1050 Grand Blvd., Boerne, TX 78006 · Kendall County · (830) 816-4100
40 certified beds, about 30 residents a day · Non profit - Corporation · Medicare and Medicaid since 2009
CMS Care Compare ratings, data as of September 1, 2026 · CCN 676228 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on January 23, 2026, inspectors cited 5 health deficiencies (the Texas average is 9.4, the national average 9.2).
Of 20 health citations since September 2023, 1 was rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 1 fine totaling $88,390 in the last three years; the largest was $88,390, and the latest is dated November 24, 2024.
Nurses and nurse aides worked 5.42 hours per resident per day, against 3.39 across Texas and 3.86 nationally. Registered nurses accounted for 1.04 of those hours.
68.1% of nursing staff left within the year CMS measured (Texas average 55.3%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 20 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to store, prepare, distribute, and serve food for 1 of 1 kitchen and 1 of 3 residents' (Resident #8) refrigerators in accordance with professional standards for food service safety. The facility failed to ensure sanitizing buckets were not near foods. The facility failed to ensure foods in residents' refrigerators (to include Resident #8) were kept at a temperature for safe food consumption. These failures could place residents at risk for food borne illness.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents had the right to voice grievances to the facility which included those with respect to care and treatment which has been furnished as well as that which has not been furnished, the behavior of staff and of other residents, and other concerns regarding their LTC facility stay for 1 of 8 residents (Resident #23) reviewed for grievances. Resident #23's Representative complained to RN D that Resident #23 was soiled in bed and was served her breakfast without being cleaned first. RN D did not document the grievance. This failure could place residents at risk for diminished sense of self-worth by not having their grievances heard and resolved.
Inspectors wroteBased on interview and record review, the facility failed to provide pharmaceutical services that assured the accurate acquiring, receiving, dispensing, and administering of medications for 1 of 8 residents (Residents #36) reviewed for pharmacy services. The facility failed to ensure that the telephone consent by Resident #36's RP for Resident #36's Cymbalta and Buspar to be prescribed and administered was signed by 2 nurses witnessing this consent. This failure place residents at risk of not accurately receiving the medication, resulting in worsening or exacerbation of chronic medical conditions.
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure a medication error rate below 5% for 1 of 6 residents (Resident #30) reviewed for medication administration errors, 2 errors over 27 observations. RN B failed to follow physician orders, and professional standards, during medication administration which resulted in a 7.41% medication administration error rate. On 1/22/2026 RN B administered to Resident #30 desvenlafaxine 50mg, an antidepressant, by crushing it; Desvenlafaxine is a drug which has been formulated to slowly release the dosage over a day and should not be crushed. When the drug was crushed Resident #30 received the entire dose within the hour. On 1/22/2026 RN B administered to Resident #30 Folic Acid 1mg, a form of the vitamin B essential for red blood cell production. The physician prescribed Resident #30 to receive 5mg. [...]
Inspectors wroteBased on observations, interviews, and record reviews, the facility failed to ensure residents were free from any significant medication errors for 1 of 6 residents (Resident #30) reviewed for medication administration errors: On 1/22/2026 RN B administered to Resident #30 desvenlafaxine 50mg, an antidepressant, by crushing it; Desvenlafaxine is a drug which has been formulated to slowly release the dosage over a day and should not be crushed. When the drug was crushed Resident #30 received the entire dose within the hour. This failure could place residents at risk of not receiving therapeutic effects of their medications and possible adverse reactions.
Inspectors wroteBased on interview and record review, the facility failed to develop and implement a comprehensive person-centered care plan for each resident that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental needs that are identified in the comprehensive assessment, and describes services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 5 residents (Resident #1) reviewed for care plans. The facility failed to ensure Resident #1's care plan reflected her actual fall on 11/26/2024 and included a care plan regarding how to prevent further falls. These deficient practices could place residents at risk for not receiving proper care and services due to inaccurate care plans.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision and assistance to prevent accidents and injury for 1 (Resident #1) of 4 residents reviewed for accidents and supervision as evidenced by: The facility failed to provide adequate supervision and assistance to Resident #1 resulting in Resident #1 receiving a 1st degree burn (a burn affecting the top layer of skin) to her hand and a 2nd degree burn (a burn affecting the top layer of skin, the next layer below it and often causes blisters to the skin) to her thigh after spilling coffee on herself. An Immediate Jeopardy (IJ) was identified on 11/22/2024 at 3:10 p.m. The IJ template was provided to the facility on [DATE] at 3:38 p.m. [...]
