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Nursing homeFAID #12189

Town and Country Nursing and Rehabilitation Center

625 N MAIN ST, BOERNE, TX, 78006
(830) 249-3085
wellsentialhealth.org/location/town-and-country-nursing-rehabilitation-center
126 licensed beds

CMS rates Town and Country Nursing and Rehabilitation Center 3 out of 5 overall. Federal inspectors issued 76 citations across 19 inspections in the last three years, with $150,922 in fines. Listing last updated 2026-11-06.

★★★★★3/5CMS Five-Star overall2/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare

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Photo of TOWN AND COUNTRY NURSING AND REHABILITATION CENTER
Photo via Google · Town and Country Nursing and Rehabilitation Center

Public record summary

What we can show you for free.
Bed capacity
126
CMS facility ID
455796
Care type
Nursing home
County
Kendall
Facility name
Town and Country Nursing and Rehabilitation Center
Street address
625 N MAIN ST
City / state / ZIP
Boerne, TX 78006
Phone
(830) 249-3085
Website
wellsentialhealth.org/location/town-and-country-nursing-rehabilitation-center

About this facility — Town and Country Nursing and Rehabilitation Center

Town and Country Nursing and Rehabilitation Center is a Medicare/Medicaid-certified skilled nursing facility in Boerne, Texas. It is licensed for 126 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 10 senior care facilities in Boerne and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

It is listed as part of Wellsential Health, a group of 67 facilities on this site.

Federal inspectors have cited Town and Country Nursing and Rehabilitation Center 76 times across 19 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $150,922 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Wellsential Health
Ownership type
Government - Hospital district

Registered owners & officers

Medina County Hospital District
Direct owner — 100% stake — since 2014
625 N Main Street Llc
Additional disclosable party — since 2018
Agha, Yasmeen
Operational control · Additional disclosable party — since 2025
Bain, William
Officer — since 2011
Baird, Daniel
Governing body — since 2021
Beaumont, Jaime
Additional disclosable party — since 2025
Bell, Billie
Officer — since 2023
Carvajal, Antonio
Governing body — since 2024
Clapp, Barbara
Governing body — since 2021
Cortese, Daren
Governing body — since 2021
Csv Rhea Management Holdco, Llc
Additional disclosable party — since 2018
Dekowski, Donovan
Additional disclosable party — since 2018
Dwd Tx Holdings Llc
Additional disclosable party — since 2018
Frosch, Kevin
Officer — since 2010
Gibson, Patricia
Governing body — since 2021
Gonzales, Veronica
Governing body — since 2024
Hardt, Timothy
Officer — since 2020
Jack and Nancy Dwyer Workforce Development Center Inc
Additional disclosable party — since 2018
Johnson, Tony
Officer — since 2012
Kaufman, Nicole
Governing body — since 2021
Mandelbaum, Elliot
Governing body — since 2025
Mangold, Mary
Officer — since 2023
Martinez, Delia
Additional disclosable party — since 2025
Martinez, Thelma
Operational control · Additional disclosable party — since 2023
Reg Bridge Opco Llc
Additional disclosable party — since 2018
Reg Hg Opco Llc
Additional disclosable party — since 2018
Reg Operator Holdco Llc
Additional disclosable party — since 2018
Regency Ihs Clinical Consulting, Llc
Additional disclosable party — since 2018
Regency Ihs of Boerne Llc
Additional disclosable party — since 2018
Regency Ihs Rehab Llc
Additional disclosable party — since 2018
Regency Integrated Health Services Llc
Additional disclosable party — since 2018
Regency Texas Holdings Llc
Additional disclosable party — since 2018
Windrow, Zachary
Officer — since 2012
Winkler, Judy
Officer — since 2004
Young, Carlton
Officer — since 2006

