Town and Country Nursing and Rehabilitation Center: Staffing, Turnover, and Inspection Record
Town and Country Nursing and Rehabilitation Center is a 126-bed government-run nursing home in Boerne, Texas, part of Wellsential Health. In the CMS August 2026 release it reported 1.87 nurse aide hours per resident per day, 6% below the Texas average of 2.00, and 65.9% nursing staff turnover (Texas average 55.3%).
Town and Country Nursing and Rehabilitation Center
625 N Main StBoerne, TX 78006
Kendall County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Town and Country Nursing and Rehabilitation Center, nurse aides logged 1.87 hours per resident per day, 6% below the Texas average. With about 84 residents a day, that works out to roughly 157 aide hours a day, or about 20 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.87 | 2.00 | 2.32 |
| Licensed practical nurses | 1.04 | 0.95 | 0.86 |
| Registered nurses | 0.41 | 0.43 | 0.69 |
| All nursing staff | 3.33 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.98 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
65.9% of nursing staff at Town and Country Nursing and Rehabilitation Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 44.4%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 22, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 16 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $150,922 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 26, 2024 | Fine | $75,832 |
| Mar 31, 2024 | Fine | $75,090 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Town and Country Nursing and Rehabilitation Center holds 1 of 5 overall; the Texas average is 2.6.
About Town and Country Nursing and Rehabilitation Center
- Ownership: Government - Hospital district
- Chain: Wellsential Health, 67 homes
- Legal name: Medina County Hospital District
- Medicare and Medicaid certified since: Mar 3, 1998
- Councils: resident council
- Area: urban
Nursing homes near Town and Country Nursing and Rehabilitation Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Carechoice of Boerne Boerne | 0.2 | 74 | 1.35 | 2.70 | 41.2% | 2 | $33,937 |
| Avir at Boerne Boerne | 1.3 | 96 | 2.08 | 3.17 | 67.7% | 1 | $133,341 |
| Cibolo Creek Boerne | 1.3 | 120 | 1.54 | 3.00 | 60.8% | 2 | $13,627 |
| Kendall House Wellness & Rehabilitation Boerne · staffing data not validated | 1.7 | 40 | — | — | 68.1% | 3 | $88,390 |
| Avir at Comfort Comfort | 15.8 | 76 | 1.89 | 3.77 | 59.4% | 5 | None |
| Estates at Shavano Park Shavano Park | 18.0 | 112 | 2.18 | 3.67 | 63.4% | 3 | None |
| Coronado at Stone Oak San Antonio | 18.3 | 112 | 1.58 | 3.38 | 27.0% | 5 | None |
| The Heights of Bulverde Spring Branch | 18.7 | 124 | 1.74 | 3.13 | 55.9% | 2 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.