Nursing HomeInspections

Town and Country Nursing and Rehabilitation Center

Nursing home in Boerne, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (830) 249-3085Send a messageMap ↗

Public-record details

Address
625 N Main St, Boerne, TX 78006
Phone
(830) 249-3085
Listed under
Government-owned
Medicare CCN
455796
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
126
Average residents per day
84
Ownership
Government, hospital district
Legal business name
Medina County Hospital District
Chain
Wellsential Health (67 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 3, 1998
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455796. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 22, 2025. CMS lists 57 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 10, 2023 to Apr 24, 2026): 40 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Apr 24, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Apr 24, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 8, 2026Post nurse staffing information every day.
Nursing and Physician Services · complaint inspection		C
Potential for minimal harm, widespread
Dec 17, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
Dec 4, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 22, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
May 22, 2025Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Resident Rights		D
Potential for more than minimal harm, isolated
May 22, 2025Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
May 22, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 22, 2025Develop 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		D
Potential for more than minimal harm, isolated
May 22, 2025Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 22, 2025Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 57. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $150,922 in the last three years.

Jul 26, 2024Fine: $75,832
Mar 31, 2024Fine: $75,090

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.33 hours
Registered nurse (RN) time per resident per day
0.41 hours
Nurse aide time per resident per day
1.87 hours
Total nurse staffing on weekends
2.98 hours
Nursing staff turnover (yearly)
66%
RN turnover (yearly)
44%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Boerne

Kendall House Wellness & Rehabilitation1050 Grand Blvd. · Boerne, TX 78006 · (830) 816-4100 · Nonprofit22 health citations in 3 inspection cycles · last standard inspection Jan 23, 2026 · $88,390 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)Carechoice of Boerne200 E Ryan St · Boerne, TX 78006 · (830) 249-2594 · For-profit30 health citations in 3 inspection cycles · last standard inspection Feb 14, 2026 · $33,937 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Cibolo Creek1440 River Rd · Boerne, TX 78006 · (830) 816-5095 · Government-owned26 health citations in 3 inspection cycles · last standard inspection Sep 5, 2025 · $13,627 in CMS fines (3 yrs)Medicare & Medicaid certified2★ overall (CMS)Avir at Boerne1102 River Road · Boerne, TX 78006 · (830) 249-2799 · For-profit38 health citations in 3 inspection cycles · last standard inspection May 8, 2026 · $133,341 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 5 in Boerne →