Town And Country Nursing And Rehabilitation Center
625 N MAIN ST, Boerne, TX, 78006
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district · Chain: Wellsential Health
- Certified beds
- 126 · avg 91 residents/day
- Total nursing staff turnover
- 66.3% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 50% — near the Texas averageTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $150,922 total
- Infection control citations
- 2
State licensing & capacity
- License number
- 149900
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 1 Medicare-only · 125 Medicaid/Medicare
- Current license effective
- June 1, 2024
- Current license expires
- June 1, 2027
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Medina County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Regency Ihs Of Boerne Llc
- Administrator
- Thelma Martinez
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Wellsential Health chain — 67 facilities. Chain-wide average overall rating 2.8 / 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
Adp of The Snf · 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 April 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 55)
- 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.
- D0689·May 22, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0685·May 22, 2025
Quality of Life and Care Deficiencies
Assist a resident in gaining access to vision and hearing services.
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 Mar 1, 2026.
About this community
Town And Country Nursing And Rehabilitation Center is a 126-bed Medicare/Medicaid nursing home in Boerne, Texas, licensed since 1971 and managed by Regency IHS of Boerne LLC under the Wellsential Health chain. CMS rates it 2 stars overall, with 2-star ratings on both health inspections and staffing. Two CMS fines total $150,922 — more than seven times the Texas median fine amount. Quality-of-care measures rate 4 stars, and the facility operates at roughly 72% occupancy.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 2 stars here. Each resident receives about 192 minutes of nursing care per day — 49 minutes less than at a 4-star-staffing facility in Texas, which sits at 241 minutes. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 192 minutes stretch thinner than the number alone suggests. About 31% of Texas nursing homes share this staffing rating or lower.
Roughly 7 in 10 nursing staff left in the past year. Texas nursing homes at the 75th percentile of turnover sit at 60% — this facility's 66% rate exceeds that mark. A long-stay resident will likely cycle through two or three primary caregivers over the course of a year.
Two CMS fines total $150,922. The Texas median fine amount across penalized facilities is about $20,699 — this facility's total is more than seven times that figure. About 30% of Texas nursing homes have received no fines at all.
The facility operates at roughly 72% of its 126 licensed beds — about 91 residents on a typical day. Paired with the 2-star overall rating, elevated turnover, and fine totals above, the low occupancy reflects a pattern rather than an isolated data point.
Quality-of-care measures rate 4 stars overall, with long-stay measures at 5 stars and short-stay measures at 3 stars. The long-stay score in particular — covering outcomes like pressure wounds, falls, and mobility decline for permanent residents — is above what the facility's overall and staffing ratings would predict.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Basis for the two CMS fines
Ask what the two fines — totaling $150,922 — were cited for and what specific changes were made in response.
Staffing levels on nights and weekends
Weekend nursing hours here average 2.93 hours per resident per day, below the already-low weekday figure; ask how many nurses and aides are on the floor on a Saturday night.
Nursing staff retention over the past year
About 7 in 10 nursing staff left in the past 12 months; ask how the facility assigns consistent caregivers to long-stay residents despite that turnover.
Current bed availability and waitlist
The facility runs at about 72% occupancy; ask whether specific units or care levels account for the open beds and what that means for room placement.
How the Resident Council operates
A Resident Council is listed but no Family Council; ask how family members formally raise concerns about care and who receives and responds to those concerns.
Management company's role in daily operations
The facility is licensed to Medina County Hospital District but managed by Regency IHS of Boerne LLC; ask which entity sets staffing budgets and handles hiring decisions day to day.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.