Andy fuentes
Jul 2026
The staff is wonderful. They have the best social worker
Town and Country Nursing and Rehabilitation Center
625 N Main St4(54 ratings)· Boerne average: 4.3
Part of Wellsential Health · 67 communities · 4.3★ average
1 / 5Quick Facts
- Total units
- 126
- Medicare rating
- 3 of 5
- Ownership
- Government, Hospital district
- Certified beds
- 126
- Inspections
- View history (78 citations)
- Therapy services
- On-site physical, occupational, and memory therapy
CMS Care Compare
What Families Think
Families largely praise Town and Country for attentive nursing leadership and successful rehab stays, with several reviewers highlighting strong physical and occupational therapy programs. A few reviewers had serious concerns about wound care and communication during a short stay, so experiences appear to vary depending on length and type of care needed.
The Good
- Reviewers praise administrator and nursing director by name
- Strong physical, occupational and memory therapy outcomes
- Staff described as nurturing, prompt, and long-tenured
- Rehab patients recovered quickly after falls or surgery
- Insurance coverage for rehab stays worked smoothly for some
The Bad
- One report of bed sores and unaddressed wound care
- One report of missed communication about scheduled drop-off
- One report of confusion over mobility device policy
AI-generated from reviews and community data.
Town and Country Nursing and Rehabilitation Center is a senior living community in Boerne, Texas offering Skilled Nursing / Long Term Care. Amenities include Restaurant style Dining Room, Gathering / Activity Spaces and Social Activities. Families rate it 4.0 out of 5 across 54 reviews.
About Town and Country Nursing and Rehabilitation Center
Town and Country Nursing and Rehabilitation Center is a skilled nursing / long term care community in Boerne, Texas. The community is licensed for up to 126 residents.
Families rate Town and Country Nursing and Rehabilitation Center 4 out of 5 based on 54 Google reviews.
Contact the community directly to ask about availability, pricing, and tours, or browse the photos and reviews here to see if it could be the right fit for your family.
Types of Care at Town and Country Nursing and Rehabilitation Center
Skilled Nursing / Long Term Care
Amenities
Room Amenities
- Cable or Satellite TV
- Emergency Call System
- Private Bathroom
- Private Rooms
- Wheelchair Accessible
Meals & Dining
- Dietary Accommodations (Gluten-Free, Low / No Sodium, No Sugar, Vegan)
- Restaurant style Dining Room
Community Amenities
- 24-Hour Staff
- Gathering / Activity Spaces
- Housekeeping
- Laundry Service
- Medication Management
- On-Site Nurse (RN)
- Security
Activities
- Social Activities (Happy Hour, Wine Tasting, Dances, Karaoke)
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Help Me ChooseReviews of Town and Country Nursing and Rehabilitation Center
4overall · 54 ratings combined
4★ on Google (54)
Don Wright
Jul 2026
This place was horrible. Didn’t give him enough to eat, never any assistance, let him sit in soiled clothes , even his wheel chair was so soiled it couldn’t been cleaned, it took your breath away to go in his room it stunk so bad. No therapy , no care , lost substantial amount of weight and body joints and muscles atrophied.
Linda Martinez
Jun 2026
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 staff provided phenomenal care to my mama Esther R. Colon before, during and after her transition from this life. Words cannot express my eternal gratitude and I will forever be indebted to all at Town and Country. Based on their relentless caring attitude, I personally recommend Town and Country!
Kim Vogt
Jun 2026
I was at Town and Country for their PT, OT and memory therapy. I thought it was just a nursing home and was resistant to going. 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. They are nurturing, prompt and very kind. Delia Martinez is the Director of Nursing. She has formed a team of very competent people. The fact that everyone works there for a long time speaks volumes about the staff. I will definitely go back and have them build me up again should need be .
Joan Kalka
May 2026
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 settled took inventory of meds. He wanted to lay down. I don't think he got out of bed the whole time he was there. Came home with bed sores, and the spot of cancer that was removed form his head didn't look like it was taken care of. Needless to say he was ready to leave.
Government Inspection History
15 inspection visits in the last three years, 78 citations on file. Inspections are conducted by state agencies on behalf of the U.S. Centers for Medicare & Medicaid Services (CMS).
Apr 24, 2026Health Complaint2 citations
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2026
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 25, 2026
Jan 8, 2026Health Complaint1 citation
Post nurse staffing information every day.
Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Jan 9, 2026
Dec 17, 2025Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 18, 2025
Dec 4, 2025Health Complaint1 citation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Dec 5, 2025
May 22, 2025Fire Safety StandardHealth Standard24 citations
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 17, 2025
Install a fire alarm system that can be heard throughout the facility.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadCorrected Jun 17, 2025
Install proper backup exit lighting.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025
Have generator or other power source capable of supplying service within 10 seconds.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025
Inspect, test, and maintain automatic sprinkler systems.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025
Install an approved automatic sprinkler system.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Jun 17, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Assist a resident in gaining access to vision and hearing services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Have properly installed electrical wiring and gas equipment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Properly select, install, inspect, or maintain portable fire extinguishes.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Provide properly protected cooking facilities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Ensure each resident receives an accurate assessment.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Jun 17, 2025
May 2, 2025Health Complaint4 citations
Ensure that residents are free from significant medication errors.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Sep 27, 2024
Keep residents' personal and medical records private and confidential.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 3, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 3, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 3, 2025
Feb 25, 2025Health Complaint7 citations
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 26, 2025
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 26, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 26, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Feb 26, 2025
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
Provide safe, appropriate pain management for a resident who requires such services.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Feb 26, 2025
Jul 26, 2024Health Complaint2 citations
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Jul 27, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Jul 27, 2024
May 3, 2024Health Complaint1 citation
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected May 4, 2024
Mar 31, 2024Fire Safety StandardHealth ComplaintHealth Standard12 citations
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity K of L: immediate jeopardy, patternFound during a complaint inspectionCorrected Apr 3, 2024
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.
Severity J of L: immediate jeopardy, isolatedFound during a complaint inspectionCorrected Apr 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity F of L: no actual harm, potential for more than minimal harm, widespreadFound during a complaint inspectionCorrected Apr 3, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 3, 2024
Provide activities to meet all resident's needs.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 3, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Apr 3, 2024
Ensure proper usage of power strips and extension cords.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Apr 3, 2024
Provide or obtain dental services for each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 3, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Apr 3, 2024
Provide properly protected cooking facilities.
Severity C of L: potential for minimal harm, widespreadCorrected Mar 27, 2024
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadCorrected Mar 27, 2024
Feb 22, 2024Health Complaint4 citations
Prepare residents for a safe transfer or discharge from the nursing home.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 14, 2024
Employ staff that are licensed, certified, or registered in accordance with state laws.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Mar 14, 2024
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Mar 14, 2024
Oct 5, 2023Health Complaint3 citations
Ensure medication error rates are not 5 percent or greater.
Severity E of L: no actual harm, potential for more than minimal harm, patternFound during a complaint inspectionCorrected Oct 20, 2023
Reasonably accommodate the needs and preferences of each resident.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 20, 2023
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Oct 20, 2023
Aug 16, 2023Health ComplaintInfection Control2 citations
Make sure that a working call system is available in each resident's bathroom and bathing area.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 23, 2023
Post nurse staffing information every day.
Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Aug 23, 2023
Aug 1, 2023Health Complaint4 citations
Provide and implement an infection prevention and control program.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 25, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 25, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 25, 2023
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedFound during a complaint inspectionCorrected Aug 25, 2023
Feb 10, 2023Fire Safety StandardHealth Standard10 citations
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 9, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E of L: no actual harm, potential for more than minimal harm, patternCorrected Feb 11, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 11, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 11, 2023
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 11, 2023
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.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 11, 2023
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Severity D of L: no actual harm, potential for more than minimal harm, isolatedCorrected Feb 9, 2023
Provide properly protected cooking facilities.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 9, 2023
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Severity C of L: potential for minimal harm, widespreadCorrected Feb 9, 2023
Source: CMS Care Compare, public federal data covering certified nursing facilities, refreshed monthly. Citations range from A (least serious) to L (most serious) on the federal scope and severity scale. Most citations are corrected quickly; review the details and ask the community about anything that concerns you.
Frequently Asked Questions
What types of care does Town and Country Nursing and Rehabilitation Center offer?
Town and Country Nursing and Rehabilitation Center offers Skilled Nursing / Long Term Care.
Where is Town and Country Nursing and Rehabilitation Center located?
Town and Country Nursing and Rehabilitation Center is located at 625 N Main St in Boerne, Texas.
What do families say about Town and Country Nursing and Rehabilitation Center?
Families largely praise Town and Country for attentive nursing leadership and successful rehab stays, with several reviewers highlighting strong physical and occupational therapy programs. A few reviewers had serious concerns about wound care and communication during a short stay, so experiences appear to vary depending on length and type of care needed.
How did Town and Country Nursing and Rehabilitation Center do on recent health and safety inspections?
Town and Country Nursing and Rehabilitation Center had 15 government inspection visits in the last three years, with 78 citations on file according to CMS Care Compare data. The full history, including what each citation was for and whether it was corrected, is in the inspection section on this page.
How can families visit Town and Country Nursing and Rehabilitation Center?
Submit the Request Information form on this page to connect with Town and Country Nursing and Rehabilitation Center and arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.
Work at Town and Country Nursing and Rehabilitation Center? Claim this listing to update photos, pricing, and details. It's free.
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