Care Choice

    200 Ryan St, Boerne, TX, 78006
    4.3 · 47 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousLoved one of resident
    2.0

    Caring staff but management fails

    I had a mixed experience. Many nurses, aides and therapists were caring, professional and really helped improve quality of life - the facility can feel small, peaceful and like home. But I also saw serious problems: understaffing, poor management, care neglect, missing personal items (hearing aids, wheelchair, clothes), infection and lice incidents, cluttered halls and occasional urine odor. It's a place with great frontline staff when they're supported, but leadership and staffing issues need urgent fixing.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    4.28 · 47 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      4.3
    • Staff

      4.3
    • Meals

      4.5
    • Amenities

      2.0
    • Value

      4.3

    Pros

    • Caring, compassionate staff and aides
    • Dedicated and team-oriented leadership
    • Several standout employees praised by name
    • Attentive nursing during many shifts
    • Clean, well-kept facility reported by many
    • Pleasant, home-like small facility atmosphere
    • Positive therapy services for some residents
    • Engaging activities and active residents
    • Improved quality of life for many residents
    • Good on-call providers and clinical responsiveness
    • Friendly, respectful, and professional interactions
    • Peaceful, scenic Texas Hill Country location
    • Good laundry and housekeeping practices
    • Helpful admission/ambassador staff in some cases
    • Good food reported by some reviewers
    • Family-like culture and open, honest environment
    • Staff who reduce resident anxiety and provide comfort
    • Prompt staff responses noted by several families
    • Facility improvements (furniture/painting) increasing warmth
    • Smaller, less institutional feel preferred by some families

    Cons

    • Reported care neglect and unresponsiveness
    • Allegations of missing personal items and theft
    • Serious infection control concerns (lice, diabetic infection)
    • Understaffing and overwhelmed nursing staff
    • Inconsistent staff quality; some rude or condescending
    • Administrator and DON criticized by some reviewers
    • Failed monitoring of diet and medical needs
    • Therapy sometimes not provided despite possible billing
    • Residents left in bed all day or wearing same clothes long
    • Hallways cluttered and areas in disrepair
    • Persistent urine odor reported in some areas
    • Bathrooms too small for walkers and mobility aids
    • Memory care lacking adequate bed sensors/alarms
    • Misleading tours or 'smoke and mirrors' sales practices
    • Refusal/poor reception during inquiries by some front staff
    • Reported medication/refusal issues (example: loperamide)
    • Inconsistent cleanliness and environment across stays
    • Reports of COVID-positive cases and resident death
    • Mixed management transparency; accusations of lying
    • Comparison indicating another facility provided better care

    Summary review

    Overall sentiment in these review summaries is mixed, with many families and residents reporting genuinely positive experiences while a smaller but significant portion of reviewers report serious safety, care, and management concerns. Most common positive themes emphasize compassionate caregivers, a small and home-like environment, effective therapy for some residents, cleanliness and improvements to the facility, and a team-oriented leadership that some families trust. Conversely, the most severe negative themes include allegations of neglect, missing personal items, infection control problems, understaffing, and inconsistent management practices.

    Care quality: Reviews describe widely varying experiences. Numerous reviewers recount attentive, loving care that improved residents' quality of life, helped with eating and engagement, and provided peace of mind to families. Physical and occupational therapy received praise in many reports for helping residents regain or maintain daily function. However, other reviewers reported instances of neglect and deterioration during a stay — examples include failure to monitor diet leading to medical problems, an untreated diabetic foot infection, residents left in bed all day, failure to provide requested medications (example cited: loperamide), and missing required therapy. These negative reports suggest inconsistent clinical oversight and a need to examine protocols for monitoring chronic conditions, medication administration, and therapy delivery.

    Staff and leadership: The staff narrative is polarized. A large number of reviews single out compassionate, hardworking staff and specific employees (Angel Taylor, Karen Hestilow, Tiffany, Gail) for praise; leadership is described as dedicated and team-focused in many accounts. Families frequently note friendly nurses, prompt responses, and a family-like culture. At the same time, some reviews accuse management (administrator and director of nursing) of being ineffective or dishonest, and describe front-line staff as rude, insulting, or unhelpful during inquiries. Several reviewers report that a helpful senior staff member left, worsening conditions. The pattern indicates an overall presence of strong caregivers but inconsistency in training, retention, or supervisory accountability that leads to markedly different experiences depending on shift or team.

