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HomeTexasTown and Country Nursing and Rehabilitation Center

Town and Country Nursing and Rehabilitation Center

625 N Main St, Boerne, TX 780068302493085WebsiteGoogle Maps
4.0on Google(48 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
1/5
Quality
4/5
Beds
126
certified
2 fine(s) totaling $150,922

How Town and Country Nursing and Rehabilitation Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.33 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.41 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
65.9%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Staff turnover is 65.9%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
35
deficiency citations
Inspected Mar 31, 2024
Most recent cycle
16
deficiency citations
Inspected May 22, 2025
The most recent cycle recorded 19 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Kendall County 65+
8,897
19.6% of county
County Population
45,376
Kendall County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Town and Country Nursing and Rehabilitation Center is a 1-star Medicare and Medicaid certified nursing home in Boerne, Texas with 126 certified beds. It has been operating since 1998. Its overall CMS rating is 1 out of 5.

Beds
126
Avg Residents/Day
83.6
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 3, 1998
Sprinklers
Yes
Council
Resident
County
Kendall
Last Inspection
May 22, 2025
Deficiencies (Cycle 1)
16
Weighted Score
149.3
Infection Citations
2

Deficiency Citations (57)

F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Apr 24, 2026Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Jan 8, 2026Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Dec 17, 2025Corrected: NoCycle: 1
F0609Potential for Harm

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

Survey: Dec 4, 2025Corrected: NoCycle: 1
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

Survey: May 22, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: May 22, 2025Corrected: NoCycle: 1
F0553Potential for Harm

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Survey: May 22, 2025Corrected: NoCycle: 1
F0604Potential for Harm

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Survey: May 22, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: May 22, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: May 22, 2025Corrected: NoCycle: 1
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: May 22, 2025Corrected: NoCycle: 1
F0685Potential for Harm

Assist a resident in gaining access to vision and hearing services.

Survey: May 22, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 22, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 22, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 22, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 2, 2025Corrected: NoCycle: 2
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: May 2, 2025Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: May 2, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 2, 2025Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0686Potential for Harm

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0945Potential for Harm

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0697Potential for Harm

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 25, 2025Corrected: NoCycle: 2
F0755Immediate Jeopardy

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0726Potential for Harm

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.

Survey: Jul 26, 2024Corrected: NoCycle: 2
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 31, 2024Corrected: NoCycle: 2

+ 27 more deficiencies

Total Fines
$150,922
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineMar 31, 2024
$75,090
FineJul 26, 2024
$75,832

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.87 hrs
National avg: 2.32 hrs
LPN1.04 hrs
National avg: 0.86 hrs
RN0.41 hrs
National avg: 0.69 hrs
Total Nursing3.33 hrs
National avg: 3.86 hrs
Weekend Total2.98 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
65.9%
RN Turnover
44.4%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - Hospital district
Recent Change
No

Owners & Managers (37)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2014
BAIRD, DANIELMANAGING CONTROL - GOVERNING BODYIndividualN/AApr 13, 2021
CARVAJAL, ANTONIOMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 16, 2024
CLAPP, BARBARAMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 1, 2021
CORTESE, DARENMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 10, 2021
GIBSON, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 1, 2021
GONZALES, VERONICAMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 16, 2024
KAUFMAN, NICOLEMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 10, 2021
MANDELBAUM, ELLIOTMANAGING CONTROL - GOVERNING BODYIndividualN/AJan 1, 2025
BAIN, WILLIAMCORPORATE OFFICERIndividualN/AMay 23, 2011
BELL, BILLIECORPORATE OFFICERIndividualN/AJun 3, 2023
FROSCH, KEVINCORPORATE OFFICERIndividualN/AFeb 1, 2010
HARDT, TIMOTHYCORPORATE OFFICERIndividualN/AJan 27, 2020
JOHNSON, TONYCORPORATE OFFICERIndividualN/ANov 26, 2012
MANGOLD, MARYCORPORATE OFFICERIndividualN/AAug 31, 2023
WINDROW, ZACHARYCORPORATE OFFICERIndividualN/ANov 26, 2012
WINKLER, JUDYCORPORATE OFFICERIndividualN/AMay 1, 2004
YOUNG, CARLTONCORPORATE OFFICERIndividualN/AMay 1, 2006
AGHA, YASMEENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
MARTINEZ, THELMAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 10, 2023
625 N MAIN STREET LLCADP OF THE SNFOrganizationN/AOct 1, 2018
CSV RHEA MANAGEMENT HOLDCO, LLCADP OF THE SNFOrganizationN/AOct 1, 2018
DWD TX HOLDINGS LLCADP OF THE SNFOrganizationN/AOct 1, 2018
JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INCADP OF THE SNFOrganizationN/AOct 1, 2018
REG BRIDGE OPCO LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REG HG OPCO LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REG OPERATOR HOLDCO LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY IHS CLINICAL CONSULTING, LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY IHS OF BOERNE LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY IHS REHAB LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY INTEGRATED HEALTH SERVICES LLCADP OF THE SNFOrganizationN/AOct 1, 2018
REGENCY TEXAS HOLDINGS LLCADP OF THE SNFOrganizationN/AOct 1, 2018
AGHA, YASMEENADP OF THE SNFIndividualN/AJan 1, 2025
BEAUMONT, JAIMEADP OF THE SNFIndividualN/AJan 1, 2025
DEKOWSKI, DONOVANADP OF THE SNFIndividualN/AOct 1, 2018
MARTINEZ, DELIAADP OF THE SNFIndividualN/AJan 1, 2025
MARTINEZ, THELMAADP OF THE SNFIndividualN/AApr 10, 2023

