Town and Country Nursing and Rehabilitation Center

• 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

• Post nurse staffing information every day.

  Severity C of L: potential for minimal harm, widespreadFound during a complaint inspectionCorrected Jan 9, 2026

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

• 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

Town and Country Nursing and Rehabilitation Center offers Memory Care, Respite / Short-Term Care and Skilled Nursing / Long Term Care.

Yes. Town and Country Nursing and Rehabilitation Center lists respite and short-term care among its options. A respite stay gives a family caregiver a planned break while your loved one receives full care, and it also works as a low-commitment trial before a permanent move.

Town and Country Nursing and Rehabilitation Center is located at 625 North Main Street in Boerne, Texas.

Town and Country Nursing and Rehabilitation Center carries a 4.0 out of 5 rating from 54 Google reviews. 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. Reviews on MyLivingChoice come from families who confirmed a connection to the community and appear with the reviewer's first name and last initial.

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.

Submit the Request Information form on this page, or contact Town and Country Nursing and Rehabilitation Center directly, to arrange a tour. Sharing your timeline and care needs up front helps the community prepare for your visit.