Town And Country Nursing And Rehabilitation Center
Boerne, TX · Medicare and Medicaid-certified nursing home (CCN 455796) · 126 certified beds
Health inspection: 2 · Quality measures: 4 · Staffing: 1
Federal fines: 2 totaling $150,922
Phone: (830) 249-3085 · Verify on Medicare Care Compare ↗
Town And Country Nursing And Rehabilitation Center has a CMS overall rating of 1 out of 5 stars, below the Texas state average of 2.65. Its health inspection rating is 2 stars and its staffing rating is 1 star.
Town And Country Nursing And Rehabilitation Center reports total nurse staffing of 3.33 hours per resident per day, including 0.41 RN hours per resident per day, with a nursing staff turnover rate of 65.9%. CMS gives the facility a staffing rating of 1 star.
CMS records show Town And Country Nursing And Rehabilitation Center has 2 federal fines on record totaling $150,922.00, with 0 payment denials. CMS does not display an abuse icon or Special Focus status for this facility based on the available data.
About this facility
Town And Country Nursing And Rehabilitation Center is a government (hospital district) owned nursing home in Boerne, Kendall County, Texas, certified for both Medicare and Medicaid since March 1998. The facility is licensed for 126 beds and reports an average of 83.6 residents.
According to CMS Care Compare, the facility holds an overall star rating of 1 out of 5, below the Texas state average of 2.65. Its four component ratings are: health inspection rating of 2 stars, staffing rating of 1 star, and a quality measure rating of 4 stars.
Nurse staffing data show total nurse hours of 3.33 per resident per day, with registered nurse (RN) hours of 0.41 per resident per day. Nursing staff turnover is reported at 65.9%.
On penalties, CMS records 2 federal fines totaling $150,922.00 for this facility. There have been 0 payment denials on record.
This facility is part of the Wellsential Health chain, which operates 67 facilities with an average chain rating of 2.7 stars. Ownership has not changed in the last 12 months, so ratings reflect the current operator.
Data sourced from CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
The facility has an overall rating of 1 out of 5 stars, which is below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
This facility is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is 3.33 hours per resident per day, with 0.41 RN hours per resident per day, and nursing staff turnover is 65.9%. CMS rates staffing at 1 star.
Does this facility have federal fines or penalties on record?
Yes, CMS records 2 fines totaling $150,922.00, with 0 payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The provided CMS data does not indicate an abuse icon or Special Focus status for this facility.
How large is this facility and how many residents live there?
The facility is certified for 126 beds and reports an average of 83.6 residents.
Who owns this facility — and is it part of a chain?
It is government owned (hospital district) and is part of the Wellsential Health chain, which operates 67 facilities with an average rating of 2.7 stars.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for Medicare/Medicaid certification on March 3, 1998.
What do the four different CMS star ratings mean?
CMS rates facilities on an overall score plus three components — health inspections, staffing, and quality measures; this facility scores 1, 2, 1, and 4 stars respectively.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; please contact the facility at 8302493085 and verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; please contact the facility at 8302493085 to arrange a visit.
How do I verify this facility's current record on Medicare Care Compare?
You can view the latest CMS data for this facility at https://www.medicare.gov/care-compare/details/nursing-home/455796?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.