Nursing home
Town and Country Nursing and Rehabilitation Center
625 N Main St, Boerne, TX 78006 · Map
Government - Hospital district · Part of Wellsential Health (67 facilities) · 126 certified beds
Town and Country Nursing and Rehabilitation Center is a Medicare-certified nursing home in Boerne, Texas. CMS rates it 2 out of 5 stars overall (2/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.20 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on May 22, 2025 cited 18 deficiencies.
- 2 fines totaling $150,922In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Town and Country Nursing and Rehabilitation Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.20 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.49 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.90 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 66.3% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 18.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $150,922, 2 total penalties.
What inspectors found at Town and Country Nursing and Rehabilitation Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Jan 8, 2026 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 17, 2025 · Full report (PDF) - Potential for harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Dec 4, 2025 · Full report (PDF) - Potential for harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 22, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
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 · May 22, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · May 22, 2025 · Full report (PDF) - Potential for harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 22, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 625 N Main St
Boerne, TX 78006 - CMS certification #
- 455796
- Ownership
- Government - Hospital district
- Certified beds
- 126
- Avg residents/day
- 91.1
- Provider type
- Medicare and Medicaid
- First certified
- 1998-03-03
- Chain
- Wellsential Health (67 facilities)
- Setting
- Urban
Part of Wellsential Health
Wellsential Health operates 67 nursing facilities across the United States. View all Wellsential Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Town and Country Nursing and Rehabilitation Center using Google Maps.
Other public records
- Website says A memory care unit, respite stays, transportation
- Workplace safety 1 OSHA workplace safety inspection since 2023, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Town and Country Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Has a separate memory care unit, wing or neighborhood.
Female Only Secure Memory Support Unit
(page, checked Oct 12, 2026) - Offers respite or short-term stays.
Respite Care
(page, checked Oct 12, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - Apartment types named: private room, semi-private room.
Semi-Private Rooms
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
DOL also concluded 1 case here with no violations found, most recently for a period ending Jan 18, 2005.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 31, 2023: referral inspection, no inspection (health). Case closed Feb 9, 2023. No violations cited. OSHA record. OSHA recorded the employer as Town and Country Manor, LP.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Bandera Family Hospital, San Antonio. 19.8 miles away, straight line.
- Nearest Medicare nursing home
- Care Choice of Boerne, Boerne. 0.2 miles away, straight line.
- Nearest home health agency office
- Crest Home Health, Boerne. 0.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- H-E-B Pharmacy. 1.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 78006 as rural (rural area).
- Dialysis within 15 miles
- Davita Boerne Dialysis Center, Boerne, 1.5 miles away, straight line (CMS rating 3 of 5 stars)
Usrc Boerne Dialysis, Boerne, 2.0 miles away, straight line (CMS rating 4 of 5 stars) - Hospice
- 81 Medicare hospices tell CMS they serve ZIP code 78006.
Alamo Hospice, office in Boerne, 2.0 miles away, straight line (CMS family survey rating 5 of 5 stars)
Circle Of Life Hospice And Palliative Care, office in San Antonio, 17.4 miles away, straight line
Good Shepherd Hospice Of San Antonio, L.L.C., office in San Antonio, 17.7 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Wellmed Medical Group Pa, San Antonio. 13.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding very high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Town and Country Nursing and Rehabilitation Center a good nursing home?
CMS gives Town and Country Nursing and Rehabilitation Center an overall rating of 2 out of 5 stars, including 2/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Town and Country Nursing and Rehabilitation Center staffed?
Town and Country Nursing and Rehabilitation Center reports 3.20 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Town and Country Nursing and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 18 deficiencies.
How many beds does Town and Country Nursing and Rehabilitation Center have?
Town and Country Nursing and Rehabilitation Center is certified for 126 beds.