Town And Country Nursing And Rehabilitation Center
625 N Main St, Boerne, TX, 78006
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 126 · avg 91 residents/day
- Total nursing staff turnover
- 61.4% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 45.5% — lower than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $150,922 total
- Infection control citations
- 2
Medicare certification
- CMS Certification Number
- 455796
- Certified beds
- 126 beds · avg 91 residents/day
- Ownership type
- Government - Hospital district
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Medina County Hospital District
- Chain affiliation
- Wellsential Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 68 facilities. Chain-wide average overall rating 2.6 / 5.
Disclosed owners (35 on record)
- Delia Martinez
Adp of The Snf · since 2025
- Elliot j Mandelbaum
Managing Control - Governing Body · since 2025
- Jaime Beaumont
Adp of The Snf · since 2025
- Yasmeen t Agha
Operational/managerial Control · since 2025
- Antonio Carvajal
Managing Control - Governing Body · since 2024
- Veronica Gonzales
Managing Control - Governing Body · since 2024
+ 29 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 57)
- D0842·Apr 24, 2026Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D0755·Apr 24, 2026Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- C0732·Jan 8, 2026Complaint
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- D0609·Dec 17, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0609·Dec 4, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D0880·May 22, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0812·May 22, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0759·May 22, 2025
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Federal penalties
By year
- 20242 fines · $151K
Most recent events
- Jul 26, 2024Fine · $76K
- Mar 31, 2024Fine · $75K
Largest single fine on record: $76K.
Fire-safety citations
21 Life-Safety-Code citations on file. Most recent: May 22, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Town And Country Nursing And Rehabilitation Centerinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.