Nursing homeActive

Carechoice Of Boerne

200 E Ryan St, Boerne, TX 78006830249259474 certified beds · 49 residentsFor profit - CorporationMedicare and Medicaid
Surveys on file
9
since 2023
Deficiencies
30
0282
Penalties · 3 yrs
$33,937
2 fines
Last survey
2026-05-28
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-05-28Complaint030CMS-2567 (Care Compare)
2026-02-14Standard070CMS-2567 (Care Compare)
2025-11-19Complaint030CMS-2567 (Care Compare)
2024-11-22Standard050CMS-2567 (Care Compare)
2024-11-01Complaint002CMS-2567 (Care Compare)
2024-04-01Complaint010CMS-2567 (Care Compare)
2023-10-18Standard060CMS-2567 (Care Compare)
2023-09-27Complaint010CMS-2567 (Care Compare)
2023-09-15Complaint020CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-05-28Complaint survey · 3 deficienciesOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 675678-20260528-F583
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 675678-20260528-F759
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-11Record 675678-20260528-F761
2026-02-14Standard survey · 7 deficienciesOfficial report
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-15Record 675678-20260214-F609
F610Respond appropriately to all alleged violations.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-15Record 675678-20260214-F610
F637Assess the resident when there is a significant change in conditionScope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-15Record 675678-20260214-F637
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-15Record 675678-20260214-F656
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-15Record 675678-20260214-F761
F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-03-25Record 675678-20260214-F801
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-15Record 675678-20260214-F880
2025-11-19Complaint survey · 3 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-21Record 675678-20251119-F550
F641Ensure each resident receives an accurate assessment.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-21Record 675678-20251119-F641
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-21Record 675678-20251119-F657
2024-11-22Standard survey · 5 deficienciesOfficial report
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity EStandard
Care planningFalls
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-23Record 675678-20241122-F689
F759Ensure medication error rates are not 5 percent or greater.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 675678-20241122-F759
F760Ensure that residents are free from significant medication errors.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 675678-20241122-F760
F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-11-23Record 675678-20241122-F842
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-20Record 675678-20241122-F880
2024-11-01Complaint survey · 2 deficienciesOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-09-24Record 675678-20241101-F600
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity JHarm
Care planningFalls
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-06-25Record 675678-20241101-F689
2024-04-01Complaint survey · 1 deficiencyOfficial report
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-04-22Record 675678-20240401-F656
2023-10-18Standard survey · 6 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-20Record 675678-20231018-F550
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-24Record 675678-20231018-F583
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-01Record 675678-20231018-F609
F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-01Record 675678-20231018-F761
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 675678-20231018-F812
F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.Scope/severity DStandard
Records
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-11-02Record 675678-20231018-F849
2023-09-27Complaint survey · 1 deficiencyOfficial report
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-02Record 675678-20230927-F583
2023-09-15Complaint survey · 2 deficienciesOfficial report
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 675678-20230915-F558
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-18Record 675678-20230915-F812

Penalties & enforcement

DateActionAmountSource
2024-11-01Civil money penalty$12,574CMS · Penalties
2024-11-01Civil money penalty$21,363CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.22
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.70
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours2.38
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover41%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover71%
Facility
Texas
National
Texas 55% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityTexasNational
Percentage of long-stay residents with pressure ulcers
lower is better
2.1%3.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
9.5%3.3%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
3.6%9.6%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
1.2%0.8%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.0%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
32.6%15.8%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
9.2%3.0%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
44.9%18.0%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Ddf Investments LLC
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST15%
Broussard, Kendall
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST65%
Broussard, Reuben
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
Broussard, Todd
Individual
5% OR GREATER INDIRECT OWNERSHIP INTEREST10%
Charleston Boerne Operations LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Longoria, Richard
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Apolinar, Adam
Individual
ADP OF THE SNFNOT APPLICABLE
Apolinar, Adam
Individual
CORPORATE OFFICERNOT APPLICABLE
Briley, Annette
Individual
CORPORATE DIRECTORNOT APPLICABLE
Briley, Annette
Individual
ADP OF THE SNFNOT APPLICABLE
Charleston Boerne Operations LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Charleston Properties Of Boerne LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Contreras, Terri
Individual
ADP OF THE SNFNOT APPLICABLE
Contreras, Terri
Individual
CORPORATE OFFICERNOT APPLICABLE
Davidson, John
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Davidson, Joshua
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Davidson, Zachary
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Delrie, Alton
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Fuller, Laurie
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Fuller, Robert
Individual
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
John Davidson Properties LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
L&J Healthcare LLC
Organization
INDIRECT OWNERSHIP INTERESTNOT APPLICABLE
Longoria, Richard
Individual
ADP OF THE SNFNOT APPLICABLE
Sorrells, John
Individual
ADP OF THE SNFNOT APPLICABLE
Sorrells, John
Individual
CORPORATE DIRECTORNOT APPLICABLE
Part of a chain
Charleston Healthcare Group4 facilities
View chain record

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.

No county cost figures on file for Kendall.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Town and Country Nursing and Rehabilitation Center
Boerne
0.2 mi2026-04-241413
Avir at Boerne
Boerne
1.1 mi2026-05-082254
Cibolo Creek
Boerne
1.1 mi2025-09-050164
Kendall House Wellness & Rehabilitation
Boerne
1.5 mi2026-01-230191
Avir at Comfort
Comfort
16.0 mi2026-05-272110
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01