Town and Country Nursing and Rehabilitation Center
Boerne, Texas
Skilled nursing facility in Boerne, TX with 126 certified beds and a 1-star CMS overall rating.
Town and Country Nursing and Rehabilitation Center is a skilled nursing facility in Boerne, Texas (Kendall County), with 126 Medicare/Medicaid-certified beds.
Address: 625 N Main St, Boerne, TX 78006. Phone: (830) 249-3085.
Ownership: Government - Hospital district. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Has a resident council. Part of the Wellsential Health chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 1 of 5, health inspections 2, staffing 1, quality measures 4.
Levels of care
- Skilled nursing
Facility details
- Street address
- 625 N Main St
- City
- Boerne
- State
- Texas
- ZIP code
- 78006
- Phone
- (830) 249-3085
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 455796
- County
- Kendall
- Ownership Type
- Government - Hospital district
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 126
- Avg Daily Residents
- 83.6
- Continuing Care Community
- No
- Resident Family Council
- Resident
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1998-03-03
- Chain Name
- Wellsential Health
- Overall Rating
- 1
- Health Inspection Rating
- 2
- Staffing Rating
- 1
- Quality Measure Rating
- 4
- Total Nurse Hours Per Resident Day
- 3.32806
- Rn Hours Per Resident Day
- 0.41198
- Latitude
- 29.7986
- Longitude
- -98.734
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 455796. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
3 / 5
Average- Certified beds
- 126
- Residents per day
- 79
- Ownership
- Government - Hospital district
- Health citations (latest)
- 11
- Fines
- 2 ($150,922)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
AverageThe headline score, from 1 to 5 stars.
✓ Better than the state average. State 2.8 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✓ Better than the state average. State 1.9 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much above averageHow residents are actually doing.
✓ Better than the state average. State 3.8 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.39 · LPN 1.14 · Nurse aide 1.89. What the home's payroll records show.
RN 0.69 · LPN 0.87 · Nurse aide 2.36. What CMS predicts a home with these residents' needs would staff.
RN 0.38 · LPN 1.13 · Nurse aide 1.87. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with TX and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.43
≈ About the state average. State 3.42 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.39
✗ Worse than the state average. State 0.44 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.53
✓ Better than the state average. State 1.39 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.89
✗ Worse than the state average. State 2.03 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.97
≈ About the state average. State 2.99 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.35
≈ About the state average. State 0.35 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.07
✓ Better than the state average. State 0.07 · National 0.07
- Nursing staff turnover (%, lower is better)
- 67.5%
✗ Worse than the state average. State 50.8% · National 45.3%
- RN turnover (%, lower is better)
- 50.0%
≈ About the state average. State 49.8% · National 42.5%
- Administrators who left (people, lower is better)
- 0
✓ Better than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.42
State 1.40 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
138.3 points — in TX that earns (Below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in TX [10]
- 5 ★
- 0.000-26.000
- 4 ★
- 26.001-51.000
- 3 ★
- 51.001-85.000
- 2 ★ (this home)
- 85.001-145.750
- 1 ★
- >145.750
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jul 31, 2026 | 11 (7) | 40 | 1 | 0 | 40 |
| Prior cycles (2 and 3) | May 22, 2025 | 40 (29) | 433 | 1 | 0 | 433 |
Health citations per inspection
Jul 31, 2026
May 22, 2025
Mar 31, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jul 31, 2026
May 22, 2025
Mar 31, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Resident Assessment and Care Planning 4
- Freedom from Abuse and Neglect and Exploitation 3
- Pharmacy Service 2
- Nursing and Physician Services 1
- Infection Control 1
What the latest fire-safety inspection cited
- Smoke 4
- Miscellaneous 2
- Services 1
- Egress 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 2 | K · 100 pts 1 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 0 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 34 | E · 8 pts 12 | F · 16 pts 1 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (51) [2]
Inspection on Jul 31, 2026 · 4 citations
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
Inspection on Jul 10, 2026 · 1 citation
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jul 11, 2026) · From a complaint
Inspection on Jul 6, 2026 · 1 citation
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 7, 2026) · From a complaint
Inspection on Apr 24, 2026 · 2 citations
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 25, 2026) · From a complaint
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 25, 2026) · From a complaint
Inspection on Jan 8, 2026 · 1 citation
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jan 9, 2026) · From a complaint
Inspection on Dec 17, 2025 · 1 citation
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 18, 2025) · From a complaint
Inspection on Dec 4, 2025 · 1 citation
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Dec 5, 2025) · From a complaint
Inspection on May 22, 2025 · 11 citations
-
D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Assist a resident in gaining access to vision and hearing services.