Inspectors wroteBased on interview and record review the facility failed to develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that met professional standards of quality of care for 4 of 16 residents (Residents #15, 27, 80,10) reviewed for baseline care plans. 1. The facility failed to ensure Resident #15's baseline care plan reflected interventions for falls. 2. The facility failed to ensure Resident #27's baseline care plan reflected interventions or problems for falls until 10/08/24 when the resident scored a high risk for falls on 09/18/24, when Resident #27 was admitted . 3. The facility failed to ensure Resident #80's baseline care plan did not address falls. 4. The facility failed to ensure Resident #10's baseline care plan reflected interventions or problems for falls . [...]
Inspectors wroteBased on interview and record review the facility failed to provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for one of eight residents (Residents #20) reviewed for medications and pharmacy services. The facility failed to administer Resident #20's Midodrine (treat low blood pressure) according to doctor's orders. This failure could place residents at risk for not receiving therapeutic dosages of their medications as ordered by the physician and a potential for decreased health status, including low and high blood pressure, falls, disorientation and physical discomfort.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the resident had a right to a safe, clean, comfortable, and homelike environment for 1 of 8 residents (Resident #82) reviewed for resident rights . The facility failed to ensure Resident #82 had a functioning bathroom door. This failure could place residents at risk for injuries and falls.
Inspectors wroteBased on observation, interview, and record reviews, the facility failed to prepare puree food by methods that conserve nutritive value, flavor, and appearance for 1 of 1 kitchen observed for puree preparation. The facility failed to follow the puree diet recipe for Pureed Baked Fish or Pureed Carrots for the 10/10/24 lunch. This failure could affect residents on puree diet at risk of receiving inadequate diet that could affect their health.
Inspectors wroteBased on observations, interviews, and record reviews the facility failed to ensure and provide pharmaceutical services (including procedures that assure the accurate acquiring, receiving, dispensing, and administering of all drugs and biologicals) to meet the needs of each resident for 2 of 4 (Residents #141 and #20) residents reviewed for pharmaceutical services, in that. 1. Resident #141's thyroid medications was late on 9/6/2023; and 2. Resident #20's medications were found in the bed and on the bedside table. This could affect residents with orders for medications and could result in residents not receiving the intended therapeutic effects of treatments resulting in diminished quality of health and well-being.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure all drugs and biologicals were stored in locked compartments under proper temperature controls and permitted only authorized personnel to have access to the keys in 3 medication carts of 6 medication carts (Medication Cart A, Medication Cart B, and Treatment Cart) reviewed for medication storage, in that; The facility failed to ensure Medication Cart A, Medication Cart B and Treatment Cart on the 100-wing were locked when left unattended in the common area of the 100-wing during breakfast. This deficient practice could place residents at risk of medication misuse or drug diversion.
Inspectors wroteBased on observation, interview, and record review, the facility failed to establish and maintain an infection prevention and control program designed to provide a safe, sanitary, comfortable environment and to help prevent the development and transmission of communicable diseases and infections for one resident (Resident #20) of 34 residents, and 12 of 23 staff (PT F, OT H, ST G, RT I, OTA J, Lead CNA K, RN L, LVN M, LVN N, RN D, DON, and ADON) reviewed for infection control, in that; 1. Medications were administered to Resident #20 that had been handled in an unsanitary manner. 2. Tuberculosis screenings were not completed in a timely manner for PT F, OT H, ST G, RT I, OTA J, Lead CNA K, RN L, LVN M, LVN N, RN D, DON, and ADON. [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure that all staff had the appropriate competencies and skills sets to provide care and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 3 of 23 staff reviewed for competencies, in that; SW E, PT F, and ST G did not have mandatory training that outlined and informed staff of the elements and goals of the facility's quality assurance and performance improvement program. This deficient practice could place residents at risk for not receiving safe and appropriate care by adequately trained staff and could result in a decline in health and well-being.
Inspectors wroteBased on interview and record review, the facility failed to ensure implementation of the written policies and procedures to prohibit and prevent abuse, neglect, and exploitation for 1 (RN D) of 16 staff reviewed for pre-employment suitability for hire, in that The employment file did not include proof of the Employee Misconduct Registry [EMR] being checked prior to RN D working with residents. This deficient practice could place residents at risk for abuse, neglect, exploitation, and misappropriation of property.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the assessment accurately reflected the resident's status for 2 of 4 (#16 and #3) residents in that: 1. Resident #16 did not have oxygen use in his MDS assessment; and 2. Resident #3 had insulin use incorrectly coded in her MDS assessment. This could affect residents and result in discrepancies in treatments.
