D63

TOWN AND COUNTRY NURSING AND REHABILITATION CENTER

Grade D 63/100 composite score

Government - Hospital district

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
4/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

126

Ownership

Government - Hospital district

Total Fines

$150,922

Last Survey

N/A

625 N MAIN ST, BOERNE, TX 78006
8302493085

Get Pricing & Availability for TOWN AND COUNTRY NURSING AND REHABILITATION CENTER

Request current pricing, availability, and tour information from TOWN AND COUNTRY NURSING AND REHABILITATION CENTER in BOERNE, Texas.

Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.48h
LPN
0.79h
CNA
1.86h
Total
3.14h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

MEDINA COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2014

100%

REGENCY IHS OF BOERNE LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Oct 2018

BELL, BILLIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2023

BAIN, WILLIAM

IndividualCORPORATE DIRECTORSince May 2011

CARTER KRIEGER, LORI

IndividualCORPORATE DIRECTORSince Jul 2020

HARDT, TIMOTHY

IndividualCORPORATE DIRECTORSince Jan 2020

JOHNSON, TONY

IndividualCORPORATE DIRECTORSince Nov 2012

WINDROW, ZACHARY

IndividualCORPORATE DIRECTORSince Nov 2012

WINKLER, JUDY

IndividualCORPORATE DIRECTORSince May 2004

YOUNG, CARLTON

IndividualCORPORATE DIRECTORSince May 2006

BELL, BILLIE

IndividualCORPORATE OFFICERSince Jun 2023

FROSCH, KEVIN

IndividualCORPORATE OFFICERSince Feb 2010

BELL, BILLIE

IndividualW-2 MANAGING EMPLOYEESince Jun 2023

FROSCH, KEVIN

IndividualW-2 MANAGING EMPLOYEESince Feb 2010

MARTINEZ, THELMA

IndividualW-2 MANAGING EMPLOYEESince Apr 2023

Penalties & Fines (2)

$150,922total fines
DateTypeDescriptionAmount
Jul 26, 2024Fine$75,832
Mar 31, 2024Fine$75,090

Health Inspection Deficiencies (52)

May 22, 2025Health11 deficiencies
0552DMinimal harm, Isolated

Ensure that residents are fully informed and understand their health status, care and treatments.

Resident Rights Deficiencies

Corrected Jun 17, 2025
0553DMinimal harm, Isolated

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Resident Rights Deficiencies

Corrected Jun 17, 2025
0604DMinimal harm, Isolated

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 17, 2025
0641DMinimal harm, Isolated

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Jun 17, 2025
0656DMinimal harm, Isolated

Develop 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 Deficiencies

Corrected Jun 17, 2025
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Jun 17, 2025
0685DMinimal harm, Isolated

Assist a resident in gaining access to vision and hearing services.

Quality of Life and Care Deficiencies

Corrected Jun 17, 2025
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Jun 17, 2025
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Jun 17, 2025
0812DMinimal harm, Isolated

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Jun 17, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Jun 17, 2025
May 2, 2025Health4 deficiencies
0583DMinimal harm, Isolated

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Corrected May 3, 2025
0760EMinimal harm, Pattern

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Sep 27, 2024
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected May 3, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 3, 2025
February 25, 2025Health7 deficiencies
0684EMinimal harm, Pattern

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Feb 26, 2025
0686EMinimal harm, Pattern

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Feb 26, 2025
0697DMinimal harm, Isolated

Provide safe, appropriate pain management for a resident who requires such services.

Quality of Life and Care Deficiencies

Corrected Feb 26, 2025
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Feb 26, 2025
0842EMinimal harm, Pattern

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 26, 2025
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 26, 2025
0945EMinimal harm, Pattern

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

Infection Control Deficiencies

Corrected Feb 26, 2025
July 26, 2024Health2 deficiencies1 severe
0726DMinimal harm, Isolated

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.

