Town and Country Nursing and Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 625 N Main St, Boerne, TX 78006
- CCN
- 455796
- Ownership type
- Government, hospital district
- Certified beds
- 126
- Chain
- Wellsential Health
- Residents per day
- 84
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Town and Country Nursing and Rehabilitation Center an overall rating of 1 of 5 stars. The last standard survey was on 22 May 2025. The latest survey cycle has 16 health citations. The median for nursing homes in Texas is 8. CMS lists 2 fines with a total of $150,922 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Kendall County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 4 | 4.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 22 May 2025 | 16 | 8 |
| Cycle 2 | 31 Mar 2024 | 19 | 8 |
| Cycle 3 | No date | 22 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | L0 | ||
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Apr 2026 |
| 24 Apr 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 25 Apr 2026 |
| 8 Jan 2026 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 9 Jan 2026 |
| 17 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 18 Dec 2025 |
| 4 Dec 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 5 Dec 2025 |
| 22 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0685 | Assist a resident in gaining access to vision and hearing services. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 17 Jun 2025 |
| 22 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 17 Jun 2025 |
Survey cycle 2: 19 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 2 May 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 3 May 2025 |
| 2 May 2025 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 27 Sep 2024 |
| 2 May 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 May 2025 |
| 2 May 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 3 May 2025 |
| 25 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 26 Feb 2025 |
| 25 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | Complaint investigation | 26 Feb 2025 |
| 25 Feb 2025 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 26 Feb 2025 |
| 25 Feb 2025 | F0761 | 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. | D | Complaint investigation | 26 Feb 2025 |
| 25 Feb 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 26 Feb 2025 |
| 25 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 26 Feb 2025 |
| 25 Feb 2025 | F0945 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | Complaint investigation | 26 Feb 2025 |
| 31 Mar 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0679 | Provide activities to meet all resident's needs. | E | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0761 | 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. | J | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0791 | Provide or obtain dental services for each resident. | D | Complaint investigation | 3 Apr 2024 |
| 31 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 3 Apr 2024 |
Survey cycle 3: 22 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 26 Jul 2024 | F0726 | 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. | D | Complaint investigation | 27 Jul 2024 |
| 26 Jul 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | Complaint investigation | 27 Jul 2024 |
| 3 May 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 4 May 2024 |
| 22 Feb 2024 | F0578 | 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. | D | Complaint investigation | 14 Mar 2024 |
| 22 Feb 2024 | F0624 | Prepare residents for a safe transfer or discharge from the nursing home. | E | Complaint investigation | 14 Mar 2024 |
| 22 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 14 Mar 2024 |
| 22 Feb 2024 | F0839 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | Complaint investigation | 14 Mar 2024 |
| 5 Oct 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 20 Oct 2023 |
| 5 Oct 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 20 Oct 2023 |
| 5 Oct 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 20 Oct 2023 |
| 16 Aug 2023 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 23 Aug 2023 |
| 16 Aug 2023 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 23 Aug 2023 |
| 1 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 25 Aug 2023 |
| 1 Aug 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint investigation | 25 Aug 2023 |
| 1 Aug 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 25 Aug 2023 |
| 1 Aug 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 25 Aug 2023 |
| 10 Feb 2023 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 11 Feb 2023 |
| 10 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 11 Feb 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 26 Jul 2024 | Fine | $75,832 | |
| 31 Mar 2024 | Fine | $75,090 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 3.33 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.41 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 1.04 | 0.95 | |
| Nurse aides | 1.87 | 2.00 | |
| All nurse staff, weekends | 2.98 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 65.9%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 44.4%
- Administrators who left in a year
- 0
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 11.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 8.4% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- Government, hospital district
- Legal business name
- Medina County Hospital District
- Chain
- Wellsential Health (67 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Medina County Hospital District | 5% or greater direct ownership interest | 100% | 1 Jun 2014 |
| 625 N Main Street LLC | Adp of the snf | 1 Oct 2018 | |
| CSV Rhea Management Holdco, LLC | Adp of the snf | 1 Oct 2018 | |
| DWD TX Holdings LLC | Adp of the snf | 1 Oct 2018 | |
| Jack and Nancy Dwyer Workforce Development Center Inc | Adp of the snf | 1 Oct 2018 | |
| Reg Bridge Opco LLC | Adp of the snf | 1 Oct 2018 | |
| Reg HG Opco LLC | Adp of the snf | 1 Oct 2018 | |
| Reg Operator Holdco LLC | Adp of the snf | 1 Oct 2018 | |
| Regency IHS Clinical Consulting, LLC | Adp of the snf | 1 Oct 2018 | |
| Regency IHS of Boerne LLC | Adp of the snf | 1 Oct 2018 | |
| Regency IHS Rehab LLC | Adp of the snf | 1 Oct 2018 | |
| Regency Integrated Health Services LLC | Adp of the snf | 1 Oct 2018 | |
| Regency Texas Holdings LLC | Adp of the snf | 1 Oct 2018 |
The site shows organisations only. It does not show the names of persons.
Other homes in Kendall County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Carechoice of Boerne | Boerne | 2 of 5 | 13 | $33,937 | 14 Feb 2026 | |
| Avir at Boerne | Boerne | 1 of 5 | 8 | $133,341 | 8 May 2026 | |
| Cibolo Creek | Boerne | 2 of 5 | 6 | $13,627 | 5 Sep 2025 | |
| Kendall House Wellness & Rehabilitation | Boerne | 3 of 5 | 5 | $88,390 | 23 Jan 2026 | |
| Avir at Comfort | Comfort | 5 of 5 | 4 | $0 | 22 Aug 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Town and Country Nursing and Rehabilitation Center (CCN 455796). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/town-and-country-nursing-and-rehabilitation-center-boerne-tx-455796/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Town and Country Nursing and Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 24 Apr 2026. It was a complaint investigation. It gave 2 citations. The standard survey before the last one was on 31 Mar 2024.
- Who operates Town and Country Nursing and Rehabilitation Center?
- The CMS record gives the ownership type as government, hospital district. CMS lists the home in the chain Wellsential Health. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Town and Country Nursing and Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.