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Town And Country Nursing And Rehabilitation Center

📍 625 N Main St, Boerne, TX 78006 📞 (830) 249-3085 🛏️ 126 beds

Inspection History Overview

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Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

July 26, 2024 Complaint Investigation

Fines and Penalties by Year

2021 1 penalties totaling $650

$650
Jun 21, 2021

Fine

2020 3 penalties totaling $50,530

$29,750
Sep 11, 2020

Fine

$0
Sep 11, 2020

Payment Denial

$20,780
Aug 31, 2020

Fine

2017 1 penalties totaling $8,648

$8,648
Nov 10, 2017

Fine

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Health Violations by Year

2025 18 violations

Tag 0552 D May 23, 2025

Ensure that residents are fully informed and understand their health status, care and treatments.

✓ Corrected: Jun 17, 2025
Tag 0553 D May 23, 2025

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

✓ Corrected: Jun 17, 2025
Tag 0604 D May 23, 2025

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

✓ Corrected: Jun 17, 2025
Tag 0641 D May 23, 2025

Ensure each resident receives an accurate assessment.

✓ Corrected: Jun 17, 2025
Tag 0656 D May 23, 2025

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Jun 17, 2025
Tag 0684 D May 23, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Jun 17, 2025
Tag 0685 D May 23, 2025

Assist a resident in gaining access to vision and hearing services.

✓ Corrected: Jun 17, 2025
Tag 0689 D May 23, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Jun 17, 2025
Tag 0759 E May 23, 2025

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Jun 17, 2025
Tag 0812 D May 23, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Jun 17, 2025
Tag 0880 D May 23, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Jun 17, 2025
Tag 0684 E Feb 25, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Feb 26, 2025
Tag 0686 E Feb 25, 2025

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Feb 26, 2025
Tag 0697 D Feb 25, 2025

Provide safe, appropriate pain management for a resident who requires such services.

✓ Corrected: Feb 26, 2025
Tag 0761 D Feb 25, 2025

Ensure 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.

✓ Corrected: Feb 26, 2025
Tag 0842 E Feb 25, 2025

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Feb 26, 2025
Tag 0880 D Feb 25, 2025

Provide and implement an infection prevention and control program.

✓ Corrected: Feb 26, 2025
Tag 0945 E Feb 25, 2025

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

✓ Corrected: Feb 26, 2025

2024 15 violations

Tag 0726 D Jul 26, 2024

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Jul 27, 2024
Tag 0755 J Jul 26, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Jul 27, 2024
Tag 0656 D May 3, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: May 4, 2024
Tag 0609 E Mar 31, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Apr 3, 2024
Tag 0657 D Mar 31, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Apr 3, 2024
Tag 0677 E Mar 31, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Apr 3, 2024
Tag 0679 E Mar 31, 2024

Provide activities to meet all resident's needs.

✓ Corrected: Apr 3, 2024
Tag 0689 K Mar 31, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

✓ Corrected: Apr 3, 2024
Tag 0761 J Mar 31, 2024

Ensure 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.

✓ Corrected: Apr 3, 2024
Tag 0791 D Mar 31, 2024

Provide or obtain dental services for each resident.

✓ Corrected: Apr 3, 2024
Tag 0812 F Mar 31, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Apr 3, 2024
Tag 0578 D Feb 22, 2024

Honor 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.

✓ Corrected: Mar 14, 2024
Tag 0624 E Feb 22, 2024

Prepare residents for a safe transfer or discharge from the nursing home.

✓ Corrected: Mar 14, 2024
Tag 0656 D Feb 22, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Mar 14, 2024
Tag 0839 E Feb 22, 2024

Employ staff that are licensed, certified, or registered in accordance with state laws.

✓ Corrected: Mar 14, 2024

2023 15 violations

Tag 0558 D Oct 5, 2023

Reasonably accommodate the needs and preferences of each resident.

✓ Corrected: Oct 20, 2023
Tag 0759 E Oct 5, 2023

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Oct 20, 2023
Tag 0842 D Oct 5, 2023

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Oct 20, 2023
Tag 0732 C Aug 16, 2023

Post nurse staffing information every day.

✓ Corrected: Aug 23, 2023
Tag 0919 D Aug 16, 2023

Make sure that a working call system is available in each resident's bathroom and bathing area.

✓ Corrected: Aug 23, 2023
Tag 0684 D Aug 1, 2023

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 25, 2023
Tag 0686 D Aug 1, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

✓ Corrected: Aug 25, 2023
Tag 0755 D Aug 1, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

✓ Corrected: Aug 25, 2023
Tag 0880 D Aug 1, 2023

Provide and implement an infection prevention and control program.

✓ Corrected: Aug 25, 2023
Tag 0584 D Feb 10, 2023

Honor 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.

✓ Corrected: Feb 11, 2023
Tag 0585 D Feb 10, 2023

Honor 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.

