Starfile / Texas

Town and Country Nursing and Rehabilitation Center

625 N Main St, Boerne, TX 78006 · CCN 455796

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$150,922

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

WELLSENTIAL HEALTH

Facilities in chain

67

Chain avg overall

2.80 / 5

Inspection citations (55)3 immediate jeopardy

1. CF0732Post nurse staffing information every day.2026-01-08 · Health · corrected 2026-01-09

   Potential for minimal harm

2. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-17 · Health · corrected 2025-12-18

   Potential for more than minimal harm

3. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-12-04 · Health · corrected 2025-12-05

   Potential for more than minimal harm

4. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-22 · Health · corrected 2025-06-17

   Potential for more than minimal harm

5. DF0553Allow resident to participate in the development and implementation of his or her person-centered plan of care.2025-05-22 · Health · corrected 2025-06-17

   Potential for more than minimal harm

6. DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2025-05-22 · Health · corrected 2025-06-17

   Potential for more than minimal harm

7. DF0641Ensure each resident receives an accurate assessment.2025-05-22 · Health · corrected 2025-06-17

   Potential for more than minimal harm

8. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-22 · Health · corrected 2025-06-17

   Potential for more than minimal harm

9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-05-22 · Health · corrected 2025-06-17

   Potential for more than minimal harm

10. DF0685Assist a resident in gaining access to vision and hearing services.2025-05-22 · Health · corrected 2025-06-17

    Potential for more than minimal harm

11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-22 · Health · corrected 2025-06-17

    Potential for more than minimal harm

12. EF0759Ensure medication error rates are not 5 percent or greater.2025-05-22 · Health · corrected 2025-06-17

    Potential for more than minimal harm

13. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-22 · Health · corrected 2025-06-17

    Potential for more than minimal harm

14. DF0880Provide and implement an infection prevention and control program.2025-05-22 · Health · corrected 2025-06-17

    Potential for more than minimal harm

15. DF0583Keep residents' personal and medical records private and confidential.2025-05-02 · Health · corrected 2025-05-03

    Potential for more than minimal harm

16. EF0760Ensure that residents are free from significant medication errors.2025-05-02 · Health · corrected 2024-09-27

    Potential for more than minimal harm

17. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-02 · Health · corrected 2025-05-03

    Potential for more than minimal harm

18. DF0880Provide and implement an infection prevention and control program.2025-05-02 · Health · corrected 2025-05-03

    Potential for more than minimal harm

19. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

20. EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

21. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

22. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

23. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

24. DF0880Provide and implement an infection prevention and control program.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

25. EF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2025-02-25 · Health · corrected 2025-02-26

    Potential for more than minimal harm

26. DF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-07-26 · Health · corrected 2024-07-27

    Potential for more than minimal harm

27. JF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-07-26 · Health · corrected 2024-07-27

    Immediate jeopardy

28. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-03 · Health · corrected 2024-05-04

    Potential for more than minimal harm

29. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-03-31 · Health · corrected 2024-04-03

    Potential for more than minimal harm

30. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-03-31 · Health · corrected 2024-04-03

    Potential for more than minimal harm

31. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-03-31 · Health · corrected 2024-04-03

    Potential for more than minimal harm

32. EF0679Provide activities to meet all resident's needs.2024-03-31 · Health · corrected 2024-04-03

    Potential for more than minimal harm

33. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-31 · Health · corrected 2024-04-03

    Immediate jeopardy

34. JF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2024-03-31 · Health · corrected 2024-04-03

    Immediate jeopardy

35. DF0791Provide or obtain dental services for each resident.2024-03-31 · Health · corrected 2024-04-03

    Potential for more than minimal harm

36. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-31 · Health · corrected 2024-04-03

    Potential for more than minimal harm

37. DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2024-02-22 · Health · corrected 2024-03-14

    Potential for more than minimal harm

38. EF0624Prepare residents for a safe transfer or discharge from the nursing home.2024-02-22 · Health · corrected 2024-03-14

    Potential for more than minimal harm

39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-22 · Health · corrected 2024-03-14

    Potential for more than minimal harm

40. EF0839Employ staff that are licensed, certified, or registered in accordance with state laws.2024-02-22 · Health · corrected 2024-03-14

    Potential for more than minimal harm

41. DF0558Reasonably accommodate the needs and preferences of each resident.2023-10-05 · Health · corrected 2023-10-20

    Potential for more than minimal harm

42. EF0759Ensure medication error rates are not 5 percent or greater.2023-10-05 · Health · corrected 2023-10-20

    Potential for more than minimal harm

43. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-10-05 · Health · corrected 2023-10-20

    Potential for more than minimal harm

44. CF0732Post nurse staffing information every day.2023-08-16 · Health · corrected 2023-08-23

    Potential for minimal harm

45. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2023-08-16 · Health · corrected 2023-08-23

    Potential for more than minimal harm

46. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-01 · Health · corrected 2023-08-25

    Potential for more than minimal harm

47. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-08-01 · Health · corrected 2023-08-25

    Potential for more than minimal harm

48. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-08-01 · Health · corrected 2023-08-25

    Potential for more than minimal harm

49. DF0880Provide and implement an infection prevention and control program.2023-08-01 · Health · corrected 2023-08-25

    Potential for more than minimal harm

50. DF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2023-02-10 · Health · corrected 2023-02-11

    Potential for more than minimal harm

51. DF0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.2023-02-10 · Health · corrected 2023-02-11

    Potential for more than minimal harm

52. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-02-10 · Health · corrected 2023-02-11

    Potential for more than minimal harm

53. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-10 · Health · corrected 2023-02-11

    Potential for more than minimal harm

54. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-02-10 · Health · corrected 2023-02-11

    Potential for more than minimal harm

55. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-10 · Health · corrected 2023-02-11

    Potential for more than minimal harm

Ownership

Other facilities in Boerne

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.