Kendall House Wellness & Rehabilitation — nursing home in Boerne, TX

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid · part of a continuing care retirement community (CCRC)
Certified beds: 40 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: 38.1 CMS, MDS-derived
CMS Certification Number: 676228
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jul 1, 2009
Ownership type: Non profit - Corporation
Operator (legal business name): Morningside Ministries
CMS chain: Not part of a CMS-reported chain
Phone: (830) 816-4100
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

8

latest Jan 23, 2026

Citations

24

20 health · 4 fire

Harm or worse

1

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E7	F3
Minimal	A·	B·	C·

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

1

$88,390

Payment denials

1

Latest

Nov 24, 2024

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 676228
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 40
First approved: Jul 1, 2009
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

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. State coverage for Texas.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

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.

Date	Domain	Survey types	Citations	Most severe	Open
Jan 23, 2026	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Jan 23, 2026	Health	Health Standard	5	Potential harm	—	Open →
Jan 2, 2025	Health	Health Complaint	1	Potential harm	—	Open →
Nov 24, 2024	Health	Health Complaint	1	Immediate jeopardy	—	Open →
Oct 11, 2024	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Oct 11, 2024	Health	Health Standard	4	Potential harm	—	Open →
Sep 8, 2023	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Sep 8, 2023	Health	Health Standard	9	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 24, 2024	Denial of payment for new admissions	—	Dec 24, 2024 · 6 days	676228\|Payment Denial\|2024-12-24
Nov 24, 2024	Civil money penalty (fine)	$88,390	—	676228\|Fine\|113394

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G·	H·	I·
Potential harm	D13	E7	F3
Minimal	A·	B·	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Jan 23, 2026	E-0020	Establish policies and procedures including evacuation. Emergency Preparedness Deficiencies · Emergency preparedness	F · Potential harm Widespread	Corrected Feb 27, 2026
Jan 23, 2026	K-0345	Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Feb 27, 2026
Jan 23, 2026	F-0585	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Mar 6, 2026
Jan 23, 2026	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 6, 2026
Jan 23, 2026	F-0759	Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 9, 2026
Jan 23, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Corrected Mar 9, 2026
Jan 23, 2026	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	E · Potential harm Pattern	Corrected Mar 9, 2026
Jan 2, 2025	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 Jan 29, 2025	Complaint
Nov 24, 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	Corrected Dec 30, 2024	Complaint
Oct 11, 2024	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	F · Potential harm Widespread	Corrected Nov 19, 2024
Oct 11, 2024	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Nov 19, 2024
Oct 11, 2024	F-0655	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Nov 19, 2024
Oct 11, 2024	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Nov 19, 2024
Oct 11, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Nov 19, 2024
Sep 8, 2023	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 11, 2023
Sep 8, 2023	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 11, 2023
Sep 8, 2023	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Sep 11, 2023
Sep 8, 2023	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 Sep 11, 2023
Sep 8, 2023	F-0730	Observe each nurse aide's job performance and give regular training. Nursing and Physician Services Deficiencies · Staffing & supervision	D · Potential harm Isolated	Corrected Sep 11, 2023
Sep 8, 2023	F-0755	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management	E · Potential harm Pattern	Corrected Sep 11, 2023
Sep 8, 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	E · Potential harm Pattern	Corrected Sep 11, 2023
Sep 8, 2023	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Sep 11, 2023
Sep 8, 2023	F-0944	Conduct mandatory training, for all staff, on the facility’s Quality Assurance and Performance Improvement Program. Administration Deficiencies · Administration & records	E · Potential harm Pattern	Corrected Sep 11, 2023
Sep 8, 2023	F-0945	Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected Sep 11, 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.

Five-Star ratings

Federal · CMS

Overallstate 2.8

Health inspectionsstate 2.8

Staffingstate 1.9

Quality measuresstate 3.8

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing4.57

State avg 3.42US avg 3.90

Registered nurse (RN)0.77

State avg 0.44US avg 0.69

Licensed practical nurse1.62

State avg 0.94US avg 0.86

Nurse aide2.17

State avg 2.03US avg 2.35

Weekend total nurse4.18

State avg 2.99US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.41 (case-mix index 1.45).

Staff turnover

Total nursing staff turnover58.8%

State avg 50.8%US avg 45.3%

Registered nurse turnover66.7%

State avg 49.8%US avg 42.5%

Administrators who left1

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Jan 23, 2026
Cycle 1 health score: 24
Total weighted score: 43.75

Operating entity

Morningside Ministries

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Not part of a CMS-reported chain.

Ownership disclosures

Disclosures

56

Organizations

1

Individuals

54

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Morningside Ministries	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 28, 2009

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
Morningside Ministries	Organization	Direct owner	DIRECT OWNERSHIP INTEREST	not provided	Oct 28, 2009
Rissa Asis	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Apr 3, 2023
Margaret Monfrey	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	May 21, 2015
Chelsea Moreno	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 30, 2023
Dionicio Munoz	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Sep 24, 2023
Chrisine Nguyen	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Mar 19, 2018
Lisa Osanyinlusi	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jul 1, 2024
Brooks Powell	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 11, 2022
Myranda Prater	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Dec 7, 2020
Cassandra Robertson	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 16, 2021
Scott Bryan	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Jessica Drought	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Dana Forgione	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Edward Garza	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2021
Greg Hackett	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Scott Kercheville	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Robert Mccullough	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Thomas Mcrae	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Dora Mendoza	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2020
Jessica Mobley	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Joe Moore	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Robert Ortiz	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
Amy Phipps	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2024
David Read	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
George Scofield	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2022
Richard Tye	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2020
Holly Youngquist	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Jan 1, 2023
Patrick Crump	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 13, 2017
Chelsea Moreno	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Jan 30, 2023
Scott Bryan	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2024
Jessica Drought	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2023
Dana Forgione	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 2, 2023
Edward Garza	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2021
Greg Hackett	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2022
Scott Kercheville	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2022
Robert Mccullough	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2024
Thomas Mcrae	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2024
Dora Mendoza	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2020
Jessica Mobley	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2023
Joe Moore	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2024
Robert Ortiz	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2024
Amy Phipps	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2024
David Read	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2022
George Scofield	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2022
Richard Tye	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2020
Holly Youngquist	Individual	Trustee	TRUSTEE OF THE SNF	not provided	Jan 1, 2023
Morningside Ministries	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Oct 28, 2009
Patrick Crump	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 13, 2017
Margaret Monfrey	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 31, 1989
Chelsea Moreno	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jan 30, 2023
Dionicio Munoz	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 24, 2023
Chrisine Nguyen	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Mar 19, 2018
Lisa Osanyinlusi	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jul 1, 2024
Brooks Powell	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Nov 11, 2022
Myranda Prater	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Dec 18, 2024
Cassandra Robertson	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 16, 2021

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 1050 Grand Blvd., 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
Avir at Boerne 1102 River Road, Boerne, TX 78006 CCN 675371	2.2 km	96	May 8, 2026	454 IJ	$92k
Cibolo Creek 1440 River Rd, Boerne, TX 78006 CCN 676240	2.2 km	120	Sep 5, 2025	334 IJ	$14k
Carechoice of Boerne 200 E Ryan St, Boerne, TX 78006 CCN 675678	2.4 km	74	May 28, 2026	392 IJ	$34k
Town and Country Nursing and Rehabilitation Center 625 N Main St, Boerne, TX 78006 CCN 455796	2.7 km	126	Jul 31, 2026	763 IJ	$151k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	676228	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	676228	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 676228

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