✓ Corrected: Feb 11, 2023
Tag 0609 D Feb 10, 2023

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Feb 11, 2023
Tag 0656 D Feb 10, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Feb 11, 2023
Tag 0657 D Feb 10, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

✓ Corrected: Feb 11, 2023
Tag 0812 E Feb 10, 2023

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Feb 11, 2023

2021 2 violations

Tag 0677 D Dec 17, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: Dec 20, 2021
Tag 0684 D Dec 17, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Dec 20, 2021

2020 10 violations

Tag 0880 D Nov 4, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Nov 5, 2020
Tag 0921 D Nov 4, 2020

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: Nov 5, 2020
Tag 0637 D Sep 11, 2020

Assess the resident when there is a significant change in condition

✓ Corrected: Oct 9, 2020
Tag 0758 D Sep 11, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

✓ Corrected: Oct 9, 2020
Tag 0761 D Sep 11, 2020

Ensure 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.

✓ Corrected: Oct 9, 2020
Tag 0812 E Sep 11, 2020

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: Oct 9, 2020
Tag 0880 F Sep 11, 2020

Provide and implement an infection prevention and control program.

✓ Corrected: Oct 9, 2020
Tag 0600 J Aug 31, 2020

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

✓ Corrected: Aug 31, 2020
Tag 0607 J Aug 31, 2020

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Aug 31, 2020
Tag 0684 J Aug 31, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

✓ Corrected: Aug 31, 2020

2019 16 violations

Tag 0550 E May 3, 2019

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

✓ Corrected: May 4, 2019
Tag 0607 D May 3, 2019

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: May 4, 2019
Tag 0609 D May 3, 2019

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: May 4, 2019
Tag 0676 D May 3, 2019

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

✓ Corrected: May 4, 2019
Tag 0677 E May 3, 2019

Provide care and assistance to perform activities of daily living for any resident who is unable.

✓ Corrected: May 4, 2019
Tag 0687 D May 3, 2019

Provide appropriate foot care.

✓ Corrected: May 4, 2019
Tag 0690 E May 3, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

✓ Corrected: May 4, 2019
Tag 0693 D May 3, 2019

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

✓ Corrected: May 4, 2019
Tag 0695 E May 3, 2019

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: May 4, 2019
Tag 0726 E May 3, 2019

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: May 4, 2019
Tag 0761 E May 3, 2019

Ensure 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.

✓ Corrected: May 4, 2019
Tag 0804 E May 3, 2019

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

✓ Corrected: May 4, 2019
Tag 0812 F May 3, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 4, 2019
Tag 0842 D May 3, 2019

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: May 4, 2019
Tag 0880 E May 3, 2019

Provide and implement an infection prevention and control program.

✓ Corrected: May 4, 2019
Tag 0921 E May 3, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: May 4, 2019

2018 12 violations

Tag 0607 E Sep 21, 2018

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

✓ Corrected: Oct 12, 2018
Tag 0609 E Sep 21, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

✓ Corrected: Oct 12, 2018
Tag 0582 E Apr 27, 2018

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

✓ Corrected: May 29, 2018
Tag 0688 E Apr 27, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

✓ Corrected: May 29, 2018
Tag 0695 E Apr 27, 2018

Provide safe and appropriate respiratory care for a resident when needed.

✓ Corrected: Apr 28, 2018
Tag 0726 E Apr 27, 2018

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

✓ Corrected: Apr 28, 2018
Tag 0759 E Apr 27, 2018

Ensure medication error rates are not 5 percent or greater.

✓ Corrected: Apr 28, 2018
Tag 0761 E Apr 27, 2018

Ensure 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.

✓ Corrected: Apr 28, 2018
Tag 0812 F Apr 27, 2018

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

✓ Corrected: May 29, 2018
Tag 0842 E Apr 27, 2018

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

✓ Corrected: Apr 28, 2018
Tag 0880 E Apr 27, 2018

Provide and implement an infection prevention and control program.

✓ Corrected: Apr 28, 2018
Tag 0921 E Apr 27, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: May 29, 2018

2017 12 violations

Tag 0279 E Mar 17, 2017

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

✓ Corrected: Apr 18, 2017
Tag 0280 E Mar 17, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

✓ Corrected: Apr 18, 2017
Tag 0315 D Mar 17, 2017

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

✓ Corrected: Mar 18, 2017
Tag 0328 E Mar 17, 2017

Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.

✓ Corrected: Mar 18, 2017
Tag 0371 F Mar 17, 2017

Store, cook, and serve food in a safe and clean way.

✓ Corrected: Mar 18, 2017
Tag 0372 C Mar 17, 2017

Dispose of garbage and refuse properly.

✓ Corrected: Mar 18, 2017
Tag 0431 E Mar 17, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

✓ Corrected: Mar 18, 2017
Tag 0441 E Mar 17, 2017

Have a program that investigates, controls and keeps infection from spreading.

✓ Corrected: Mar 18, 2017
Tag 0465 E Mar 17, 2017

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

✓ Corrected: May 1, 2017
Tag 0469 E Mar 17, 2017

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

✓ Corrected: Mar 20, 2017
Tag 0498 E Mar 17, 2017

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs.

✓ Corrected: Mar 18, 2017
Tag 0514 E Mar 17, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

✓ Corrected: Mar 18, 2017
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