Hilltop Nursing Home Care Choice in Boerne, TX

Pros

• The resident's therapy and care were excellent.
• The care and medical oversight were the best he ever had.
• The staff are pleasant, professional, respectful and helpful.
• The care team is committed to helping residents achieve their goals.
• The facility is well maintained and clean.
• The welfare of residents is prioritized by management and staff.
• The atmosphere is respectful and comfortable for everyone.
• Patients and families speak highly of the staff and their care.
• The staff are warm, caring, and skilled at what they do.
• The staff truly love their residents.
• The residents are happy and actively engaged.
• The facility has top-notch staff and care.
• The team has been amazing and very helpful during this time.
• The facility smells clean and feels welcoming.

Cons

• The reviewer stated the facility was not friendly or welcoming and that staff spoke to them rudely and ignored them.
• The reviewer claimed the care was poor, items disappeared, and the administrator and DON were described as worthless.
• The reviewer reported insults and condescension from some senior staff, including inappropriate comments about looks and finances.
• The reviewer described cluttered hallways with residents' belongings and occasional urine smells.
• The reviewer alleged that nothing gets done, staff don't care, therapy isn't provided, and the administrator lies.
• The reviewer noted a resident died after a brief stay related to a COVID infection.
• The reviewer claimed nursing staff didn't administer prescribed medications and the patient's condition deteriorated, leading to a transfer.

Review

Care Choice of Boerne (often referenced as Hilltop Nursing Home Care Choice) is best suited for families seeking a small, hands-on nursing home where therapy and medical oversight are consistently strong and the staff approach residents with genuine warmth. The Boerne Hill Country setting and the quiet, homey atmosphere suit seniors who respond to a close-knit team and predictable routines. It works especially well for residents transitioning from hospital care who need solid rehab support and ongoing medical guidance without the sterile feel of a larger facility.

Those weighing alternatives should note that some families prioritize modernization, expansive amenities, or highly consistent staffing around the clock. A number of reviews flag understaffing and uneven attention, with anecdotes about delays in basic tasks or responses. There are also concerns about the aging physical plant and occasional odors, plus reports of missing personal items and, in a few cases, perceived lapses in care or communication. For relatives seeking a facility with up-to-the-minute facilities, advanced memory-care design, or uniformly seamless service, it's prudent to look at other Boerne options or nearby towns.

On the positive side, the care team at Care Choice earns strong, recurring praise for competence and compassion. Therapy services are described as excellent, and medical oversight is consistently cited as reliable. Families frequently note that aides are patient and kind, nurses check in regularly, and the overall atmosphere feels respectful and supportive. The environment is clean, well maintained, and calm, helping residents settle into daily life with a sense of dignity and routine that many families value highly.

However, the negative threads cannot be ignored. Several reviewers describe ongoing staffing strains that impact day-to-day care, with some encounters of staff being perceived as hurried or inattentive. There are pointed remarks about rude or dismissive interactions and about management not always meeting expectations. The building's age and the desire for renovations come up repeatedly, with calls for improved safety features and sensory-friendly updates. In a few cases, families report gaps in accountability or care quality, including missing items and concerns about how certain medical needs were addressed.

These pros and cons must be weighed as a practical decision. For families anchored by therapy outcomes, steady medical oversight, and a warm, small-community culture, the positives can outweigh the negatives - provided there is proactive family involvement, clear care plans, and ongoing communication with the care team. The tranquil setting and the genuine investment of staff translate into meaningful everyday benefits for many residents, especially those who thrive on routine and personal attention. Yet for seniors with high acuity needs, aggressive memory-care requirements, or a strong preference for consistently seamless service and modern infrastructure, the risk of staffing gaps and aging facilities argues strongly for exploration of other options.

Bottom line: Care Choice of Boerne offers a compelling, warm-option for many seniors, particularly those who prize a home-like feel, reliable rehab support, and attentive, compassionate staff. Prospective families should schedule thorough tours, ask direct questions about staffing ratios and shift coverage, and seek concrete, written care plans. Note recent upgrades or ongoing maintenance plans for the building, and verify how inventory control and personal-item handling are managed. If modern amenities, uniform 24/7 staffing, or specialized memory-care environments are non-negotiable, it is wise to compare several local facilities. In the right circumstances, this community delivers solid, people-first care that can significantly improve daily life.

This part of Boerne, Texas offers a variety of amenities and services that cater to the needs of senior living. With several restaurants within walking distance, such as Mary's Tacos and Cibolo Creek Brewing Co., residents can enjoy delicious meals without having to travel far. Additionally, there are multiple healthcare options nearby, including Cottonwood Springs Family Practice and Vision Source Boerne, ensuring easy access to medical services. Places of worship like St Peter's Catholic Church and Community Bible Church provide spiritual support for those seeking a sense of community. For recreational activities, parks like Friedrich Wilderness Park and Guadalupe River State Park offer opportunities for outdoor enjoyment. Overall, this area provides a convenient and supportive environment for seniors looking to settle down in Boerne.

Restaurants

• Mary's Tacos (0.1 miles)
• Cibolo Creek Brewing Co. (0.5 miles)
• The Creek Restaurant (0.5 miles)
• Skinny Cat (0.5 miles)
• The Dodging Duck Brewhaus & Restaurant (0.6 miles)
• Mague's Cafe (0.6 miles)
• N’s Thai Food (0.6 miles)

Physicians

• Cottonwood Springs Family Practice (0.2 miles)
• Vision Source Boerne (0.3 miles)
• Dental Wellness Center (0.4 miles)
• Sports & Family Medicine of Boerne (0.5 miles)
• My Urgent Care Clinic (0.8 miles)
• Atkins, James H, Md - Texas Sinus Center (1 miles)
• Ambulatory Strategies Physician Group (1 miles)

Places of Worship

• Community Bible Church (0.3 miles)
• Cross Community Fellowship (0.6 miles)
• St Peter's Catholic Church (0.7 miles)
• First Baptist Church (1 miles)
• Our Lady of Guadalupe Catholic Church (15.8 miles)

Pharmacies

• Annie's Apothecary (0.3 miles)
• Boerne Drug Company (0.4 miles)
• Majors, Adam Len (0.9 miles)
• Walgreens (1.1 miles)
• Walmart Pharmacy (1.3 miles)
• Annie's Apothecary (3.8 miles)
• CVS Pharmacy (6.6 miles)

Cafes

• Boerne Nutrition (0.6 miles)
• Longhorn Cafe (1.1 miles)
• Starbucks (1.3 miles)
• Panera Bread (14.9 miles)
• Starbucks (14.9 miles)
• Kaffeinated Crepes and Coffee (15.1 miles)
• Starbucks (15.4 miles)

Hospitals

• Celebrity Care Medical Clinic (1.4 miles)
• Methodist Hospital (1.7 miles)
• Hill Country Memorial (2 miles)

Theaters

• AMC CLASSIC Boerne 11 (3.1 miles)
• Santikos Palladium IMAX (15.2 miles)

Transportation

• Otten Brothers Taxidermy (5 miles)

Parks

• Kendall Co Parks & Rec (7.9 miles)
• Friedrich Wilderness Park (12.5 miles)
• Eisenhower Park (15.3 miles)
• Guadalupe River State Park (15.5 miles)