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Nursing HomeMedicaid

Town and Country Nursing and Rehabilitation Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

625 N Main St, Boerne, TX 78006126 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.0/5

based on 51 Google reviews

5
4
3
2
1

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What this means for your family

This facility offers an exceptional physical therapy program that has helped many residents regain mobility. However, you must closely monitor hygiene and medication administration, as multiple families have reported significant failures in these critical areas.

Google Reviews

Google Reviews

51 reviews on Google
Families considering Town and Country will find a highly praised rehabilitation and therapy department, with many reviewers noting significant physical progress for residents. However, there are serious, recurring allegations regarding hygiene neglect, improper medication management, and issues with staff responsiveness to family inquiries.

Quality Themes

Tap a score for details
Food10.0Staff7.0Clean5.0ActivitiesN/AMeds1.0MemoryN/AComms3.0ValueN/A

Strengths

  • Excellent physical and occupational therapy teams
  • Compassionate and hardworking nursing staff
  • Clean and well-maintained facility environment
  • Welcoming and home-like atmosphere

Concerns

  • Neglect regarding resident hygiene and cleanliness (mentioned by 3 reviewers)
  • Difficulty communicating with staff and management (mentioned by 2 reviewers)
  • Issues with medication management and over-medication (mentioned by 2 reviewers)
  • Staffing shortages and high turnover (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'15(1)'18(2)'20(1)'22(14)'24(2)'26(6)

Distribution · 56 analyzed

5
39
4
2
3
2
2
3
1
10
10 reviews posted between Oct 18, 2025Oct 18, 2025 · 10 were 5-star

How They Respond to Reviews

95%response rate
Good

The owner provides personalized responses to positive reviews, often mentioning specific staff members or details from the review. For negative reviews, the owner uses a consistent professional template to acknowledge the feedback and direct the reviewer to a private email for resolution.

Questions for Your Tour

  • 1It is wonderful to see how clean and well-maintained the facility looks; what are your daily routines for ensuring resident rooms and personal hygiene are kept up to this standard?
  • 2I noticed the management is very responsive to feedback online, so how does the leadership team typically communicate important updates or changes to families?
  • 3Since the therapy teams have such great feedback, how do you coordinate with physical and occupational therapists to ensure a resident's specific rehab goals are met?
  • 4Could you walk me through your specific protocols for medication administration and how you ensure accuracy during shift changes?
  • 5With the importance of consistent care, how does the facility manage staffing levels to ensure residents always have familiar faces looking after them?
  • 6What kind of daily activities or social outings are planned to help residents enjoy that home-like atmosphere you've created?

Personalized based on this facility's data


Key Review Excerpts

In 2 short weeks I gained strength and balance. I'd had my hip replaced and then a couple of bad falls. All of the nursing staff is wonderful.

Rehab patient · 2025★★★★★

The quality of care, safety, staff-to-resident ratios, the specialized sevices, and cleanliness of the facility was very important to me. Town and Country met ALL!

Long-term resident's family · 2025★★★★★

My mother was over medicated with Tramadol for Three days until I insisted they lower the dose.

Long-term resident's family · 2023☆☆☆☆
Source: 51 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.55hrs
74%
Registered nurses for medical care
Total Nursing
3.36hrs
82%
All nurses + aides combined
Staff Turnover
61%
Lower is better (< 30% = good)
RN Turnover
46%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

12

measures

Worse Than Avg

1

measures

Mixed Results

4

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility10.3%
Better than Avg
Here
10.3%
US
19.4%
TX
14.2%
Kendall
25.5%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
14.4%
TX
16.1%
Kendall
23.0%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.1%
Better than Avg
Here
11.1%
US
15.3%
TX
14.9%
Kendall
20.7%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility27.0%
Mixed vs Avgs
Here
27.0%
US
19.5%
TX
18.4%
Kendall
28.0%
😔

Residents with depression symptoms

↓ Lower is better
This Facility10.0%
Mixed vs Avgs
Here
10.0%
US
12.1%
TX
2.5%
Kendall
17.1%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
15.4%
TX
9.4%
Kendall
9.8%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility98.0%
Better than Avg
Here
98.0%
US
79.7%
TX
88.0%
Kendall
81.1%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Kendall
90.5%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Kendall
2.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

18deficiencies
2penalties
Well above state avg (9.1)
38 complaint-triggered
$150,922 in fines

Half of this facility's 76 deficiencies were triggered by family complaints, indicating serious concerns about resident care. Recurring issues include medication management errors, infection control problems, and care planning deficiencies. The facility has struggled with timely reporting of suspected abuse across multiple surveys, and medication error rates have persisted as an ongoing problem. While deficiencies show correction dates, the high volume of complaint-driven citations suggests families should carefully evaluate care quality before placement.

Jan 8, 2026Complaint
1
0732Minimal · WidespreadCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Dec 17, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Dec 4, 2025Complaint
1
0609Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

May 22, 2025Routine
24
0211Potential for harm · WidespreadCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0341Potential for harm · WidespreadCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0759Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0281Potential for harm · PatternCorrected

Egress Deficiencies

Install proper backup exit lighting.

0351Potential for harm · PatternCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0353Potential for harm · PatternCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0918Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0553Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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

0604Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0641Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0685Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0222Potential for harm · IsolatedCorrected

Egress Deficiencies

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

0227Potential for harm · IsolatedCorrected

Egress Deficiencies

Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0324Potential for harm · IsolatedCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0511Potential for harm · IsolatedCorrected

Services Deficiencies

Have properly installed electrical wiring and gas equipment.

May 2, 2025Complaint
4
0760Potential for harm · PatternResolved (past non-compliance)

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0583Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

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

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Feb 25, 2025Complaint
7
0684Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0686Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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

0842Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

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

0945Potential for harm · PatternCorrected

Infection Control Deficiencies

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

0697Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

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

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jul 26, 2024

$75,832

Fine

Mar 31, 2024

$75,090

Ownership & Operations

Who Operates This Facility

Owner / Operator

Medina County Hospital District

Organization Type

for profit

Management Company

REGENCY IHS OF BOERNE LLC

Administrator

THELMA MARTINEZ

Chain Affiliation

Chain Name

Wellsential Health

Chain Size

68 facilities nationwide

Chain avg rating: 2.8/5 · Rank 47 of 67

Ownership & Management

Owners

Medina County Hospital District

Owner · Organization

100%

Key personnel

Baird, DanielManaging Control - Governing BodyCarvajal, AntonioManaging Control - Governing BodyClapp, BarbaraManaging Control - Governing BodyCortese, DarenManaging Control - Governing BodyGibson, PatriciaManaging Control - Governing Body
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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