Skilled NursingCMS verified

Cibolo Creek

1440 River Rd, Boerne, TX 78006 · Kendall County

Welcome to Cibolo Creek - We offer a wide range of services in a warm, welcoming and nurturing environment.

2.0CMS overall rating(830) 816-5095 Visit website ↗

Fair

Haven Scout Score

Our composite of CMS ratings, staffing, and safety. This community rates fair.

Photos via google places, facility website.

Availability outlookModerate availability

Typically 74% full — openings are usually available.

Source: federal census data (average daily residents vs. certified beds, CMS Care Compare). Confirm current openings with an advisor — availability changes weekly.

Our evaluation

An honest, data-grounded look at this community — every claim is drawn from public inspection data.

A below-average federal rating — worth a careful look in Boerne

Cibolo Creek is a government-owned skilled nursing facility in Boerne, TX, with 120 certified beds and an average of about 88 residents per day.

Medicare rates it 2 out of 5 stars overall — below the national average of about 3 stars. Component ratings: 2/5 on health inspections, 2/5 on staffing, 4/5 on quality measures.

Staff provide about 3.18 total nurse hours per resident each day (0.50 of them from registered nurses), below the national benchmark of roughly 3.9 hours. Annual nursing-staff turnover is about 64%, higher than the ~52% national average. On the safety record, CMS notes 6 health deficiencies at its most recent standard survey, and 1 federal fine totaling $13,627 in the recent record.

Strengths

✓Full sprinkler system
✓Active resident & family council

Things to ask about

•Below-average 2-star overall CMS rating
•Below-average health-inspection rating
•Below-average nurse staffing (3.18 hrs/resident/day)

Best for: Families considering this community should tour in person, request the latest survey, and weigh it against higher-rated Boerne options — our advisors can help you compare.

At a glance

Certified beds: 120
Avg. residents/day: 88
Ownership: Government - Hospital district
Part of a chain: Independent
Continuing care: No
CMS provider #: 676240

Federal quality ratings

From the U.S. Centers for Medicare & Medicaid Services (CMS), on a 1–5 star scale.

Overall rating

Health inspections

Staffing

Quality measures

Pricing & cost

We publish transparent estimates and verify exact pricing on request. No surprises.

Level of care	Monthly cost	Source
Skilled Nursing	$5,070–$7,610/mo (median $6,130)	Local market estimate

2024–2026 published survey medians, state median adjusted to local San Antonio prices (BEA regional price parities). Request a quote for exact pricing. Range spans semi-private to private rooms. How we estimate costs

Request exact pricing for Cibolo Creek →

Staffing & care

More nursing time per resident — and lower turnover — generally means more attentive care.

Total nurse hrs / resident / day: 3.18; National avg ≈ 3.9
RN hrs / resident / day: 0.50; National avg ≈ 0.75
Nursing staff turnover: 64%; National avg ≈ 52%

Safety & inspection record

Federal inspectors survey nursing homes roughly once a year. Here's the latest on file.

Health deficiencies (last survey): 6
Federal fines: 1 ($13,627)
Total penalties: 2
Last standard survey: 2025-09-05
Sprinkler system: Yes
Resident & family council: Resident

What inspectors found

The most recent findings from federal health inspections (26 citations on record — showing the latest 8). Every nursing home is inspected roughly once a year; most receive some citations.

2025-09-05Severity J — immediate jeopardyQuality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

2025-09-05Severity E — potential for harmFreedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

2025-09-05Severity E — potential for harmNutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

2025-09-05Severity E — potential for harmResident 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.

2025-09-05Severity E — potential for harmEnvironmental Deficiencies

Keep all essential equipment working safely.

2025-09-05Severity D — potential for harmResident 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.

2024-11-23Severity J — immediate jeopardyFrom a complaintResident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-11-23Severity J — immediate jeopardyFrom a complaintQuality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity uses the CMS scope/severity scale: D–F = potential for harm, G–I = actual harm, J–L = immediate jeopardy. Source: CMS Care Compare health citations; data as of the latest federal release. Discuss any finding directly with the community on a tour.

Penalty history

Federal fines and Medicare/Medicaid payment denials on record.

Date	Type	Amount
2025-09-05	Payment denial	—
2024-11-23	Fine	$13,627

Services & amenities

✓ Full automatic sprinkler system
✓ Medicare & Medicaid certified
✓ 24-hour licensed nursing
✓ On-site rehabilitation therapy
✓ Physical therapy
✓ Rehabilitation services
✓ Respite / short-term stays
✓ Daily activities & events
✓ Library

Location

1440 River Rd, Boerne, TX

Monday: Open 24 hours
Tuesday: Open 24 hours
Wednesday: Open 24 hours
Thursday: Open 24 hours
Friday: Open 24 hours
Saturday: Open 24 hours
Sunday: Open 24 hours

Reviews & reputation

We aggregate ratings across Google, Yelp, and verified families — and link back to every source so you can read more.

Google

3.9

39 reviews →

Verified family reviews

No verified family reviews yet for Cibolo Creek.

Have a loved one here, or recently toured? Help other families by sharing your experience — we verify every review before it's published.

Talk to an advisor about this community

Common questions about Cibolo Creek

How much does Cibolo Creek cost?

Cibolo Creek does not publish exact rates. Comparable skilled nursing in the Boerne, TX area typically runs $5,070–$7,610 per month (median $6,130, based on published survey medians adjusted for local prices). A Haven advisor can confirm current pricing for free.

What is Cibolo Creek's Medicare rating?

Medicare (CMS) rates Cibolo Creek 2 out of 5 stars overall, including 2/5 for health inspections, 2/5 for staffing, 4/5 for quality measures. The national average is about 3 stars.

How is the staffing at Cibolo Creek?

Staff provide about 3.18 total nurse hours per resident per day (national benchmark ≈ 3.9), and annual nursing-staff turnover is about 64% (national average ≈ 52%). These figures are reported to the federal government and updated regularly.

What did inspectors find at Cibolo Creek?

Cibolo Creek has 26 health citations on its recent federal inspection record (last standard survey: 2025-09-05). The full citation-by-citation detail, with severity levels, is published on this page.

Does Cibolo Creek have availability?

Typically 74% full — openings are usually available. Availability changes weekly — a Haven advisor can confirm current openings at no cost.

What types of care does Cibolo Creek offer?

Cibolo Creek in Boerne, TX offers skilled nursing and is licensed for 120 beds.

The best time to decide is before a crisis decides for you

Most families start this search after a fall, a hospital stay, or a caregiver reaching a breaking point — and end up choosing from whatever has a bed open that week. Families who plan even a few weeks ahead get to choose on quality, fit, and price instead of availability alone.

Move-ins take time: assessments, paperwork, and preparation typically run 2–6 weeks in San Antonio.
The best communities fill first: top-rated communities often run a waitlist — touring early holds your place in line.
Touring costs nothing and commits you to nothing — but it turns a future emergency into a calm, informed choice.

Start with a free shortlist →Take the 2-minute assessment

Your next steps — this week

1
Confirm the fit
Check the inspection record and staffing data on this page against your loved one's needs.
2
Get exact pricing & availability
Request current rates for Cibolo Creek — takes one minute, answered same day.
3
Tour 2–3 communities
Compare this community against two alternatives. Ask about staff turnover, all-in monthly cost, and care-plan changes.
4
Hold a spot
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