Town And Country Nursing And Rehabilitation Center has received an F grade based on CMS data, with a score of 26/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Boerne facility should carefully review its inspection history and quality metrics.
With 3.20 total nurse hours per resident per day, Town And Country Nursing And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 55 deficiencies at Town And Country Nursing And Rehabilitation Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.20 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.49 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.90 | 2.4 | Below Average |
| Weekend Total Nursing | 2.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.59 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 16, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Dec 3, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0759 Severity EEnsure medication error rates are not 5 percent or greater.May 21, 2025 · Pharmacy Service Deficiencies
- Tag 0552 Severity DEnsure that residents are fully informed and understand their health status, care and treatments.May 21, 2025 · Resident Rights Deficiencies
- Tag 0553 Severity DAllow resident to participate in the development and implementation of his or her person-centered plan of care.May 21, 2025 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.5% | 4.5% | Better |
| Falls with major injury | 6.1% | 3.0% | Worse |
| On antipsychotic medication | 12.6% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 6.8% | 14.0% | Better |
| Excessive weight loss | 2.7% | 7.5% | Better |
| New/worsened incontinence | 10.6% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $150,922
How This Grade Was Calculated
This facility's grade of F is based on a score of 26 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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