Town and Country Nursing and Rehabilitation Center

625 N Main St, Boerne, TX 78006 · (830) 249-3085
Government - Hospital district · 126 certified beds

Town and Country Nursing and Rehabilitation Center has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 4 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $150,922 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 31, 2026 found 4 citations. What an inspection citation means

• Ensure each resident receives an accurate assessment.July 31, 2026 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 31, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 31, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.July 31, 2026 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 33 citations.

• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.July 10, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 6, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.April 24, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.April 24, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Post nurse staffing information every day.January 8, 2026 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 17, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.December 4, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Keep residents' personal and medical records private and confidential.May 2, 2025 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that residents are free from significant medication errors.May 2, 2025 · F0760 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.May 2, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide and implement an infection prevention and control program.May 2, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 25, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate pressure ulcer care and prevent new ulcers from developing.February 25, 2025 · F0686 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe, appropriate pain management for a resident who requires such services.February 25, 2025 · F0697 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.February 25, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.February 25, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide and implement an infection prevention and control program.February 25, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.February 25, 2025 · F0945 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.July 26, 2024 · F0726 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 26, 2024 · F0755 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.May 3, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.March 31, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.March 31, 2024 · F0657 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide care and assistance to perform activities of daily living for any resident who is unable.March 31, 2024 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide activities to meet all resident's needs.March 31, 2024 · F0679 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.March 31, 2024 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
• 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.March 31, 2024 · F0761 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Provide or obtain dental services for each resident.March 31, 2024 · F0791 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 31, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• 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.February 22, 2024 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Prepare residents for a safe transfer or discharge from the nursing home.February 22, 2024 · F0624 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.February 22, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Employ staff that are licensed, certified, or registered in accordance with state laws.February 22, 2024 · F0839 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some

Fines and payment denials

• Fine of $75,832July 26, 2024
• Fine of $75,090March 31, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home