A boron-doped BiOBr photocatalytic nanosheet was synthesized using a one-step hydrothermal method. The effects of solvent, temperature, and boron doping content on the morphology and photocatalytic performance were investigated. The boron-doped samples synthesized with acetic acid at 180 °C (1B-AB) showed optimal photocatalytic performance, achieving 80% efficiency in degrading sulfanilamide (SN) within 6 h. After five cycles, the degradation rate decreased by 21%. The 10% boron doping reduced BiOBr’s bandgap (from 2.90 to 2.88 eV), improving visible light utilization and reducing electron–hole pair recombination. The 1B-AB photocatalyst also demonstrated excellent activity against anionic dyes like methyl orange (MO) and malachite green (MG). Hydroxyl radicals (·OH) and superoxide anions (·O2−) were identified as the main active species in the SN degradation process.