Town and Country Nursing and Rehabilitation Center
Nursing Home Facility
625 N Main Street, Boerne, TX 78006
Town and Country Manor is a skilled nursing facility that specializes in rehabilitation and has been serving the Hill Country for over 40 years. With Town and Country Manor's highly qualified therapists, you are sure to receive quality care and professional service. Our center also offers Long Term Care and Memory care services. Our caring team ensures that a home-like atmosphere is provided for our residents and their families. Medicare, Texas Medicaid and most commercial insurances accepted.
Operated by Genesis HealthCare, which runs 507 communities in our directory.
With 126 beds, Town and Country Nursing and Rehabilitation Center is one of the larger communities in the area, senior care communities in Boerne average about 73 beds. Larger communities more often keep clinical staff on site around the clock and can offer a wider range of on-site therapy and activities, though some families prefer the quieter feel of a smaller setting.
Federal reporting puts occupancy at about 66% of its licensed beds.
Medicare rates this community 1 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in May 2025 and recorded 16 deficiencies.
Residents receive about 3.3 hours of nursing care per day on average, including 0.4 hours from a registered nurse. Nursing staff turnover over the past year was about 66%, which is high and can affect continuity of care.
The community is located in Kendall County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 57 problems at Town and Country Nursing and Rehabilitation Center. 3 findings involved harm to a resident, including 3 that put residents in immediate danger. 40 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $150,922.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Ensure medication error rates are not 5 percent or greater.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Ensure that residents are fully informed and understand their health status, care and treatments.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
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Could cause more than minimal harm, one or a few residents
Freedom from Abuse, Neglect, and Exploitation
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Show 8 more
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Ensure each resident receives an accurate assessment.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Assist a resident in gaining access to vision and hearing services.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Infection Control
Provide and implement an infection prevention and control program.
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Minimal harm or the potential for it, widespread
Nursing and Physician Services
Post nurse staffing information every day.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Town and Country Nursing and Rehabilitation Center offers assisted living, nursing home care, hospice care, respite care, and senior living.
Facility details
- Organization type for-profit limited liability corporation
- Beds / units 126
- Occupancy 66%
- Nursing hours per resident/day 3.3
- Annual staff turnover 66%
- Last health inspection May 2025
Resident & family reviews
No one has shared a review of Town and Country Nursing and Rehabilitation Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.