Town And Country Nursing And Rehabilitation Center
625 N Main St, Boerne, TX 78006 · Kendall County
Government · 126 certified beds · 66% occupancy · (830) 249-3085
Town And Country Nursing And Rehabilitation Center reviews: what the government record shows
The U.S. government (CMS) rates Town And Country Nursing And Rehabilitation Center 1 out of 5 stars overall, much below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.33 hrs/resident/day (+2% vs TX median)
- Antipsychotic drug use
- 8.4% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 3.3% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $150,922
- Inspection findings
- 57 cited, 3 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.33 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $150,922 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Town And Country Nursing And Rehabilitation Center
Is Town And Country Nursing And Rehabilitation Center a good nursing home?
Town And Country Nursing And Rehabilitation Center in Boerne, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Town And Country Nursing And Rehabilitation Center staffed?
Town And Country Nursing And Rehabilitation Center reports 3.33 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Town And Country Nursing And Rehabilitation Center been fined or flagged for abuse?
Town And Country Nursing And Rehabilitation Center has paid approximately $150,922 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.33 nurse hours per resident per day. 2% above the Texas median of 3.27.
Nursing staff turnover: 65.9% · RN turnover: 44.4%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0759 · May 22, 2025Corrected Jun 17, 2025
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0755 · Apr 24, 2026ComplaintCorrected Apr 25, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0842 · Apr 24, 2026ComplaintCorrected Apr 25, 2026
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0609 · Dec 17, 2025ComplaintCorrected Dec 18, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0609 · Dec 4, 2025ComplaintCorrected Dec 5, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0552 · May 22, 2025Corrected Jun 17, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0553 · May 22, 2025Corrected Jun 17, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights Deficiencies
- Potential for harmTag F0604 · May 22, 2025Corrected Jun 17, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0641 · May 22, 2025Corrected Jun 17, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · May 22, 2025Corrected 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.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 57 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is government (government - hospital district). It is part of the Wellsential Health chain, which operates 67 facilities, with a chain-average CMS rating of 2.7 stars.