Inspectors wroteBased on observation, interview, and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights, that includes measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. The comprehensive care plans the services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psychosocial well-being for 1 of 4 (#16) residents in that: Resident #16 did not have a care plan for his oxygen use. This could affect all resident's and place them at risk of not having their needs addressed. o.
Inspectors wroteBased on interview and record review the facility failed to complete a performance review of every nurse aide at least once every 12 months, and provide regular in-service education based on the outcome of these reviews for 2 (Lead CNA K, and GNA C) of 5 nurse aid staff reviewed for competencies, in that; The facility failed to provide an annual performance review and subsequent trainings based on the outcome of the review for Lead CNA K, and GNA C. This failure could place residents at risk of being cared for by untrained staff.
Inspectors wroteBased on interview and record review, the facility failed to ensure that all staff had the appropriate competencies and skills sets to provide care and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident for 2 of 23 staff reviewed for competencies, in that; CNA and the ADM did not have the mandatory training that included the written standards, policies and procedures for the infection control program. This deficient practice could place residents at risk for not receiving safe and appropriate care by adequately trained staff and could result in a decline in health and well-being.
4 fire safety citations on file: 2 on January 23, 2026, 1 on October 11, 2024, 1 on September 8, 2023.
| Date | Penalty | Amount or length |
|---|---|---|
| November 24, 2024 | Fine | $88,390 |
| November 24, 2024 | Payment Denial | 6 days from December 24, 2024 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Texas | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 5.42 | 3.39 | 3.86 |
| Registered nurses | 1.04 | 0.43 | 0.69 |
| All nursing staff on weekends | 4.82 | 2.98 | 3.42 |
| Nurse aides | 2.53 | ||
| Licensed practical nurses | 1.85 | ||
| Nursing staff turnover (share who left in a year) | 68.1% | 55.3% | 45.8% |
| Registered nurse turnover | 80.0% | 54.6% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.67 on weekdays and 4.82 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.06 in April to June 2025 to 5.42 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.42 | 1.04 | 5.67 | 4.82 | 2.3% | 0 of 90 | 30 |
| Oct to Dec 2025 | 5.17 | 1.02 | 5.39 | 4.63 | 2.8% | 0 of 92 | 33 |
| Jul to Sep 2025 | 4.75 | 0.92 | 4.89 | 4.39 | 3.3% | 3 of 92 | 32 |
| Apr to Jun 2025 | 4.06 | 0.94 | 4.22 | 3.67 | 0.6% | 1 of 91 | 31 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Texas, Jan to Mar 2026 | 3.33 | 0.40 | 3.50 | 2.93 | 2.2% | 0.7% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Texas, all employers | |||
| CNAs (nursing assistants) | $18.03 | $16.97 to $20.71 | 88,680 |
| LPNs and LVNs | $29.92 | $27.46 to $32.89 | 57,560 |
| Registered nurses | $46.14 | $38.06 to $50.53 | 271,380 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Texas | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 33.3 | 15.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 7.3 | 0.3 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.8 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 15.4 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.9 | 1.5 | 1.6 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 14.4 | 3.8 | 4.6 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 21.7 | 25.7 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 16.1 | 12.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Kendall House Wellness & Rehabilitation's Medicare short-stay residents. On returning residents home or to the community, CMS rates it better than the national rate (65.9% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
65.9% this home
Better than the national rate
US median of homes 51.5% · Texas: 116 better, 50 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 225 eligible stays.
10.8% this home
No different from the national rate
US median of homes 10.7% · Texas: 0 better, 9 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 245 eligible stays.
6.8% this home
No different from the national rate
US median of homes 7.1% · Texas: 4 better, 11 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 151 eligible stays.
79.3% this home
Median of homes: Texas57.3% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 111 residents counted.
1.3% this home
Median of homes: Texas0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 151 residents counted.
3.1% this home
Median of homes: Texas1.3% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 151 residents counted.