Nursing and Physician Services Deficiencies

Corrected Jul 27, 2024
0755JImmediate jeopardy, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Jul 27, 2024
May 3, 2024Health1 deficiency
0656DMinimal harm, Isolated

Develop 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 Deficiencies

Corrected May 4, 2024
March 31, 2024Health8 deficiencies2 severe
0609EMinimal harm, Pattern

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 3, 2024
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Apr 3, 2024
0677EMinimal harm, Pattern

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2024
0679EMinimal harm, Pattern

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2024
0689KImmediate jeopardy, Pattern

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2024
0761JImmediate jeopardy, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 3, 2024
0791DMinimal harm, Isolated

Provide or obtain dental services for each resident.

Quality of Life and Care Deficiencies

Corrected Apr 3, 2024
0812FMinimal harm, Widespread

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Apr 3, 2024
February 22, 2024Health4 deficiencies
0578DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Mar 14, 2024
0624EMinimal harm, Pattern

Prepare residents for a safe transfer or discharge from the nursing home.

Resident Rights Deficiencies

Corrected Mar 14, 2024
0656DMinimal harm, Isolated

Develop 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 Deficiencies

Corrected Mar 14, 2024
0839EMinimal harm, Pattern

Employ staff that are licensed, certified, or registered in accordance with state laws.

Administration Deficiencies

Corrected Mar 14, 2024
October 5, 2023Health3 deficiencies
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Oct 20, 2023
0759EMinimal harm, Pattern

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Oct 20, 2023
0842DMinimal harm, Isolated

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 20, 2023
August 16, 2023Health2 deficiencies
0732CNo harm, Widespread

Post nurse staffing information every day.

Nursing and Physician Services Deficiencies

Corrected Aug 23, 2023
0919DMinimal harm, Isolated

Make sure that a working call system is available in each resident's bathroom and bathing area.

Environmental Deficiencies

Corrected Aug 23, 2023
August 1, 2023Health4 deficiencies
0684DMinimal harm, Isolated

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Quality of Life and Care Deficiencies

Corrected Aug 25, 2023
0686DMinimal harm, Isolated

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Quality of Life and Care Deficiencies

Corrected Aug 25, 2023
0755DMinimal harm, Isolated

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Pharmacy Service Deficiencies

Corrected Aug 25, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 25, 2023
February 10, 2023Health6 deficiencies
0585DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Feb 11, 2023
0609DMinimal harm, Isolated

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 11, 2023
0656DMinimal harm, Isolated

Develop 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 Deficiencies

Corrected Feb 11, 2023
0657DMinimal harm, Isolated

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 11, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Feb 11, 2023
0584DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected Feb 11, 2023

Request Information from TOWN AND COUNTRY NURSING AND REHABILITATION CENTER

Get pricing, schedule a tour, or ask about availability.

Request information from TOWN AND COUNTRY NURSING AND REHABILITATION CENTER

Frequently Asked Questions

What is the CareGrader rating for TOWN AND COUNTRY NURSING AND REHABILITATION CENTER?

TOWN AND COUNTRY NURSING AND REHABILITATION CENTER in BOERNE, Texas has a CareGrader grade of D (Below Average), with a composite score of 63.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for TOWN AND COUNTRY NURSING AND REHABILITATION CENTER?

TOWN AND COUNTRY NURSING AND REHABILITATION CENTER has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does TOWN AND COUNTRY NURSING AND REHABILITATION CENTER have?

TOWN AND COUNTRY NURSING AND REHABILITATION CENTER has 52 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

Has TOWN AND COUNTRY NURSING AND REHABILITATION CENTER been fined?

Yes. TOWN AND COUNTRY NURSING AND REHABILITATION CENTER has $150,922 in total fines from CMS enforcement actions across 2 penalties.

How many beds does TOWN AND COUNTRY NURSING AND REHABILITATION CENTER have?

TOWN AND COUNTRY NURSING AND REHABILITATION CENTER has 126 certified beds with approximately 91 current residents (72% occupancy). The facility is located at 625 N MAIN ST, BOERNE, Texas 78006. It is a government - hospital district facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.