54/100
Below average
Town And Country Nursing And Rehabilitation Center
625 N Main St, Boerne, TX 78006
- Certified beds
- 126
- Occupancy
- 66%
- Ownership
- Government
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$150,922 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 66%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Town And Country Nursing And Rehabilitation Center
Town And Country runs on thinner nursing coverage than most homes, 3.33 hours per resident day against a national average of 3.86, with weekends dipping about 10% below its own weekday levels. That shortfall shows up in the federal staffing rating, which sits at the bottom of the scale, and in an annual turnover rate of 65.9% compared with 45.8% nationally: roughly two of every three caregivers left within the year. The inspection record carries 57 deficiencies, including three at the harm or jeopardy level and five tied to abuse, with $150,922 in fines. A 4/5 quality measure score and a May 2025 inspection are the brighter spots, but they sit alongside a 2/5 inspection rating and government hospital-district ownership.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
8/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.15 total nurse hours per resident per day (national median 3.77)
- →0.41 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
2/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →66% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
2/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$150,922 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: July 31, 2026 (3 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of WELLSENTIAL HEALTH, which operates 67 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Town And Country Nursing And Rehabilitation Center
What is the ElderGrade for Town And Country Nursing And Rehabilitation Center? +
Town And Country Nursing And Rehabilitation Center holds an ElderGrade of D (54 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Town And Country Nursing And Rehabilitation Center? +
Residents receive an average of 3.33 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Town And Country Nursing And Rehabilitation Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Town And Country Nursing And Rehabilitation Center accept Medicaid? +
Yes, Town And Country Nursing And Rehabilitation Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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