100.0% this home
Median of homes: Texas98.5% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 54 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: MORNINGSIDE MINISTRIES.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Morningside Ministries | Direct ownership interest | Organization | 10/28/2009 | |
| Bryan, Scott | Corporate director | Individual | 01/01/2024 | |
| Drought, Jessica | Corporate director | Individual | 01/01/2023 | |
| Forgione, Dana | Corporate director | Individual | 01/01/2023 | |
| Garza, Edward | Corporate director | Individual | 01/01/2021 | |
| Hackett, Greg | Corporate director | Individual | 01/01/2022 | |
| Kercheville, Scott | Corporate director | Individual | 01/01/2022 | |
| McCullough, Robert | Corporate director | Individual | 01/01/2024 | |
| McRae, Thomas | Corporate director | Individual | 01/01/2024 | |
| Mendoza, Dora | Corporate director | Individual | 01/01/2020 | |
| Mobley, Jessica | Corporate director | Individual | 01/01/2023 | |
| Moore, Joe | Corporate director | Individual | 01/01/2024 | |
| Ortiz, Robert | Corporate director | Individual | 01/01/2024 | |
| Phipps, Amy | Corporate director | Individual | 01/01/2024 | |
| Read, David | Corporate director | Individual | 01/01/2022 | |
| Scofield, George | Corporate director | Individual | 01/01/2022 | |
| Tye, Richard | Corporate director | Individual | 01/01/2020 | |
| Youngquist, Holly | Corporate director | Individual | 01/01/2023 | |
| Crump, Patrick | Corporate officer | Individual | 02/13/2017 | |
| Moreno, Chelsea | Corporate officer | Individual | 01/30/2023 | |
| Asis, Rissa | Operational/managerial control | Individual | 04/03/2023 | |
| Monfrey, Margaret | Operational/managerial control | Individual | 05/21/2015 | |
| Moreno, Chelsea | Operational/managerial control | Individual | 01/30/2023 | |
| Munoz, Dionicio | Operational/managerial control | Individual | 09/24/2023 | |
| Nguyen, Chrisine | Operational/managerial control | Individual | 03/19/2018 | |
| Osanyinlusi, Lisa | Operational/managerial control | Individual | 07/01/2024 | |
| Powell, Brooks | Operational/managerial control | Individual | 11/11/2022 | |
| Prater, Myranda | Operational/managerial control | Individual | 12/07/2020 | |
| Robertson, Cassandra | Operational/managerial control | Individual | 08/16/2021 | |
| Bryan, Scott | Trustee of the SNF | Individual | 01/01/2024 | |
| Drought, Jessica | Trustee of the SNF | Individual | 01/01/2023 | |
| Forgione, Dana | Trustee of the SNF | Individual | 01/02/2023 | |
| Garza, Edward | Trustee of the SNF | Individual | 01/01/2021 | |
| Hackett, Greg | Trustee of the SNF | Individual | 01/01/2022 | |
| Kercheville, Scott | Trustee of the SNF | Individual | 01/01/2022 | |
| McCullough, Robert | Trustee of the SNF | Individual | 01/01/2024 | |
| McRae, Thomas | Trustee of the SNF | Individual | 01/01/2024 | |
| Mendoza, Dora | Trustee of the SNF | Individual | 01/01/2020 | |
| Mobley, Jessica | Trustee of the SNF | Individual | 01/01/2023 | |
| Moore, Joe | Trustee of the SNF | Individual | 01/01/2024 | |
| Ortiz, Robert | Trustee of the SNF | Individual | 01/01/2024 | |
| Phipps, Amy | Trustee of the SNF | Individual | 01/01/2024 | |
| Read, David | Trustee of the SNF | Individual | 01/01/2022 | |
| Scofield, George | Trustee of the SNF | Individual | 01/01/2022 | |
| Tye, Richard | Trustee of the SNF | Individual | 01/01/2020 | |
| Youngquist, Holly | Trustee of the SNF | Individual | 01/01/2023 | |
| Morningside Ministries | Adp of the SNF | Organization | 10/28/2009 | |
| Crump, Patrick | Adp of the SNF | Individual | 02/13/2017 | |
| Monfrey, Margaret | Adp of the SNF | Individual | 07/31/1989 | |
| Moreno, Chelsea | Adp of the SNF | Individual | 01/30/2023 | |
| Munoz, Dionicio | Adp of the SNF | Individual | 09/24/2023 | |
| Nguyen, Chrisine | Adp of the SNF | Individual | 03/19/2018 | |
| Osanyinlusi, Lisa | Adp of the SNF | Individual | 07/01/2024 | |
| Powell, Brooks | Adp of the SNF | Individual | 11/11/2022 | |
| Prater, Myranda | Adp of the SNF | Individual | 12/18/2024 | |
| Robertson, Cassandra | Adp of the SNF | Individual | 08/16/2021 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Texas. NursingHomeClear cannot take or act on complaints.