    Facility, cleanliness, and safety: Many comments describe a clean, well-maintained facility with pleasant smells and recent cosmetic improvements (furniture and paint) that increase warmth. The facility’s small size and scenic location are repeatedly cited as positives. However, other reviews raise significant safety and environmental concerns: missing personal items and unexplained disappearances, cluttered hallways, bathrooms too small for walkers, urine odors in some areas, lice outbreaks, and rooms where residents wore the same clothes for extended periods. Memory care-specific safety gaps are noted (recommendations for bed sensor alarms). These conflicting reports suggest variability in custodial practices, storage/security of residents’ belongings, infection control, and physical accessibility of certain rooms.

    Therapy, activities, and engagement: Therapy is a clear strength for many residents — reviewers describe therapists who treat residents with friendship and respect, and outcomes that address daily challenges. Residents are often described as actively engaged and happier after receiving therapy. Yet other reviews claim therapy was not delivered as billed or promised; one review explicitly raises a concern about possible billing for therapy that did not occur. Activities and engagement seem generally positive where staffing permits, but they may decline during periods of understaffing.

    Dining and daily living: Multiple reviewers mention improved eating, good food, and timely laundry service as meaningful positives. At the same time, a few families cite failure to monitor diet as contributing to health decline. This again points to inconsistency in nutritional oversight — the kitchen and housekeeping services appear adequate in many cases, but individualized nutritional monitoring may be uneven.

    Patterns, risk areas, and comparisons: Several reviewers compare Care Choice unfavorably to Eden Hill, stating Eden Hill provided better, healthier, and more attentive care in those instances. The recurring risk areas are understaffing, inconsistent management, missing belongings, infection control issues, and possible gaps between billed and delivered services (notably therapy). While many families express a willingness to recommend the facility and praise its staff, the negative reports raise red flags that merit follow-up if evaluating the site for placement: verify staffing ratios, ask for documentation of therapy sessions and billing, confirm infection control protocols, review current incident logs (lost items, infections), tour memory care spaces to ensure appropriate alarms and clear paths for walkers, and seek recent inspection records.

    Conclusion and practical takeaways: The aggregate of these reviews paints a facility with many dedicated, caring employees and real strengths in therapy and resident engagement, situated in a calm and attractive environment. However, there is non-trivial evidence from multiple summaries of inconsistent care, management problems, and safety concerns that have led to serious negative outcomes for some residents. Prospective residents and families should weigh the positive culture and praised staff against reports of neglect and operational lapses. If considering placement, ask targeted questions about staffing stability, item security policies, infection prevention measures, how dietary and chronic conditions are monitored, proof of therapy delivered, and how leadership addresses complaints. For current family members, these reviews support maintaining regular oversight (inventory of belongings, frequent communication with clinical staff, and request for written therapy schedules and medication administration records) and escalating immediately to state surveyors or ombudsman services if safety or neglect is suspected.

    Location

    Map showing location of Care Choice

    About Care Choice

    Care Choice serves older adults who can't live alone due to health problems, and it's a place where you find long-term care, help with daily life like bathing and dressing, and special attention for things like wounds, amputations, and therapies for speech and movement, and the staff here handle medical needs with care around the clock, including Synergy Therapy Services, regular doctor visits, memory care for those who get confused or wander, and help for residents with Alzheimer's or dementia, and residents can live in over 70 private or shared rooms, with extra support for those needing hospice, IV antibiotics, or nursing care. Care Choice also offers independent and assisted living, home care with trained helpers, and senior apartments for those who want simple, easy living, plus shared care homes for people who need a caregiver nearby. The whole place tries to make life pleasant with home-cooked meals, laundry, housekeeping, a beauty and barber shop, and a van for rides to appointments and outings, and there's always regular events, entertainment, and even religious services for folks who want those. Care Choice fits many needs, whether for active seniors looking to stay social with programs like Leadership Boerne, or people facing health challenges from chronic conditions. The facility accepts most private insurance, Medicare, and Medicaid, and they make hopeful attempts to include everyone in decisions about care, letting residents, staff, and families work together on treatment plans. For those who want to feel connected, the center's part of several community groups, offering leadership programs, job help, scholarships, ribbon cuttings, and networking, and folks can volunteer or look for deals through member programs if they join. The staff at Care Choice are known for being honest, kind, and interested in making life better, while special security helps anyone who has trouble with wandering. For news, events, or updates, people can check the center's Facebook page.

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