Regulatory standing

Licensed / certified since
1998-03-03
CMS overall rating
3 of 5 stars
Health deficiencies
11 at the last standard inspection
Federal fines
$150,922 total
Last standard inspection
2026-07-31
Nurse staffing
3.4 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$221 per day (≈ $6,720/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
87% Medicaid · 3% Medicare · 10% private/other
Occupancy
77% (fiscal year 2023)
Vs. state median
20% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
126
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-31Health inspection4 citations
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2026-08-01
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-08-01
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-08-01
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2026-08-01
2026-07-10Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2026-07-11
16 earlier / fire-safety inspections (71 citations)
2026-07-06Health inspectionComplaint-triggered1 citation
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-07-07
2026-04-24Health inspectionComplaint-triggered2 citations
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-04-25
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-04-25
2026-01-08Health inspectionComplaint-triggered1 citation
F-0732
C · No harm foundFrom a complaint
Post nurse staffing information every day.
Corrected 2026-01-09
2025-12-17Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-18
2025-12-04Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-05
2025-05-22Health inspection11 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-06-17
F-0553
D · No harm found
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Corrected 2025-06-17
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-06-17
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-06-17
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-06-17
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-17
F-0685
D · No harm found
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-06-17
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-17
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-06-17
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-17
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-06-17
2025-05-02Health inspectionComplaint-triggered4 citations
F-0583
D · No harm foundFrom a complaint
Keep residents' personal and medical records private and confidential.
Corrected 2025-05-03
F-0760
E · No harm foundFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-09-27
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-05-03
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-05-03
2025-02-25Health inspectionComplaint-triggered7 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-02-26
F-0686
E · No harm foundFrom a complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-02-26
F-0697
D · No harm foundFrom a complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-02-26
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-02-26
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-02-26
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-02-26
F-0945
E · No harm foundFrom a complaint
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2025-02-26
2024-07-26Health inspectionComplaint-triggered2 citations
F-0726
D · No harm foundFrom a complaint
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-07-27
F-0755
J · Immediate jeopardyFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-07-27
2024-05-03Health inspectionComplaint-triggered1 citation
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-05-04
2024-03-31Health inspectionComplaint-triggered8 citations
F-0609
E · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2024-04-03
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-03
F-0677
E · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-04-03
F-0679
E · No harm foundFrom a complaint
Provide activities to meet all resident's needs.
Corrected 2024-04-03
F-0689
K · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-03
F-0761
J · Immediate jeopardyFrom a complaint
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.
Corrected 2024-04-03
F-0791
D · No harm foundFrom a complaint
Provide or obtain dental services for each resident.
Corrected 2024-04-03
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-04-03
2024-02-22Health inspectionComplaint-triggered4 citations
F-0578
D · No harm foundFrom a complaint
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-03-14
F-0624
E · No harm foundFrom a complaint
Prepare residents for a safe transfer or discharge from the nursing home.
Corrected 2024-03-14
F-0656
D · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-14
F-0839
E · No harm foundFrom a complaint
Employ staff that are licensed, certified, or registered in accordance with state laws.
Corrected 2024-03-14
2023-10-05Health inspectionComplaint-triggered3 citations
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2023-10-20
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-10-20
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-20
2026-07-31Fire-safety inspection8 citations
K-0222
E · No harm found
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.
Corrected 2026-08-01
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-08-01
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2026-08-01
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2026-08-01
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-08-01
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2026-08-01
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2026-08-01
K-0741
D · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2026-08-01
2025-05-22Fire-safety inspection13 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2025-06-17
K-0222
D · No harm found
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.
Corrected 2025-06-17
K-0227
D · No harm found
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Corrected 2025-06-17
K-0281
E · No harm found
Install proper backup exit lighting.
Corrected 2025-06-17
K-0321
D · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-17
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2025-06-17
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-06-17
K-0351
E · No harm found
Install an approved automatic sprinkler system.
Corrected 2025-06-17
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-06-17
K-0355
D · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2025-06-17
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-17
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-06-17
K-0918
E · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-06-17
2024-03-31Fire-safety inspection4 citations
K-0222
D · No harm found
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.
Corrected 2024-04-03
K-0324
C · No harm found
Provide properly protected cooking facilities.
Corrected 2024-03-27
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-03-27
K-0920
D · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-04-03

Federal penalties

2024-07-26Fine$75,832
2024-03-31Fine$75,090
Total fines$150,922
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455796.

