Care Choice of Boerne
Medicare-certified200 E RYAN ST, Boerne, TX 78006
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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.
Capacity
126 residents
Location
Boerne, TX
Status
Listed in a public registry
625 N Main 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 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.
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 20 minutes |
| Registered nurse time per resident, per day | 25 minutes |
| Nursing staff who left in the past year | 66%Above the Texas average |
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.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
July 10, 2026 · Complaint investigation · 1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Post nurse staffing information every day.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure medication error rates are not 5 percent or greater.
Ensure that residents are fully informed and understand their health status, care and treatments.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide and implement an infection prevention and control program.
Assist a resident in gaining access to vision and hearing services.
Ensure each resident receives an accurate assessment.
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure that residents are free from significant medication errors.
Keep residents' personal and medical records private and confidential.
Provide and implement an infection prevention and control program.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Provide safe, appropriate pain management for a resident who requires such services.
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.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide activities to meet all resident's needs.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide or obtain dental services for each resident.
Prepare residents for a safe transfer or discharge from the nursing home.
Employ staff that are licensed, certified, or registered in accordance with state laws.
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.
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 $150,922 in the last three years.
625 N Main StBoerne, TX 78006
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State inspectors visited on July 31, 2026 and cited 11 health deficiencies, 7 of them from complaint investigations. The Texas average is 9.4.
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.
Yes. Medicare fined Town and Country Nursing and Rehabilitation Center 2 times in the last three years, totaling $150,922.
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.