Town and Country Nursing and Rehabilitation Center
Nursing home in Boerne, Texas, CMS certification number 455796
625 N Main St, Boerne, TX 78006 · Kendall County
- CMS overall rating
- 3 of 5 stars
- Certified beds
- 126
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 31, 2026
- Deficiencies at that inspection
- 11
- Fines in 3 years
- $150,922 (2)
Does Town and Country Nursing and Rehabilitation Center take Medicare and Medicaid?
Yes to both. Town and Country Nursing and Rehabilitation Center is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 3 of 5 |
| Health inspections | 2 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Town and Country Nursing and Rehabilitation Center reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.43
- Registered nurse hours
- 0.39
- Licensed practical nurse hours
- 1.14
- Nurse aide hours
- 1.89
- Weekend total hours
- 2.97
- Nursing staff turnover
- 67.5%
- Registered nurse turnover
- 50%
- Administrators who left
- 0
Health inspections and complaints
Inspectors last made a standard visit on July 31, 2026 and cited 11 deficiencies, plus 7 from complaint visits.
The visit before, on May 22, 2025, found 11.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Town and Country Nursing and Rehabilitation Center 2 times in the past 3 years, for $150,922 in total.
Beds and residents
On an average day 79.4 residents live here, about 63% of its 126 certified beds.
- Certified beds
- 126
- Average residents per day
- 79.4
- Certified since
- March 3, 1998
- Resident or family council
- Resident
Who owns Town and Country Nursing and Rehabilitation Center
- Legal business name
- Medina County Hospital District
- Ownership type
- Government - Hospital district
- Chain
- 67 homes nationally under Wellsential Health, 2.8-star chain average
Other nursing homes near Town and Country Nursing and Rehabilitation Center
- Carechoice of Boerne200 E Ryan St, Boerne 78006
- Avir at Boerne1102 River Road, Boerne 78006
- Cibolo Creek1440 River Rd, Boerne 78006
- Kendall House Wellness & Rehabilitation1050 Grand Blvd., Boerne 78006
- Avir at Comfort615 Faltin St., Comfort 78013
See also all nursing homes in Boerne.
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, the 5 in Boerne, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Town and Country Nursing and Rehabilitation Center, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Town and Country Nursing and Rehabilitation Center
What is the CMS star rating of Town and Country Nursing and Rehabilitation Center?
3 out of 5 stars overall.
Does Town and Country Nursing and Rehabilitation Center accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Town and Country Nursing and Rehabilitation Center?
11 cited at the last standard visit.
Who owns Town and Country Nursing and Rehabilitation Center?
Medina County Hospital District, government - hospital district.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.