Town and Country Nursing and Rehabilitation Center
Nursing Home · Boerne, TX
CMS certification number455796
Contact & location
625 N Main StBoerne, TX 78006
Kendall County
- Phone
- (830) 249-3085
- ZIP code
- 78006 – all care providers
Facility details
- Certified beds
- 126
- Residents per day
- 83.6 (66% occupied)
- Ownership
- Government - Hospital district
- Legal name
- Medina County Hospital District
- Chain
- Wellsential Health (67 facilities, avg 2.7★)
- Medicare certified since
- March 3, 1998
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.33 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.41 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.04 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.87 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.98 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 65.9 (state 55.3 · U.S. 45.8)%
- RN turnover
- 44.4 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 22, 2025
- Health deficiencies (last cycle)
- 16.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Infection control citations
- 2
- Citations on record (3 years)
- 57 health · 21 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-25 |
| 2026-04-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-04-25 |
| 2026-01-08 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2026-01-09 |
| 2025-12-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-18 |
| 2025-12-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-05 |
| 2025-05-22 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. F0553 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Assist a resident in gaining access to vision and hearing services. F0685 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-22 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-17 |
| 2025-05-02 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-09-27 |
| 2025-05-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-03 |
| 2025-05-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-03 |
| 2025-05-02 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-03 |
| 2025-02-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-25 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. F0945 · Infection Control Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-25 | Provide safe, appropriate pain management for a resident who requires such services. F0697 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-25 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2025-02-25 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-26 |
| 2024-07-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-07-27 |
| 2024-07-26 | 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. F0726 · Nursing and Physician Services Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-07-27 |
| 2024-05-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-05-04 |
| 2024-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-04-03 |
| 2024-03-31 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2024-04-03 |
| 2024-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-03 |
| 2024-03-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-03 |
| 2024-03-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-03 |
| 2024-03-31 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-04-03 |
| 2024-03-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-03 |
| 2024-03-31 | Provide or obtain dental services for each resident. F0791 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-03 |
| 2024-02-22 | Prepare residents for a safe transfer or discharge from the nursing home. F0624 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-14 |
| 2024-02-22 | Employ staff that are licensed, certified, or registered in accordance with state laws. F0839 · Administration Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-14 |
| 2024-02-22 | 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. F0578 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-14 |
| 2024-02-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2024-03-14 |
| 2023-10-05 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
| 2023-10-05 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
| 2023-10-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-10-20 |
| 2023-08-16 | Make sure that a working call system is available in each resident's bathroom and bathing area. F0919 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-23 |
| 2023-08-16 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies · complaint inspection |
C No actual harm, potential for minimal harm |
Corrected 2023-08-23 |
| 2023-08-01 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-25 |
| 2023-08-01 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-25 |
| 2023-08-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2023-08-25 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $150,922 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-26 | Fine | $75,832 |
| 2024-03-31 | Fine | $75,090 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Medina County Hospital District (organization) | 5%+ Direct Ownership Interest · 100% | |
| 625 N Main Street LLC (organization) | Administrator · NOT APPLICABLE | |
| Agha, Yasmeen (individual) | Administrator · NOT APPLICABLE | |
| Beaumont, Jaime (individual) | Administrator · NOT APPLICABLE | |
| CSV Rhea Management Holdco, LLC (organization) | Administrator · NOT APPLICABLE | |
| Dekowski, Donovan (individual) | Administrator · NOT APPLICABLE | |
| DWD TX Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Jack and Nancy Dwyer Workforce Development Center INC (organization) | Administrator · NOT APPLICABLE | |
| Martinez, Delia (individual) | Administrator · NOT APPLICABLE | |
| Martinez, Thelma (individual) | Administrator · NOT APPLICABLE | |
| Reg Bridge Opco LLC (organization) | Administrator · NOT APPLICABLE | |
| Reg HG Opco LLC (organization) | Administrator · NOT APPLICABLE | |
| Reg Operator Holdco LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs Clinical Consulting, LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs of Boerne LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Ihs Rehab LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Integrated Health Services LLC (organization) | Administrator · NOT APPLICABLE | |
| Regency Texas Holdings LLC (organization) | Administrator · NOT APPLICABLE | |
| Bain, William (individual) | Corporate Officer · NOT APPLICABLE | |
| Bell, Billie (individual) | Corporate Officer · NOT APPLICABLE | |
| Frosch, Kevin (individual) | Corporate Officer · NOT APPLICABLE | |
| Hardt, Timothy (individual) | Corporate Officer · NOT APPLICABLE | |
| Johnson, Tony (individual) | Corporate Officer · NOT APPLICABLE | |
| Mangold, Mary (individual) | Corporate Officer · NOT APPLICABLE | |
| Windrow, Zachary (individual) | Corporate Officer · NOT APPLICABLE | |
| Winkler, Judy (individual) | Corporate Officer · NOT APPLICABLE | |
| Young, Carlton (individual) | Corporate Officer · NOT APPLICABLE | |
| Baird, Daniel (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Carvajal, Antonio (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Clapp, Barbara (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Cortese, Daren (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gibson, Patricia (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Gonzales, Veronica (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kaufman, Nicole (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Mandelbaum, Elliot (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Agha, Yasmeen (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Martinez, Thelma (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Town and Country Nursing and Rehabilitation Center?
Town and Country Nursing and Rehabilitation Center has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Town and Country Nursing and Rehabilitation Center have?
It has 126 certified beds and cares for about 84 residents per day.
Has Town and Country Nursing and Rehabilitation Center been fined?
Yes. CMS lists 2 penalties totaling $150,922 in the last three years.
Who owns Town and Country Nursing and Rehabilitation Center?
It is part of Wellsential Health and is classified as government - hospital district. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of Town and Country Nursing and Rehabilitation Center?
(830) 249-3085. The facility is located at 625 N Main St, Boerne, TX 78006.
Other nursing homes in Boerne
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Kendall House Wellness & Rehabilitation
Nursing Home · Boerne, TX · 40 beds
★★★ -
Carechoice of Boerne
Nursing Home · Boerne, TX · 74 beds
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Cibolo Creek
Nursing Home · Boerne, TX · 120 beds
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Avir at Boerne
Nursing Home · Boerne, TX · 96 beds
★
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.