Nursing homes › Texas › Town and Country Nursing and Rehabilitation Center
625 N Main St, Boerne, TX 78006 · 8302493085 · 126 certified beds
Per CMS filings, this facility is affiliated with Wellsential Health, a group operating 68 facilities in 1 states. Group record: average rating 2.6/5, 8 abuse citation icons, 0 facilities on the Special Focus list, $2,494,675 in federal fines. This facility rates below its group average (2.6/5).
Total nurse staffing: 3.33 (Texas median: 3.27). RN hours: 0.41. Weekend total: 2.98. Nursing staff turnover: 66%.
All-time on record: 57 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-04-24 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | complaint | corrected 2026-04-25 |
| 2026-04-24 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2026-04-25 |
| 2026-01-08 | Post nurse staffing information every day. | C | complaint | corrected 2026-01-09 |
| 2025-12-17 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-18 |
| 2025-12-04 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-12-05 |
| 2025-05-22 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2025-06-17 |
| 2025-05-22 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Assist a resident in gaining access to vision and hearing services. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Health | corrected 2025-06-17 |
| 2025-05-22 | Provide and implement an infection prevention and control program. | D | Health | corrected 2025-06-17 |
| 2025-05-02 | Ensure that residents are free from significant medication errors. | E | complaint | corrected 2024-09-27 |
| 2025-05-02 | Keep residents' personal and medical records private and confidential. | D | complaint | corrected 2025-05-03 |
| 2025-05-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | complaint | corrected 2025-05-03 |
| 2025-05-02 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-05-03 |
| 2025-02-25 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | complaint | corrected 2025-02-26 |
| 2025-02-25 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | complaint | corrected 2025-02-26 |
| 2025-02-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2025-02-26 |
| 2025-02-25 | Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | E | complaint | corrected 2025-02-26 |
| 2025-02-25 | Provide safe, appropriate pain management for a resident who requires such services. | D | complaint | corrected 2025-02-26 |
| 2025-02-25 | 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. | D | complaint | corrected 2025-02-26 |
| 2025-02-25 | Provide and implement an infection prevention and control program. | D | complaint | corrected 2025-02-26 |
| 2024-07-26 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | J | complaint | corrected 2024-07-27 |
| 2024-07-26 | 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 | complaint | corrected 2024-07-27 |
| 2024-05-03 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | complaint | corrected 2024-05-04 |
| 2024-03-31 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | complaint | corrected 2024-04-03 |
| 2024-03-31 | 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 | complaint | corrected 2024-04-03 |
| 2024-03-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-04-03 |
| 2024-03-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-04-03 |
| 2024-03-31 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | complaint | corrected 2024-04-03 |
| 2024-03-31 | Provide activities to meet all resident's needs. | E | complaint | corrected 2024-04-03 |
| 2024-03-31 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-04-03 |
| 2024-03-31 | Provide or obtain dental services for each resident. | D | complaint | corrected 2024-04-03 |
| 2024-02-22 | Prepare residents for a safe transfer or discharge from the nursing home. | E | complaint | corrected 2024-03-14 |
| 2024-02-22 | Employ staff that are licensed, certified, or registered in accordance with state laws. | E | complaint | corrected 2024-03-14 |
| Date | Type | Amount |
|---|---|---|
| 2024-07-26 | Fine | $75,832 |
| 2024-03-31 | Fine | $75,090 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| MEDINA COUNTY HOSPITAL DISTRICT | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 06/01/2014 |
| BAIRD, DANIEL | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 04/13/2021 |
| CARVAJAL, ANTONIO | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/16/2024 |
| CLAPP, BARBARA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/01/2021 |
| CORTESE, DAREN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/10/2021 |
| GIBSON, PATRICIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/01/2021 |
| GONZALES, VERONICA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 05/16/2024 |
| KAUFMAN, NICOLE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/10/2021 |
| MANDELBAUM, ELLIOT | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 01/01/2025 |
| BAIN, WILLIAM | Corporate Officer | Individual | NOT APPLICABLE | since 05/23/2011 |
| BELL, BILLIE | Corporate Officer | Individual | NOT APPLICABLE | since 06/03/2023 |
| FROSCH, KEVIN | Corporate Officer | Individual | NOT APPLICABLE | since 02/01/2010 |
| HARDT, TIMOTHY | Corporate Officer | Individual | NOT APPLICABLE | since 01/27/2020 |
| JOHNSON, TONY | Corporate Officer | Individual | NOT APPLICABLE | since 11/26/2012 |
| MANGOLD, MARY | Corporate Officer | Individual | NOT APPLICABLE | since 08/31/2023 |
| WINDROW, ZACHARY | Corporate Officer | Individual | NOT APPLICABLE | since 11/26/2012 |
| WINKLER, JUDY | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2004 |
| YOUNG, CARLTON | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2006 |
| AGHA, YASMEEN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
| MARTINEZ, THELMA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 04/10/2023 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455796. Corrections: data@carerecords.org.