Government - Hospital district · 126 certified beds · CMS number 455796
Town and Country Nursing and Rehabilitation Center, Boerne, TX
CMS records 51 health deficiencies at Town and Country Nursing and Rehabilitation Center in Boerne, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 31, 2026. The highest severity cited is K (immediate jeopardy to resident health or safety). 3 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $150,922 in the last three years.
- 51deficiencies, 3 cycles (TX median 25)
- 11in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $150,922fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Town and Country Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Town and Country Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (11 deficiencies)
Standard inspection Jul 31, 2026. CMS counts 11 health deficiencies and 8 fire safety deficiencies in this cycle.
Jul 31, 2026 · Standard inspection
4 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2026
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 1, 2026
Jul 10, 2026 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 11, 2026
Jul 6, 2026 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 7, 2026
Apr 24, 2026 · Complaint inspection
2 deficiencies, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 25, 2026
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 25, 2026
Jan 8, 2026 · Complaint inspection
1 deficiency, highest C
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jan 9, 2026
Dec 17, 2025 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 18, 2025
Dec 4, 2025 · Complaint inspection
1 deficiency, highest D
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Previous cycle: 22 deficiencies (standard inspection May 22, 2025)
Standard inspection May 22, 2025. CMS counts 22 health deficiencies and 13 fire safety deficiencies in this cycle.
May 22, 2025 · Standard inspection
11 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 17, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F685 · Vision and hearing services
Requirement cited (CMS): Assist a resident in gaining access to vision and hearing services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F604 · Limits on physical restraints
Requirement cited (CMS): Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F553 · Taking part in care planning
Requirement cited (CMS): Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
F552 · Being informed about health and treatment
Requirement cited (CMS): Ensure that residents are fully informed and understand their health status, care and treatments.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 17, 2025
May 2, 2025 · Complaint inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2025
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Sep 27, 2024
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 3, 2025
Feb 25, 2025 · Complaint inspection
7 deficiencies, highest E
F945 · Infection control training
Requirement cited (CMS): Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 26, 2025
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 26, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 26, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 26, 2025
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 26, 2025
F686 · Pressure ulcer prevention and care
Requirement cited (CMS): Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 26, 2025
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 26, 2025
Earlier cycle: 18 deficiencies (standard inspection Mar 31, 2024)
Standard inspection Mar 31, 2024. CMS counts 18 health deficiencies and 4 fire safety deficiencies in this cycle.
Jul 26, 2024 · Complaint inspection
2 deficiencies, highest J
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jul 27, 2024
F726 · Competent nurses and nurse aides
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 27, 2024
May 3, 2024 · Complaint inspection
1 deficiency, highest D
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 4, 2024
Mar 31, 2024 · Standard + complaint inspection
8 deficiencies, highest K
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Apr 3, 2024
F791 · Dental services in Medicaid nursing facilities
Requirement cited (CMS): Provide or obtain dental services for each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 3, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Apr 3, 2024
F679 · Activities program
Requirement cited (CMS): Provide activities to meet all resident's needs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2024
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 3, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 3, 2024
Feb 22, 2024 · Complaint inspection
4 deficiencies, highest E
F839 · Licensed and qualified staff
Requirement cited (CMS): Employ staff that are licensed, certified, or registered in accordance with state laws.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 14, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2024
F624 · Preparing residents for a move
Requirement cited (CMS): Prepare residents for a safe transfer or discharge from the nursing home.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Mar 14, 2024
F578 · Refusing treatment and advance directives
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 14, 2024
Oct 5, 2023 · Complaint inspection
3 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 20, 2023
F759 · Medication error rate under 5 percent
Requirement cited (CMS): Ensure medication error rates are not 5 percent or greater.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Oct 20, 2023
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Oct 20, 2023
Tags cited in more than one inspection
11 tags cited on more than one inspection date at Town and Country Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F842 Complete, confidential medical records | 5 | Jul 6, 2026; Apr 24, 2026; May 2, 2025; Feb 25, 2025; Oct 5, 2023 |
| F609 Reporting suspected abuse and crimes | 4 | Jul 10, 2026; Dec 17, 2025; Dec 4, 2025; Mar 31, 2024 |
| F656 Comprehensive person-centered care plan | 4 | Jul 31, 2026; May 22, 2025; May 3, 2024; Feb 22, 2024 |
| F880 Infection prevention and control program | 4 | Jul 31, 2026; May 22, 2025; May 2, 2025; Feb 25, 2025 |
| F755 Pharmacy services and a consultant pharmacist | 3 | Jul 31, 2026; Apr 24, 2026; Jul 26, 2024 |
| F641 Accurate resident assessments | 2 | Jul 31, 2026; May 22, 2025 |
| F684 Quality of care | 2 | May 22, 2025; Feb 25, 2025 |
| F689 Accident prevention and supervision | 2 | May 22, 2025; Mar 31, 2024 |
| F759 Medication error rate under 5 percent | 2 | May 22, 2025; Oct 5, 2023 |
| F761 Drug labeling and secure storage | 2 | Feb 25, 2025; Mar 31, 2024 |
| F812 Food safety and sanitation | 2 | May 22, 2025; Mar 31, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 26, 2024 | Fine | $75,832 |
| Mar 31, 2024 | Fine | $75,090 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.33 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.41 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.98 h
- Nursing staff turnover
- 65.9% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 1 of 5
- Health inspection rating
- 2 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 4 of 5
CMS figures for Town and Country Nursing and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 625 N Main St, Boerne, TX 78006
- Phone
- (830) 249-3085
- County
- Kendall
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Wellsential Health
- Certified beds
- 126
- Average residents per day
- 83.6
- In Medicare/Medicaid since
- Mar 3, 1998
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 5 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 4 times)
- How are a resident's goals and preferences written into the care plan? (F656, cited 4 times)
- How do staff track and report infections among residents? (F880, cited 4 times)
Other nursing homes in Boerne and the same chain
- Avir at Boerne
Boerne · 38 deficiencies - Carechoice of Boerne
Boerne · 30 deficiencies - Cibolo Creek
Boerne · 26 deficiencies - Kendall House Wellness & Rehabilitation
Boerne · 20 deficiencies - Longview Hill Nursing and Rehabilitation Center
Longview · 60 deficiencies - Guadalupe Valley Nursing and Rehabilitation Center
Seguin · 52 deficiencies - Heritage Park Rehabilitation and Skilled Nursing C
Austin · 49 deficiencies - Briarcliff Nursing and Rehabilitation Center
McAllen · 48 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.