NURSING HOME PUBLIC RECORD
CMS lists this provider in Boerne, TX, with 126 certified beds, an overall rating of 1/5, and 78 citation rows in the current August 2026 release.
625 N Main St · Boerne, TX 78006 · Kendall County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Town And Country Nursing And Rehabilitation Center in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-22 | 16 | 2025-05-22 | 13 |
| Cycle 2 | 2024-03-31 | 19 | 2024-03-31 | 4 |
| Cycle 3 | 2023-02-10 | 22 | 2023-02-10 | 4 |
CMS reports 78 citation rows, including 3 with G–L codes and 3 with J–L codes.
3 rows carry G–L scope/severity codes; 3 carry J–L. 18 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Correction field: Deficient, Provider has date of correction · 2026-04-25 · complaintSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Correction field: Deficient, Provider has date of correction · 2026-04-25 · complaintPost nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2026-01-09 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-18 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-12-05 · complaintEnsure that residents are fully informed and understand their health status, care and treatments.
Correction field: Deficient, Provider has date of correction · 2025-06-17Allow resident to participate in the development and implementation of his or her person-centered plan of care.
Correction field: Deficient, Provider has date of correction · 2025-06-17Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Correction field: Deficient, Provider has date of correction · 2025-06-17Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-06-17Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2025-06-17Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-06-17Assist a resident in gaining access to vision and hearing services.
Correction field: Deficient, Provider has date of correction · 2025-06-17Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-06-17Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-17Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-17Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-17Keep aisles, corridors, and exits free of obstruction in case of emergency.
Correction field: Deficient, Provider has date of correction · 2025-06-17Add 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.
Correction field: Deficient, Provider has date of correction · 2025-06-17Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
Correction field: Deficient, Provider has date of correction · 2025-06-17Install proper backup exit lighting.
Correction field: Deficient, Provider has date of correction · 2025-06-17Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-06-17Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-06-17Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2025-06-17Install an approved automatic sprinkler system.
Correction field: Deficient, Provider has date of correction · 2025-06-17The August 2026 file contains 2 penalty rows and $150,922 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2024-07-26 | Fine | $75,832 | 0 |
| 2024-03-31 | Fine | $75,090 | 0 |
CMS matched 37 ownership disclosure rows to Town And Country Nursing And Rehabilitation Center; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 3.33 total nurse hours and 0.41 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
The local peer set contains 4 other published facility records near Boerne, TX, with separate bed, rating, and citation-row fields.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
