Cibolo Creek: Staffing, Turnover, and Inspection Record
Cibolo Creek is a 120-bed government-run nursing home in Boerne, Texas. In the CMS August 2026 release it reported 1.54 nurse aide hours per resident per day, 23% below the Texas average of 2.00, and 60.8% nursing staff turnover (Texas average 55.3%).
Cibolo Creek
1440 River RdBoerne, TX 78006
Kendall County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Cibolo Creek, nurse aides logged 1.54 hours per resident per day, 23% below the Texas average. With about 89 residents a day, that works out to roughly 137 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.54 | 2.00 | 2.32 |
| Licensed practical nurses | 0.99 | 0.95 | 0.86 |
| Registered nurses | 0.46 | 0.43 | 0.69 |
| All nursing staff | 3.00 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.59 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
60.8% of nursing staff at Cibolo Creek left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 58.3%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 5, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $13,627 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Sep 5, 2025 | Payment Denial | 11 days from Oct 4, 2025 |
| Nov 23, 2024 | Fine | $13,627 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Cibolo Creek holds 2 of 5 overall; the Texas average is 2.6.
About Cibolo Creek
- Ownership: Government - Hospital district
- Legal name: Medina County Hospital District
- Medicare and Medicaid certified since: Dec 2, 2009
- Councils: resident council
- Area: urban
Nursing homes near Cibolo Creek
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Boerne Boerne | 0.1 | 96 | 2.08 | 3.17 | 67.7% | 1 | $133,341 |
| Carechoice of Boerne Boerne | 1.1 | 74 | 1.35 | 2.70 | 41.2% | 2 | $33,937 |
| Town and Country Nursing and Rehabilitation Center Boerne | 1.3 | 126 | 1.87 | 3.33 | 65.9% | 1 | $150,922 |
| Kendall House Wellness & Rehabilitation Boerne · staffing data not validated | 1.4 | 40 | — | — | 68.1% | 3 | $88,390 |
| Estates at Shavano Park Shavano Park | 16.8 | 112 | 2.18 | 3.67 | 63.4% | 3 | None |
| Coronado at Stone Oak San Antonio | 17.0 | 112 | 1.58 | 3.38 | 27.0% | 5 | None |
| Avir at Comfort Comfort | 17.1 | 76 | 1.89 | 3.77 | 59.4% | 5 | None |
| Stone Oak Care Center San Antonio | 17.6 | 152 | 1.84 | 2.88 | 59.8% | 2 | $9,087 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.