Quality of care & staffing

How it compares in Texas.
Inspection citations, 3 years
76
More than 96% of nursing homes in the state
State median: 33
Federal fines, 3 years
$150,922
More than 92% of nursing homes in the state
State median: $15,642
Nurse staffing, hours per resident per day
3.4
Higher than 65% of nursing homes in the state
State median: 3.3
Nursing staff turnover, annual
68%
Higher than 89% of nursing homes in the state
State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 10 and worse on 5. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased8.8%15.8%13.5%Better than state
Lose too much weight3.9%2.9%5.1%Worse than state
With a catheter inserted and left in their bladder0.0%0.3%0.7%Better than state
With a urinary tract infection0.3%0.8%1.5%Better than state
Have depressive symptoms10.3%2.3%13.5%Worse than state
Were physically restrained1.2%0.0%0.1%Worse than state
Experiencing one or more falls with major injury3.4%3.2%3.2%Near state average
Assessed and appropriately given the pneumococcal vaccine100.0%96.4%93.7%Near state average
Ability to walk independently worsened10.9%12.9%12.7%Better than state
Received an antianxiety or hypnotic medication26.6%17.8%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%97.0%95.3%Near state average
With pressure ulcers1.6%3.7%4.5%Better than state
With new or worsened bowel or bladder incontinence9.5%12.5%18.3%Better than state
Received an antipsychotic medication9.1%9.8%15.4%Near state average
Hospitalizations per 1000 long-stay resident days1.362.051.81Better than state
Outpatient emergency department visits per 1000 long-stay resident days2.251.971.69Worse than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine100.0%88.7%82.3%Better than state
Newly received an antipsychotic medication0.0%1.4%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine100.0%85.4%80.1%Better than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0842 5 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  • F-0656 4 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  • F-0880 4 inspections. Provide and implement an infection prevention and control program.
  • F-0609 4 inspections. Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  • F-0755 3 inspections. Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  • K-0222 3 inspections. 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.

What its owners also hold

  • Medina County Hospital District has an ownership stake on file at 6 nursing homes, averaging 2.2 of 5 on CMS's overall rating.
Source: CMS ownership filings. Shows organizations with an ownership stake; people are left out.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

  • Licensing: Texas Health and Human Services
  • File a complaint: 800-458-9858 · Online
  • Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
  • Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Bandera Family Hospital, about 20 miles.
  • South Texas Spine and Surgical Hospital, about 20 miles.
  • Methodist Hospital Stone Oak, about 20 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Visitor reviews

What people say on Google.
4.055 ratings on Google
★★★★★Linda Martinez · 2026-06-22 · via Google

“Thelma, the administrator, provided outstanding leadership taking care of the staff and residents. She is a leader who rises above and beyond expectations. She was personally involved in my Mama’s health care decisions. Her administrative staff follows her lead to provide flawless work. My Mama was at Town and Country for over three years. Delia, the Nursing Director and her nursing and CNA st…”

★Joan Kalka · 2026-05-25 · via Google

“Left my dad for a week. The first time I left him her was great, he liked it. NOT THIS TIME. He uses an electric chair. (Which they don't allow. But, he used it the first time and proved he can drive it.) Was supposed to meet with the Hilda. Set time to drop off around 10:00 am. She was a no show and no one knew anything about him coming in for a week. Get to his room, unload everything got him se…”

★★★★★Carolyn Jose · 2026-04-24 · via Google

“My mom had fallen and she was taken there after a short hospital stay. She was very sore but nothing was broken, thank God. She's with the rehabilitation side and has physical therapy Tuesday-Friday. She's doing so much better and is soon to come home. Her insurance has covered everything so far. Im so grateful for them all!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered