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Town and Country Nursing and Rehabilitation Center, Boerne, TX: 3 star rating, fined $150,922 across 2 fines

Town and Country Nursing and Rehabilitation Center in Boerne, TX is owned by Medina County Hospital District, is rated 3 of 5 stars by Medicare, and was fined $150,922 across 2 fines in the three years to October 1, 2026. CMS lists 51 health citations from inspections in that time, the latest survey on July 31, 2026, and 3 of them found actual harm or immediate jeopardy.

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Address
625 N Main St, Boerne, TX 78006
Overall rating
3 of 5 stars
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measure rating
5 of 5
Certified beds
126
Residents per day
79 on average
Ownership type
Government, Hospital district
Legal business name
Medina County Hospital District
Chain
Wellsential Health, 67 facilities
Fines
$150,922 across 2 fines, three years to October 1, 2026
Payment denials
0
Health citations
51, of which 3 with actual harm or immediate jeopardy
Latest survey
July 31, 2026
CMS Certification Number
455796
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
July 26, 2024Fine$75,832Not listeddata.cms.gov
March 31, 2024Fine$75,090Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
July 31, 2026F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 31, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 31, 2026F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 31, 2026F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 1, 2026data.cms.gov
July 10, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 11, 2026data.cms.gov
July 6, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 7, 2026data.cms.gov
April 24, 2026F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 25, 2026data.cms.gov
April 24, 2026F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 25, 2026data.cms.gov
January 8, 2026F732Post nurse staffing information every day.C: widespread, minimal harm potentialCorrectedJanuary 9, 2026data.cms.gov
December 17, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 18, 2025data.cms.gov
December 4, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedDecember 5, 2025data.cms.gov
May 22, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F685Assist a resident in gaining access to vision and hearing services.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F641Ensure each resident receives an accurate assessment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F553Allow resident to participate in the development and implementation of his or her person-centered plan of care.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 22, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 17, 2025data.cms.gov
May 2, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 3, 2025data.cms.gov
May 2, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 3, 2025data.cms.gov
May 2, 2025F760Ensure that residents are free from significant medication errors.E: pattern, no actual harm, potential for more than minimal harmPast noncomplianceSeptember 27, 2024data.cms.gov
May 2, 2025F583Keep residents' personal and medical records private and confidential.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 3, 2025data.cms.gov
February 25, 2025F945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
February 25, 2025F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
February 25, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
February 25, 2025F761Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
February 25, 2025F697Provide safe, appropriate pain management for a resident who requires such services.D: isolated, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
February 25, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
February 25, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E: pattern, no actual harm, potential for more than minimal harmCorrectedFebruary 26, 2025data.cms.gov
July 26, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.J: isolated, immediate jeopardyCorrectedJuly 27, 2024data.cms.gov
July 26, 2024F726Ensure 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: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 27, 2024data.cms.gov
May 3, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMay 4, 2024data.cms.gov
March 31, 2024F761Ensure 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: isolated, immediate jeopardyCorrectedApril 3, 2024data.cms.gov
March 31, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K: pattern, immediate jeopardyCorrectedApril 3, 2024data.cms.gov
March 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F: widespread, no actual harm, potential for more than minimal harmCorrectedApril 3, 2024data.cms.gov
March 31, 2024F791Provide or obtain dental services for each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2024data.cms.gov
March 31, 2024F679Provide activities to meet all resident's needs.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2024data.cms.gov
March 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2024data.cms.gov
March 31, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedApril 3, 2024data.cms.gov
March 31, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedApril 3, 2024data.cms.gov
February 22, 2024F839Employ staff that are licensed, certified, or registered in accordance with state laws.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2024data.cms.gov
February 22, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2024data.cms.gov
February 22, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.E: pattern, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2024data.cms.gov
February 22, 2024F578Honor 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.D: isolated, no actual harm, potential for more than minimal harmCorrectedMarch 14, 2024data.cms.gov
October 5, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov
October 5, 2023F759Ensure medication error rates are not 5 percent or greater.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov
October 5, 2023F558Reasonably accommodate the needs and preferences of each resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 20, 2023data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 24 individual or personal trusts (10 managers, 9 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Medina County Hospital DistrictDirect owner100%June 1, 2014data.cms.gov
625 N Main Street LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
CSV Rhea Management HOLDCO, LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
DWD TX Holdings LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Jack and Nancy Dwyer Workforce Development Center IncAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Reg Bridge OPCO LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Reg HG OPCO LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Reg Operator HOLDCO LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Ihs Clinical Consulting, LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Ihs of Boerne LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Ihs Rehab LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Integrated Health Services LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov
Regency Texas Holdings LLCAdditional disclosable partyNot listedOctober 1, 2018data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.