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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 55 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 55% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 16 findings, above the TX average of 9.1. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
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
Concerns
Rating Trends
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Distribution · 60 analyzed
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.
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.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
13
measures
2
measures
2
measures
Residents needing more daily help over time
Residents whose bladder or bowel control 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
Residents whose walking got worse
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
Detailed Medicare record · up to 3-year lookback
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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
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.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
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.
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.
Federal Penalties
Fine
Jul 26, 2024
$75,832
Fine
Mar 31, 2024
$75,090
Medina County Hospital District
for profit
REGENCY IHS OF BOERNE LLC
THELMA MARTINEZ
Wellsential Health
68 facilities nationwide
Chain avg rating: 2.8/5 · Rank 47 of 67
Owners
Medina County Hospital District
Owner · Organization
Key personnel
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Google Reviews
55 reviews from families & visitors
Official Website
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EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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