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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasTown and Country Nursing and Rehabilitation Center

Town and Country Nursing and Rehabilitation Center

625 N Main St, Boerne, TX 780068302493085
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
2/5
Quality
4/5
Beds
126
certified
2 fine(s) totaling $150,922

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 126 certified beds with an average of 91.1 residents per day (72% occupancy)

• Last health inspection found 24 deficiencies (inspected May 22, 2025)

• Has been fined a total of $150,922 across 2 fine(s)

• Total nursing staff: 3.20 hours per resident per day

• Staff turnover rate: 66.3% (high)

• Part of the Wellsential Health chain (67 facilities)

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. The facility scored below average compared to Texas facilities.

Beds
126
Avg Residents/Day
91.1
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)
24
Weighted Score
176.3
Infection Citations
2

Deficiency Citations (54)

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
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: May 2, 2025Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: May 2, 2025Corrected: 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: May 2, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: May 2, 2025Corrected: NoCycle: 1
F0684Potential for Harm

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

Survey: Feb 25, 2025Corrected: NoCycle: 1
F0686Potential for Harm

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

Survey: Feb 25, 2025Corrected: NoCycle: 1
F0697Potential for Harm

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

Survey: Feb 25, 2025Corrected: NoCycle: 1
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: 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: Feb 25, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Feb 25, 2025Corrected: NoCycle: 1
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: 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
F0759Potential for Harm

Ensure medication error rates are not 5 percent or greater.

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
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
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
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 3, 2024Corrected: NoCycle: 2
F0578Potential for Harm

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.

Survey: Feb 22, 2024Corrected: NoCycle: 2
F0624Potential for Harm

Prepare residents for a safe transfer or discharge from the nursing home.

Survey: Feb 22, 2024Corrected: NoCycle: 2
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: Feb 22, 2024Corrected: NoCycle: 2

+ 24 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 Aide1.90 hrs
National avg: 2.35 hrs
LPN0.81 hrs
National avg: 0.86 hrs
RN0.49 hrs
National avg: 0.68 hrs
Total Nursing3.20 hrs
National avg: 3.89 hrs
Weekend Total2.93 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
66.3%
RN Turnover
50.0%
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 (12)

NameRoleTypeOwnership %Since
MEDINA COUNTY HOSPITAL DISTRICT5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jun 1, 2014
AGHA, YASMEENOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 1, 2025
MARTINEZ, THELMAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 10, 2023
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

Nearby Nursing Homes

All Texas facilities

Care Choice of Boerne

Boerne, TX · 74 beds

For profit$33,937 in fines
Health
Staffing
Quality
1051 ft

Riverview Nursing & Rehabilitation

Boerne, TX · 96 beds

For profit$175,728 in fines
Health
Staffing
Quality
1.3 mi

Cibolo Creek

Boerne, TX · 120 beds

Government$13,627 in fines
Health
Staffing
Quality
1.3 mi

Kendall House Wellness & Rehabilitation

Boerne, TX · 40 beds

Non profit$88,390 in fines
Health
Staffing
Quality
1.7 mi

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 1/5, staffing rating of 2/5, and quality measures rating of 4/5. This facility is rated below average.
Has Town and Country Nursing and Rehabilitation Center had any health inspection violations?▾
Town and Country Nursing and Rehabilitation Center had 24 deficiency citations in its most recent health inspection (May 22, 2025). The facility has been fined a total of $150,922 across 2 fine(s). 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 3.20 total nursing staff hours per resident per day, including 0.49 RN hours, 0.81 LPN hours, and 1.90 nurse aide hours. The total staff turnover rate is 66.3%.
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 91.1 residents per day, resulting in approximately 72% 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, there are 4 other nursing homes in Boerne, Texas with an average rating of 2.6/5. You can compare all facilities on the Boerne nursing homes page.

Part of Wellsential Health

This chain operates 67 facilities. View all →