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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

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

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
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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
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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
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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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