Nursing home · SNF / NF

Carechoice of Boerne

Federal · CMSActive CMS certificationCCN 675678For profit CMS overall

200 E Ryan St, Boerne, TX 78006 · Operated by Uvalde County Hospital Authority · Chain Charleston Healthcare Group

Source: CMS Provider Data Catalog, release Oct 1, 2026 · provenance

$25 Full Intelligence Report

Certified beds

Avg residents / day

Inspections

Citations

Harm-level

Fines

$34k

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 74 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 45.8 CMS, MDS-derived
CMS Certification Number: 675678
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Apr 11, 1997
Ownership type: For profit - Corporation
Operator (legal business name): Uvalde County Hospital Authority
CMS chain: Charleston Healthcare Group 4 facilities
Phone: (830) 249-2594
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

latest May 28, 2026

Citations

27 health · 12 fire

Harm or worse

2 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E9	F3
Minimal	A·	B·	C2

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

$33,937

Payment denials

Latest

Nov 1, 2024

Date	Domain	Survey types	Citations	Most severe	Open
May 28, 2026	Health	Health Complaint	3	Potential harm	—	Open →
Feb 14, 2026	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Feb 14, 2026	Health	Health Standard	7	Potential harm	—	Open →
Nov 19, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Nov 22, 2024	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Nov 22, 2024	Health	Health Standard	5	Potential harm	—	Open →
Nov 1, 2024	Health	Health Complaint	2	Immediate jeopardy	—	Open →
Apr 1, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 18, 2023	Fire safety	Fire Safety Standard	3	Potential harm	—	Open →
Oct 18, 2023	Health	Health Standard	6	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Nov 1, 2024	Civil money penalty (fine)	$21,363	—	675678\|Fine\|113368
Nov 1, 2024	Civil money penalty (fine)	$12,574	—	675678\|Fine\|113369

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J2	K·	L·
Actual harm	G·	H·	I·
Potential harm	D23	E9	F3
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 28, 2026	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Jun 11, 2026	Complaint
May 28, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Jun 11, 2026	Complaint
May 28, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Jun 11, 2026	Complaint
Feb 14, 2026	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Past non-compliance Jan 7, 2025
Feb 14, 2026	K-0353	Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 29, 2026
Feb 14, 2026	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Mar 15, 2026
Feb 14, 2026	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Mar 15, 2026
Feb 14, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Mar 15, 2026
Feb 14, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 15, 2026
Feb 14, 2026	F-0637	Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Mar 15, 2026
Feb 14, 2026	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Mar 15, 2026
Feb 14, 2026	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 15, 2026
Feb 14, 2026	F-0801	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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Mar 25, 2026
Feb 14, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Mar 15, 2026
Nov 19, 2025	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 21, 2025	Complaint
Nov 19, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 21, 2025	Complaint
Nov 19, 2025	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Nov 21, 2025	Complaint
Nov 22, 2024	K-0211	Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Jan 7, 2025
Nov 22, 2024	K-0341	Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Jan 13, 2025
Nov 22, 2024	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 21, 2024
Nov 22, 2024	K-0923	Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jan 7, 2025
Nov 22, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 23, 2024
Nov 22, 2024	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Dec 20, 2024
Nov 22, 2024	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Dec 20, 2024
Nov 22, 2024	F-0842	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 · Clinical care	E · Potential harm Pattern	Corrected Nov 23, 2024
Nov 22, 2024	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Dec 20, 2024
Nov 22, 2024	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Nov 21, 2024
Nov 1, 2024	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	J · Immediate jeopardy Isolated	Past non-compliance Sep 24, 2024	Complaint
Nov 1, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Past non-compliance Jun 25, 2024	Complaint
Apr 1, 2024	F-0656	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 · Clinical care	D · Potential harm Isolated	Corrected Apr 22, 2024	Complaint
Oct 18, 2023	K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Nov 3, 2023
Oct 18, 2023	K-0920	Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Oct 20, 2023
Oct 18, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 20, 2023
Oct 18, 2023	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 24, 2023
Oct 18, 2023	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 1, 2023
Oct 18, 2023	F-0761	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. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Nov 1, 2023
Oct 18, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 2, 2023
Oct 18, 2023	F-0849	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. Administration Deficiencies · Administration & records	D · Potential harm Isolated	Corrected Nov 2, 2023
Oct 18, 2023	K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Environment & life safety	C · Minimal Widespread	Waiver granted Oct 20, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Operating entity

Uvalde County Hospital Authority

CMS legal business name of the certified provider. Operates 38 facilities.

