Town and Country Nursing and Rehabilitation Center
Town and Country Nursing and Rehabilitation Center is a 126-bed nursing home in Boerne, Texas. CMS has certified it for Medicare and Medicaid since 1998-03-03. It averages 83.6 residents a day.
What harm was found in the violations cited at Town and Country Nursing and Rehabilitation Center?
CMS lists 57 health-inspection deficiencies for Town and Country Nursing and Rehabilitation Center since 2023-02-10, 51 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-04-24.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-04-24 | F0755, F0842 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2026-01-08 | F0732 | Post nurse staffing information every day. | C |
| 2025-12-17 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-12-04 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2025-05-22 | F0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2025-05-22 | F0552, F0553, F0604, F0641, F0656, F0684, F0685, F0689, F0812, F0880 | Ensure that residents are fully informed and understand their health status, care and treatments. / Allow resident to participate in the development and implementation of his or her person-centered plan of care. / Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Assist a resident in gaining access to vision and hearing services. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-05-02 | F0760 | Ensure that residents are free from significant medication errors. | E |
| 2025-05-02 | F0583, F0842, F0880 | Keep residents' personal and medical records private and confidential. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | D |
| 2025-02-25 | F0684, F0686, F0842, F0945 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E |
| 2025-02-25 | F0697, F0761, F0880 | Provide safe, appropriate pain management for a resident who requires such services. / 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. / Provide and implement an infection prevention and control program. | D |
| 2024-07-26 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J |
| 2024-07-26 | F0726 | 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. | D |
| 2024-05-03 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-03-31 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2024-03-31 | F0761 | 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. | J |
| 2024-03-31 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-31 | F0609, F0677, F0679 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide activities to meet all resident's needs. | E |
| 2024-03-31 | F0657, F0791 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide or obtain dental services for each resident. | D |
| 2024-02-22 | F0624, F0839 | Prepare residents for a safe transfer or discharge from the nursing home. / Employ staff that are licensed, certified, or registered in accordance with state laws. | E |
| 2024-02-22 | F0578, F0656 | 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-10-05 | F0759 | Ensure medication error rates are not 5 percent or greater. | E |
| 2023-10-05 | F0558, F0842 | Reasonably accommodate the needs and preferences of each resident. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| 2023-08-16 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2023-08-16 | F0732 | Post nurse staffing information every day. | C |
| 2023-08-01 | F0684, F0686, F0755, F0880 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Provide and implement an infection prevention and control program. | D |
| 2023-02-10 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-02-10 | F0584, F0585, F0609, F0656, F0657 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
Why was Town and Country Nursing and Rehabilitation Center fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2024-07-26 | Fine | $75,832 |
| 2024-03-31 | Fine | $75,090 |
How is Town and Country Nursing and Rehabilitation Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.32806 | 3.38539 |
| Total nursing staff turnover (%) | 65.9 | 55.3 |
| Average number of residents per day | 83.6 | 75.8 |
Who owns Town and Country Nursing and Rehabilitation Center, and what chain is it in?
Town and Country Nursing and Rehabilitation Center is registered with CMS as Government - Hospital district, operates under the legal business name MEDINA COUNTY HOSPITAL DISTRICT and belongs to the WELLSENTIAL HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | MEDINA COUNTY HOSPITAL DISTRICT | since 06/01/2014 |
| MANAGING CONTROL - GOVERNING BODY | BAIRD, DANIEL, CARVAJAL, ANTONIO, CLAPP, BARBARA, CORTESE, DAREN, GIBSON, PATRICIA, GONZALES, VERONICA, KAUFMAN, NICOLE, MANDELBAUM, ELLIOT | since 01/01/2025 |
| CORPORATE OFFICER | BAIN, WILLIAM, BELL, BILLIE, FROSCH, KEVIN, HARDT, TIMOTHY, JOHNSON, TONY, MANGOLD, MARY, WINDROW, ZACHARY, WINKLER, JUDY, YOUNG, CARLTON | since 01/27/2020 |
| OPERATIONAL/MANAGERIAL CONTROL | AGHA, YASMEEN, MARTINEZ, THELMA | since 01/01/2025 |
| ADP OF THE SNF | 625 N MAIN STREET LLC, CSV RHEA MANAGEMENT HOLDCO, LLC, DWD TX HOLDINGS LLC, JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC, REG BRIDGE OPCO LLC, REG HG OPCO LLC, REG OPERATOR HOLDCO LLC, REGENCY IHS CLINICAL CONSULTING, LLC, REGENCY IHS OF BOERNE LLC, REGENCY IHS REHAB LLC, REGENCY INTEGRATED HEALTH SERVICES LLC, REGENCY TEXAS HOLDINGS LLC, AGHA, YASMEEN, BEAUMONT, JAIME, DEKOWSKI, DONOVAN, MARTINEZ, DELIA, MARTINEZ, THELMA | since 01/01/2025 |
Were you or a family member harmed at Town and Country Nursing and Rehabilitation Center?