Town and Country Nursing and Rehabilitation Center
Medicare-certified625 N Main St, Boerne, TX 78006
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CARE CHOICE OF BOERNE is a for profit - corporation nursing home in BOERNE, TX with 74 certified beds.
Capacity
74 residents
Location
Boerne, TX
Status
Listed in a public registry
200 E RYAN ST, Boerne, Texas 78006
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 14, 2026, state inspectors cited 13 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 2 hours 42 minutes with each resident a day, below the Texas average of 3 hours 23 minutes.
Medicare fined Care Choice of Boerne 2 times in the last three years, $33,937 in total.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 2 hours 42 minutesBelow the Texas average |
| Registered nurse time per resident, per day | 13 minutesBelow the Texas average |
| Nursing staff who left in the past year | 41%Below the Texas average |
21 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
May 28, 2026 · Complaint investigation · 3 citations
Ensure medication error rates are not 5 percent or greater.
Keep residents' personal and medical records private and confidential.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
February 14, 2026 · Standard inspection · 7 citations
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Respond appropriately to all alleged violations.
Assess the resident when there is a significant change in condition
Provide and implement an infection prevention and control program.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure each resident receives an accurate assessment.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Ensure that residents are free from significant medication errors.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure medication error rates are not 5 percent or greater.
Provide and implement an infection prevention and control program.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2 fines totaling $33,937 in the last three years.
200 E RYAN STBoerne, TX 78006
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State inspectors visited on February 14, 2026 and cited 13 health deficiencies, 6 of them from complaint investigations. The Texas average is 9.4.
Nurses and aides spend 2 hours 42 minutes with each resident per day, including 13 minutes from registered nurses. 41% of nursing staff left over the past year.
Yes. Medicare fined Care Choice of Boerne 2 times in the last three years, totaling $33,937.
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.