VerifiedLinked by exact legal name

CMS chain

Charleston Healthcare Group

4 facilities in 2 states. CMS chain ID 137.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.3

Ownership disclosures

Disclosures

Organizations

Individuals

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ddf Investments LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	15%	Feb 23, 2015
Kendall Broussard	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	65%	Jun 12, 2024
Reuben Broussard	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Jun 12, 2024
Todd Broussard	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Jun 12, 2024
John Davidson Properties LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
L&J Healthcare LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
John Davidson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Joshua Davidson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Zachary Davidson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Alton Delrie	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Laurie Fuller	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Robert Fuller	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Ddf Investments LLC	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	15%	Feb 23, 2015
Kendall Broussard	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	65%	Jun 12, 2024
Reuben Broussard	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Jun 12, 2024
Todd Broussard	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	10%	Jun 12, 2024
John Davidson Properties LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
L&J Healthcare LLC	Organization	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
John Davidson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Joshua Davidson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Zachary Davidson	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Alton Delrie	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Laurie Fuller	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Robert Fuller	Individual	Indirect owner	INDIRECT OWNERSHIP INTEREST	not provided	Jun 12, 2024
Charleston Boerne Operations LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 12, 2024
Richard Longoria	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 14, 2023
Annette Briley	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jul 29, 2024
John Sorrells	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Feb 1, 2015
Adam Apolinar	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jul 23, 2015
Terri Contreras	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Apr 29, 2019
Charleston Boerne Operations LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jul 10, 2025
Charleston Properties of Boerne LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Jun 12, 2024
Adam Apolinar	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 23, 2015
Annette Briley	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 29, 2024
Terri Contreras	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Apr 29, 2019
Richard Longoria	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 14, 2023
John Sorrells	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 1, 2015

Other facilities operated by Uvalde County Hospital Authority

All 37 →

Facility	Beds	Last inspection	Citations (window)	Fines
Rosewood Heights 5700 E Central Texas Expwy, Killeen, TX 76543 CCN 455503	64	Apr 17, 2026	193 IJ2 harm	$37k
Laredo West Nursing and Rehabilitation Center 1200 E Lane St, Laredo, TX 78043 CCN 455528	188	Jul 28, 2026	583 IJ	$50k
Memorial Medical Nursing and Rehabilitation 307 W Cypress St, San Antonio, TX 78212 CCN 455597	135	Aug 5, 2026	872 IJ11 open	$35k
Hilltop Village Nursing and Rehabilitation 1400 Hilltop Rd, Kerrville, TX 78028 CCN 455628	150	Aug 20, 2026	601 IJ	—
Silver Creek Nursing and Rehabilitation 9014 Timber Path, San Antonio, TX 78250 CCN 455652	120	Jul 2, 2025	28	—
Kirkwood Manor 2590 Loop 337 N, New Braunfels, TX 78130 CCN 455732	162	Jun 17, 2026	691 IJ	$29k
Avir at San Knoll 5757 N. Knoll, San Antonio, TX 78240 CCN 455804	120	Jul 24, 2026	711 IJ	$28k
San Antonio North Nursing and Rehabilitation 501 Ogden, San Antonio, TX 78212 CCN 455817	118	Aug 6, 2026	762 IJ	$17k

Same chain in Texas

All 3 in chain →

Facility	Beds	CMS overall	Last inspection	Citations (window)	Fines
Woodland Springs Nursing Center 1010 Dallas St, Waco, TX 76704 CCN 675360	132		Mar 2, 2026	353 IJ5 harm2 open	$92k
High Hope Care Center of Brenham 401 East Blue Bell Road, Brenham, TX 77833 CCN 676316	96		Mar 26, 2026	281 IJ1 open	$21k

Coordinates as published by CMS.

Address: 200 E Ryan St, Boerne, TX 78006
ZIP: 78006
County: Kendall County FIPS 48259
State: Texas
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796	0.3 km	126	Jul 31, 2026	763 IJ	$151k
Avir at Boerne 1102 River Road, Boerne, TX 78006 CCN 675371	1.7 km	96	May 8, 2026	454 IJ	$92k
Cibolo Creek 1440 River Rd, Boerne, TX 78006 CCN 676240	1.8 km	120	Sep 5, 2025	334 IJ	$14k
Kendall House Wellness & Rehabilitation 1050 Grand Blvd., Boerne, TX 78006 CCN 676228	2.4 km	40	Jan 23, 2026	241 IJ	$88k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	675678	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	675678	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 675678

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction

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Carechoice of Boerne

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Uvalde County Hospital Authority

Same chain in Texas

Nearby nursing homes

Carechoice of Boerne

Federal certification

State license

Penalties

Owners of record

All disclosed roles

Other facilities operated by Uvalde County Hospital Authority

Same chain in Texas

Nearby nursing homes