★★☆☆☆CMS 2/574 bedsFor-profitMedicaid
- Nurse hours
- 2.70 /day
- Staff turnover
- 41%
- Serious cites
- 0
Care Choice of Boerne runs 74 certified beds under corporate for-profit ownership, and the number that stands out is nurse staffing: 2.70 hours per resident per day, roughly 30% under the national average of 3.86. That shortfall shows up on weekends too, when coverage drops about 12% below the home's own weekday level. Staff turnover sits at 41.2%, a bit better than the 45.8% national figure. The current inspection record carries 30 deficiencies, including 2 at the harm or jeopardy level and 4 tied to abuse, with two fines totaling $33,937. The most recent inspection was February 14, 2026. If you're weighing this one, ask directly how they cover weekends and what changed since those abuse-related findings.
★★★★☆CMS 4/540 bedsNon-profitMedicaid
- Nurse hours
- 5.42 /day
- Staff turnover
- 68%
- Serious cites
- 0
Kendall House runs 40 certified beds as a nonprofit operation, and its most recent inspection in January 2026 earned four stars for health inspections and three for quality measures. The staffing picture is a different story: a one-star rating and 68.1% annual turnover, well above the 45.8% national average, meaning nearly seven in ten staff left within the year. The current record shows 22 deficiencies, including one at the harm or jeopardy level and one abuse-related citation, plus a single fine of $88,390. Turnover that high with a harm-level deficiency is what pulls the overall picture down despite decent inspection scores.
★★☆☆☆CMS 2/5120 bedsGovernmentMedicaid
- Nurse hours
- 3.00 /day
- Staff turnover
- 61%
- Serious cites
- 0
Cibolo Creek runs on thinner nurse coverage than most homes in the country, 3.00 hours per resident day against a national average of 3.86, and it gets thinner on weekends, when staffing drops about 14% below its own weekday level. That's the kind of gap that shows up when a resident needs help on a Saturday night. The inspection record backs up the concern: 26 deficiencies, four of them at the harm or jeopardy level and three tied to abuse. Staff turnover sits at 60.8%, well above the 45.8% national average, meaning familiar faces are hard to keep. Hospital district ownership doesn't offset any of this. Quality measures score well, but the staffing and inspection numbers are what a family should weigh.
★☆☆☆☆CMS 1/596 bedsFor-profitMedicaid
- Nurse hours
- 3.17 /day
- Staff turnover
- 68%
- Serious cites
- 0
Riverview runs lean on nursing hours, 3.17 per resident day against a national average of 3.86, and weekends dip even further, about 9% below its own weekday coverage. That thinness shows up in the workforce itself: 67.7% annual turnover, well above the 45.8% norm, meaning roughly two of every three caregivers are new to the building each year. Inspectors have logged 38 deficiencies, eight serious enough to put residents in harm's way and seven tied to abuse, with $156,748 in fines across four actions. The last survey was March 2025, so the record is current. A for-profit limited liability company owns the place, and the inspection history is where the trouble concentrates.
★☆☆☆☆CMS 1/5126 bedsGovernmentMedicaid
- Nurse hours
- 3.33 /day
- Staff turnover
- 66%
- Serious cites
- 0
Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year.
The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.