Overview
Town and Country Nursing and Rehabilitation Center has a Medicare overall rating of 3 out of 5, in line with the Texas average of 2.8. It ranks 2nd of 5 nursing homes in Boerne. Its strongest area is quality of care (5 of 5), and its weakest is health inspections (2 of 5).
Residents receive about 3.4 hours of nursing care per day, more than at 65% of nursing homes in Texas (the state average is 3.4 hours). Of that, 0.4 hours come from registered nurses.
Its most recent standard inspection, on July 31, 2026, found 11 health deficiencies, more than the Texas average of 9.6. 7 of them came from complaint investigations. Medicare records 2 fines totaling $150,922 in the past three years.
Town and Country Nursing and Rehabilitation Center is a government-run facility with 126 certified beds, caring for about 79 residents on an average day. It accepts both Medicare and Medicaid and has participated since 1998.
Medicare ratings
- Health inspections
- Quality of care
- Staffing
Source: Medicare Care Compare, data as of October 1, 2026.
How it compares nearby
Ranked by Medicare overall rating, then quality, inspection and staffing ratings.
Top 40%
Top 31%
Top 38%
Family reviews
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Inspections and penalties
- Most recent standard inspection
- July 31, 2026
- Health deficiencies cited
- 11
- Complaint-related deficiencies
- 7
- Fines in the last 3 years
- 2 totaling $150,922
- Payment denials
- 0
- Total penalties
- 2
Staffing
Average hours of care each resident receives per day.
- All nursing staff3.43 hrs
- Registered nurses (RN)0.39 hrs
- Licensed practical nurses (LPN)1.14 hrs
- Nurse aides1.89 hrs
- Physical therapists0.07 hrs
Facility details
- Ownership
- Government - Hospital district
- Certified beds
- 126
- Average residents per day
- 79
- Participates in
- Medicare and Medicaid
- Medicare/Medicaid since
- March 3, 1998
- Inside a hospital
- No
- Continuing care retirement community
- No
- Changed ownership in last 12 months
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes