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Medicare-certifiedSkilled Nursing

Town and Country Nursing and Rehabilitation Center

(830) 249-3085

About Town and Country Nursing and Rehabilitation Center

Town and Country Nursing and Rehabilitation Center brings compassionate skilled nursing and rehabilitation care to Boerne, Texas. Our team focuses on helping residents regain strength and independence through personalized recovery programs and attentive medical support.

Community at a glance

Capacity

126 residents

Location

Boerne, TX

Status

Listed in a public registry

Care & services offered

Skilled Nursing

Contact & location

625 N Main St, Boerne, Texas 78006

(830) 249-3085

Medicare inspection record

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 July 31, 2026, state inspectors cited 11 health deficiencies (the Texas average is 9.4).

Nurses and nurse aides spend 3 hours 20 minutes with each resident a day, about the same as the Texas average.

Medicare fined Town and Country Nursing and Rehabilitation Center 2 times in the last three years, $150,922 in total.

Staffing

MeasureThis home
Nurse and aide time per resident, per day3 hours 20 minutes
Registered nurse time per resident, per day25 minutes
Nursing staff who left in the past year66%Above the Texas average

Inspections

48 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.

July 31, 2026 · Standard inspection · 4 citations

  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Aug 1, 2026
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 1, 2026
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Aug 1, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Aug 1, 2026

July 10, 2026 · Complaint investigation · 1 citation

  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jul 11, 2026
July 6, 2026 · Complaint investigation · 1 citation+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jul 7, 2026
April 24, 2026 · Complaint investigation · 2 citations+
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 25, 2026
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Apr 25, 2026
January 8, 2026 · Complaint investigation · 1 citation+
  • Post nurse staffing information every day.

    Minimal harm or risk, widespread (level C)Nursing and Physician ServicesFrom a complaintCorrected Jan 9, 2026
December 17, 2025 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 18, 2025
December 4, 2025 · Complaint investigation · 1 citation+
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Dec 5, 2025
May 22, 2025 · Standard inspection · 11 citations+
  • Ensure medication error rates are not 5 percent or greater.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jun 17, 2025
  • Ensure that residents are fully informed and understand their health status, care and treatments.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 17, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 17, 2025
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 17, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jun 17, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Jun 17, 2025
  • Assist a resident in gaining access to vision and hearing services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 17, 2025
  • Ensure each resident receives an accurate assessment.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 17, 2025
  • Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 17, 2025
  • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Jun 17, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 17, 2025
May 2, 2025 · Complaint investigation · 4 citations+
  • Ensure that residents are free from significant medication errors.

    Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintAlready fixed by Sep 27, 2024
  • Keep residents' personal and medical records private and confidential.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected May 3, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected May 3, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 3, 2025
February 25, 2025 · Complaint investigation · 7 citations+
  • Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 26, 2025
  • Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 26, 2025
  • Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Risk of harm, no one hurt, a pattern (level E)Infection ControlFrom a complaintCorrected Feb 26, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected Feb 26, 2025
  • Provide and implement an infection prevention and control program.

    Risk of harm, no one hurt, a few residents (level D)Infection ControlFrom a complaintCorrected Feb 26, 2025
  • Provide safe, appropriate pain management for a resident who requires such services.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Feb 26, 2025
  • 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.

    Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected Feb 26, 2025
July 26, 2024 · Complaint investigation · 2 citations+
  • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Jul 27, 2024
  • Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Risk of harm, no one hurt, a few residents (level D)Nursing and Physician ServicesFrom a complaintCorrected Jul 27, 2024
May 3, 2024 · Complaint investigation · 1 citation+
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected May 4, 2024
March 31, 2024 · Standard inspection · 8 citations+
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Immediate danger to residents, a pattern (level K)Quality of Life and CareFrom a complaintCorrected Apr 3, 2024
  • 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.

    Immediate danger to residents, a few residents (level J)Pharmacy ServiceFrom a complaintCorrected Apr 3, 2024
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Apr 3, 2024
  • Provide care and assistance to perform activities of daily living for any resident who is unable.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 3, 2024
  • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Risk of harm, no one hurt, a pattern (level E)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Apr 3, 2024
  • Provide activities to meet all resident's needs.

    Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Apr 3, 2024
  • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Apr 3, 2024
  • Provide or obtain dental services for each resident.

    Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Apr 3, 2024
February 22, 2024 · Complaint investigation · 4 citations+
  • Prepare residents for a safe transfer or discharge from the nursing home.

    Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected Mar 14, 2024
  • Employ staff that are licensed, certified, or registered in accordance with state laws.

    Risk of harm, no one hurt, a pattern (level E)AdministrationFrom a complaintCorrected Mar 14, 2024
  • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 14, 2024
  • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Mar 14, 2024

Fines and payment denials

2 fines totaling $150,922 in the last three years.

  • July 26, 2024Fine: $75,832
  • March 31, 2024Fine: $75,090

About the home, per Medicare

Ownership
Government - Hospital district
Legal business name
Medina County Hospital District
Medicare-certified beds
126
Average residents per day
84
Accepts
Medicare and Medicaid
First certified
March 3, 1998
Part of a chain
Wellsential Health, 67 homes
Inside a hospital
No
Continuing care retirement community
No
Resident or family council
Resident
Sprinklers in all required areas
Yes
CMS Certification Number
455796

Location

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625 N Main StBoerne, TX 78006

12 other communities within 10 miles

Senior living near Boerne

Questions about Town and Country Nursing and Rehabilitation Center

How did Town and Country Nursing and Rehabilitation Center do on its last inspection?+

State inspectors visited on July 31, 2026 and cited 11 health deficiencies, 7 of them from complaint investigations. The Texas average is 9.4.

How much nursing care does each resident get at Town and Country Nursing and Rehabilitation Center?+

Nurses and aides spend 3 hours 20 minutes with each resident per day, including 25 minutes from registered nurses. 66% of nursing staff left over the past year.

Has Town and Country Nursing and Rehabilitation Center been fined by Medicare?+

Yes. Medicare fined Town and Country Nursing and Rehabilitation Center 2 times in the last three years, totaling $150,922.

Does Medicare cover skilled nursing?+

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.

How much does a nursing home cost?+

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.

What is the CMS star rating?+

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.

Senior living in Boerne Skilled Nursing in Texas Skilled Nursing guide Information last updated October 2026