Nursing home
Cibolo Creek
1440 River Rd, Boerne, TX 78006 · Map
Government - Hospital district · 120 certified beds
Cibolo Creek is a Medicare-certified nursing home in Boerne, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 2/5 for health inspections). Its most recent inspection on Sep 5, 2025 cited 6 deficiencies.
- 1 fine totaling $13,627In CMS records: 2 total penalties, 1 Medicare payment denial.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Cibolo Creek compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | — | 3.40 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.44 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.01 | 2.34 | — |
| Nursing staff turnover | 64.1% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the September 5, 2025 inspection was corrected by September 25, 2025
Penalties in CMS records: 1 fine totaling $13,627, 2 total penalties, 1 Medicare payment denial.
What inspectors found at Cibolo Creek
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Keep all essential equipment working safely.
Environmental Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Sep 5, 2025 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Sep 5, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Sep 5, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 23, 2024 · Full report (PDF) - Immediate jeopardy
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Nov 23, 2024 · Full report (PDF) - Immediate jeopardy
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · Nov 23, 2024 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Nov 23, 2024 · Full report (PDF) - Potential for harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · Nov 23, 2024 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Nov 23, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1440 River Rd
Boerne, TX 78006 - CMS certification #
- 676240
- Ownership
- Government - Hospital district
- Certified beds
- 120
- Avg residents/day
- 85.9
- Provider type
- Medicare and Medicaid
- First certified
- 2009-12-02
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Cibolo Creek using Google Maps.
Other public records
- Website says Respite stays, works with hospice
Full public records, with dates and sources
Care and services
From the community’s website
What Cibolo Creek says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Offers respite or short-term stays.
In addition to rehabilitation, we provide chronic care, respite care, hospice support, wound care, and interdisciplinary care.
(page, checked Oct 12, 2026) - Offers hospice care on site or works with hospice providers.
In addition to rehabilitation, we provide chronic care, respite care, hospice support, wound care, and interdisciplinary care.
(page, checked Oct 12, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- South Texas Spine And Surgical Hospital, San Antonio. 18.7 miles away, straight line.
- Nearest Medicare nursing home
- Riverview Nursing & Rehabilitation, Boerne. 0.1 miles away, straight line.
- Nearest home health agency office
- Independence Plus-Tx, LLC, Boerne. 0.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78006 as rural (rural area).
- Dialysis within 15 miles
- Davita Boerne Dialysis Center, Boerne, 1.0 mile away, straight line (CMS rating 3 of 5 stars)
Usrc Boerne Dialysis, Boerne, 1.1 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 81 Medicare hospices tell CMS they serve ZIP code 78006.
Alamo Hospice, office in Boerne, 1.1 miles away, straight line (CMS family survey rating 5 of 5 stars)
Circle Of Life Hospice And Palliative Care, office in San Antonio, 16.2 miles away, straight line
Good Shepherd Hospice Of San Antonio, L.L.C., office in San Antonio, 16.6 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 12.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
- Wildfire risk to homes
- In Boerne, TX, risk to homes is greater than 58% of communities in Texas and 78% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire relatively moderate, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Cibolo Creek a good nursing home?
CMS gives Cibolo Creek an overall rating of 2 out of 5 stars, including 1/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Cibolo Creek had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Cibolo Creek have?
Cibolo Creek is certified for 120 beds.