roughly 72% of its 120 licensed beds — about 86 residents on a typical day. Paired with 1-star staffing and high staff turnover, the lower occupancy doesn't reflect a full staffing complement.
CMS rates quality-of-care outcomes 5 stars overall, including 5 stars for long-stay residents and 4 stars for short-stay residents. These scores are calculated from Medicare claims and facility-reported data on things like pressure wounds, falls with injury, and hospital readmissions — separate from the staffing and inspection ratings above.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With a 1-star CMS staffing rating, ask how many nurses and aides are scheduled on overnight and weekend shifts specifically, and how often agency or contract staff fill those roles.
Two administrators in one year
Two administrators have turned over in the past year — ask who the current administrator is, how long they've been in the role, and what led to the prior departures.
Caregiver consistency for your family member
With roughly 6 in 10 nursing staff leaving in the past year, ask how the facility assigns consistent caregivers to individual residents and how handoffs are handled when a caregiver leaves.
How 5-star outcomes are tracked
CMS rates outcomes 5 stars despite a 1-star staffing rating — ask which specific measures drive that score and how staff monitor residents for falls, wounds, or hospital readmissions.
Current bed availability and waitlist
At 72% occupancy across 120 beds, ask whether specific care units or room types have different availability and what the admission timeline looks like.
Resident Council access and meeting schedule
The facility has a Resident Council but no Family Council — ask how families receive information from council meetings and how they can raise concerns formally.
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.