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.
based on 51 Google reviews
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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 detailsStrengths
- 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
Distribution · 56 analyzed
How They Respond to Reviews
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.”
“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!”
“My mother was over medicated with Tramadol for Three days until I insisted they lower the dose.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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
12
measures
1
measures
4
measures
Residents whose bladder or bowel control got worse
Residents needing more daily help over time
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on antipsychotic medication
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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, 2026Complaint1
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Dec 17, 2025Complaint1
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, 2025Complaint1
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, 2025Routine24
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Egress Deficiencies
Install proper backup exit lighting.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Egress Deficiencies
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Provide properly protected cooking facilities.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
May 2, 2025Complaint4
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Feb 25, 2025Complaint7
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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.
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.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
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.
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
Medina County Hospital District
for profit
REGENCY IHS OF BOERNE LLC
THELMA MARTINEZ
Chain Affiliation
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 47 of 67
Ownership & Management
Owners
Medina County Hospital District
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
51 reviews from families & visitors
Official Website
Visit wellsentialhealth.org
Medicare data downloads
Original nursing home datasets
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