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Town and Country Nursing and Rehabilitation Center and nearby alternatives.

All Texas facilities
Town and Country Nursing and Rehabilitation Center
Boerne, TXCurrent facility
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $150,922
Care Choice of Boerne
Boerne, TX1,056 ft
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $33,937
Riverview Nursing & Rehabilitation
Boerne, TX1.3 mi
CMS
1/5
Health
1/5
Staffing
3/5
Recorded fines: $156,748
Cibolo Creek
Boerne, TX1.3 mi
CMS
2/5
Health
2/5
Staffing
2/5
Recorded fines: $13,627
Kendall House Wellness & Rehabilitation
Boerne, TX1.7 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: $88,390
Avir at Comfort
Comfort, TX15.8 mi
CMS
5/5
Health
4/5
Staffing
4/5
Recorded fines: None
Estates at Shavano Park
Shavano Park, TX18.0 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Town and Country Nursing and Rehabilitation Center
Boerne, TX · Current facility
—1/52/51/5$150,922
Care Choice of Boerne
Boerne, TX
1,056 ft2/53/51/5$33,937
Riverview Nursing & Rehabilitation
Boerne, TX
1.3 mi1/51/53/5$156,748
Cibolo Creek
Boerne, TX
1.3 mi2/52/52/5$13,627
Kendall House Wellness & Rehabilitation
Boerne, TX
1.7 mi3/54/51/5$88,390
Avir at Comfort
Comfort, TX
15.8 mi5/54/54/5None recorded
Estates at Shavano Park
Shavano Park, TX
18.0 mi3/53/52/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Town and Country Nursing and Rehabilitation Center?▾
Town and Country Nursing and Rehabilitation Center has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Town and Country Nursing and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Town and Country Nursing and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Town and Country Nursing and Rehabilitation Center had any health inspection violations?▾
Town and Country Nursing and Rehabilitation Center had 16 deficiency citations in its most recent health inspection (May 22, 2025). The current CMS dataset records 2 fine(s) totaling $150,922. It also has 2 infection control citation(s).
What are the staffing levels at Town and Country Nursing and Rehabilitation Center?▾
Town and Country Nursing and Rehabilitation Center provides 3.33 total nursing staff hours per resident per day, including 0.41 RN hours, 1.04 LPN hours, and 1.87 nurse aide hours. The total staff turnover rate is 65.9%.
How many beds does Town and Country Nursing and Rehabilitation Center have?▾
Town and Country Nursing and Rehabilitation Center has 126 certified beds with an average of 83.6 residents per day, resulting in approximately 66% occupancy. The facility is Government - Hospital district owned and is part of the Wellsential Health chain.
Are there other nursing homes near Town and Country Nursing and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 4 in Boerne. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Town and Country Nursing and Rehabilitation Center?▾
On Google Maps, Town and Country Nursing and Rehabilitation Center has a rating of 4.0 out of 5 based on 48 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.

Part of Wellsential Health

This chain operates 68 facilities. View all →