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Town And Country Nursing And Rehabilitation Center

625 N Main St, Boerne, TX 780068302493085Ownership: Government - Hospital districtCertified beds: 126Avg. daily residents: 84Chain: Wellsential Health (67 facilities)County: Kendall

The complete public record on Town And Country Nursing And Rehabilitation Center, a Medicare & Medicaid–certified nursing home in Boerne, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★☆☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★☆☆☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Town And Country Nursing And Rehabilitation Center holds a 1-star overall rating, in the bottom two tiers CMS assigns. Nursing staff turnover of 66% is well above the Texas average of 55%; high turnover is one of the strongest predictors of inconsistent care. Federal regulators have fined this facility $150,922 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.33 total nurse staff hours per resident per day
about the state average (3.39)
0.41 RN hours per resident per day
below the state average (0.43)
2.98 weekend nurse staff hours per resident per day
65.9% total nursing staff turnover
above the state average (55.3)
44.4% RN turnover
0 administrators left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 22, 2025 most recent standard health inspection
16 health deficiencies cited in the most recent inspection cycle
above the state average (9.3)
35 health deficiencies in the two prior cycles combined
$150,922 in federal fines across 2 penalties (last 3 years)
above the state average ($45,542)
0 payment denials
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

57 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
April 24, 20260755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. ComplaintD · Potential for more than minimal harm
April 24, 20260842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted… ComplaintD · Potential for more than minimal harm
January 8, 20260732Post nurse staffing information every day. ComplaintC · Minimal harm potential
December 17, 20250609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
December 4, 20250609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. ComplaintD · Potential for more than minimal harm
May 22, 20250759Ensure medication error rates are not 5 percent or greater.E · Potential for more than minimal harm
May 22, 20250552Ensure that residents are fully informed and understand their health status, care and treatments.D · Potential for more than minimal harm
May 22, 20250553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D · Potential for more than minimal harm
May 22, 20250604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D · Potential for more than minimal harm
May 22, 20250641Ensure each resident receives an accurate assessment.D · Potential for more than minimal harm

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.