Carechoice of Boerne
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 52 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- High RN turnover (67%)
Top 25% in Texas · Critically understaffed (RN) · Best in CHARLESTON HEALTHCARE GROUP chain · $33,937 in fines
What this means for your family
This facility is a strong candidate if you are looking for excellent physical therapy and a clean, peaceful environment. However, you must be extremely vigilant regarding medication schedules and weight monitoring, as multiple families have reported serious lapses in medical oversight and nursing responsiveness.
Google Reviews
Google Reviews
52 reviews on Google“CareChoice of Boerne is generally highly regarded by families for its compassionate nursing staff and effective rehabilitation therapy. While many reviewers praise the facility's cleanliness and the warmth of the caregivers, there are serious, critical reports regarding medication errors, weight loss, and lack of oversight for medical needs.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and professional nursing staff
- Effective rehabilitation and physical therapy
- Clean and well-maintained environment
- Peaceful and secluded setting
Concerns
- Serious medical neglect and medication errors (mentioned by 2 reviewers)
- Staffing shortages and overwhelmed nurses (mentioned by 2 reviewers)
- Loss of resident personal property
Rating Trends
Tap a year to see what changed
Distribution · 56 analyzed
How They Respond to Reviews
The owner relies heavily on repetitive, templated responses for 5-star reviews, often using the exact same paragraph regardless of the review content. While they attempt a more empathetic tone for negative and specific 4-star reviews, the overall pattern is highly automated.
Questions for Your Tour
- 1With the peaceful and secluded setting here, what kind of daily activities or outings do you organize to keep residents engaged with the community?
- 2I noticed some families have shared how much they appreciate the professional nursing staff; how do you support your nurses to ensure they have enough time for each resident?
- 3What specific protocols do you have in place to ensure medication is administered accurately and double-checked every time?
- 4How does the facility manage the security of residents' personal belongings and room items to prevent loss?
- 5Could you tell me more about the dining experience, specifically regarding how much variety and nutrition is provided in the daily meal plans?
- 6In the event of a medical emergency during the night, what is the immediate process for notifying the family and coordinating care?
Personalized based on this facility's data
Key Review Excerpts
“His therapy was excellent as was his care. Patient and kind aides. Rich had a number of serious health challenges. The care and medical oversight was the best he ever had.”
“My dad went from a healthy weight to skin and bones within ONE MONTH!! He was rarely checked on or given his pain meds when scheduled. He ended up with numerous bruises and open wounds which the staff would make excuses on how he got them.”
“I moved her from an assisted living facility due to the level of care she was needing. CareChoice immediately made her quality of life and my peace of mind much better.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
9
measures
6
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents needing more daily help over time
Residents on antipsychotic medication
Residents whose walking got worse
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed multiple complaints against this facility, with serious concerns including abuse and neglect issues reported as recently as November 2024. The facility shows recurring problems with resident safety and accident prevention, care planning and assessments, medication management, and dietary services. While most deficiencies appear to be corrected after identification, the pattern of repeated violations across the same care areas suggests ongoing operational challenges families should carefully evaluate.
Feb 14, 2026Routine11
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nutrition and Dietary Deficiencies
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
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.
Pharmacy Service Deficiencies
Ensure 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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Nov 19, 2025Complaint3
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Nov 22, 2024Routine10
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Nov 1, 2024Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 1, 2024Complaint1
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.
Oct 18, 2023Routine9
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Pharmacy Service Deficiencies
Ensure 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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal Penalties
Fine
Nov 1, 2024
$12,574
Fine
Nov 1, 2024
$21,363
Ownership & Operations
Who Operates This Facility
Uvalde County Hospital Authority
for profit
CHARLESTON BOERNE OPERATIONS LLC
RICHARD F LONGORIA
Chain Affiliation
Charleston Healthcare Group
5 facilities nationwide
Chain avg rating: 1.8/5 · Rank 1 of 4 (Best)
Ownership & Management
Owners
Ddf Investments LLC
Owner · Organization
Uvalde County Hospital Authority
Owner · Organization
Broussard, Kendall
Owner (parent company)
Broussard, Reuben
Owner (parent company)
Broussard, Todd
Owner (parent company)
John Davidson Properties LLC
Owner (parent company) · Organization
L&j Healthcare LLC
Owner (parent company) · Organization
Davidson, John
Owner (parent company)
Davidson, Joshua
Owner (parent company)
Davidson, Zachary
Owner (parent company)
Delrie, Alton
Owner (parent company)
Fuller, Laurie
Owner (parent company)
Fuller, Robert
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
52 reviews from families & visitors
Official Website
Visit charlestonhcgroup.com
Medicare data downloads
Original nursing home datasets
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