F0685 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
F0553 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
E
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
Inspection on May 2, 2025 · 4 citations
-
D
Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 3, 2025) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (May 3, 2025) · From a complaint
-
E
Ensure that residents are free from significant medication errors.
F0760 · Pharmacy Service Deficiencies · Past Non-Compliance (Sep 27, 2024) · From a complaint
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 3, 2025) · From a complaint
Inspection on Feb 25, 2025 · 7 citations
-
E
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
F0686 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
-
E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
-
E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
-
E
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
F0945 · Infection Control Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
-
D
Provide safe, appropriate pain management for a resident who requires such services.
F0697 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 26, 2025) · From a complaint
Inspection on Jul 26, 2024 · 2 citations
-
J
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 27, 2024) · From a complaint
-
D
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.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Jul 27, 2024) · From a complaint
Inspection on May 3, 2024 · 1 citation
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (May 4, 2024) · From a complaint
Inspection on Mar 31, 2024 · 8 citations
-
J
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F0657 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
E
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
E
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
E
Provide activities to meet all resident's needs.
F0679 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
-
D
Provide or obtain dental services for each resident.
F0791 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024) · From a complaint
Inspection on Feb 22, 2024 · 4 citations
-
E
Prepare residents for a safe transfer or discharge from the nursing home.
F0624 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 14, 2024) · From a complaint
-
D
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.
F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 14, 2024) · From a complaint
-
E
Employ staff that are licensed, certified, or registered in accordance with state laws.
F0839 · Administration Deficiencies · Deficient, Provider has date of correction (Mar 14, 2024) · From a complaint
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 14, 2024) · From a complaint
Inspection on Oct 5, 2023 · 3 citations
-
E
Ensure medication error rates are not 5 percent or greater.
F0759 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Oct 20, 2023) · From a complaint
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Oct 20, 2023) · From a complaint
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Oct 20, 2023) · From a complaint
All fire-safety citations (25) [3]
Inspection on Jul 31, 2026 · 8 citations
-
F
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
D
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
F
Have simulated fire drills held at unexpected times.
K0712 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
D
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
K0741 · Miscellaneous Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Aug 1, 2026)
Inspection on May 22, 2025 · 13 citations
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
F
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
E
Inspect, test, and maintain automatic sprinkler systems.
K0353 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
E
Install proper backup exit lighting.
K0281 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Properly select, install, inspect, or maintain portable fire extinguishes.
K0355 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
E
Install an approved automatic sprinkler system.
K0351 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
F
Install a fire alarm system that can be heard throughout the facility.
K0341 · Smoke Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
D
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.
K0227 · Egress Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
-
E
Have generator or other power source capable of supplying service within 10 seconds.
K0918 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Jun 17, 2025)
Inspection on Mar 31, 2024 · 4 citations
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Waiver has been granted (Mar 27, 2024)
-
D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
K0222 · Egress Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024)
-
C
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Waiver has been granted (Mar 27, 2024)
-
D
Ensure proper usage of power strips and extension cords.
K0920 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 3, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 2 State avg 1.4 · National 0.9
- Total fined
- $150,922 State avg 42,987 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Jul 26, 2024 | Fine | $75,832 | — |
| Mar 31, 2024 | Fine | $75,090 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 100.0
✓ Better than the state average. State 96.4 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 100.0
✓ Better than the state average. State 97.0 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 3.4
✗ Worse than the state average. State 3.2 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 10.3
✗ Worse than the state average. State 2.3 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 3.9
✗ Worse than the state average. State 2.9 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 26.6
✗ Worse than the state average. State 17.8 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 9.1
✓ Better than the state average. State 9.8 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 1.2
✗ Worse than the state average. State 0.0 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 10.9
✓ Better than the state average. State 12.9 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 8.8
✓ Better than the state average. State 15.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 0.3 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.3
✓ Better than the state average. State 0.8 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 9.5
✓ Better than the state average. State 12.5 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 1.6
✓ Better than the state average. State 3.7 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 100.0
✓ Better than the state average. State 88.7 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.0
✓ Better than the state average. State 1.4 · National 1.5
- Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Higher is better
- 100.0
✓ Better than the state average. State 85.4 · National 80.1
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
- Number of hospitalizations per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.8
- 1.4
✓ Better than the state average. State 2.0 · National 1.8
- Number of outpatient emergency department visits per 1000 long-stay resident days ★ Lower is better · Expected for these residents: 1.7
- 2.3
✗ Worse than the state average. State 2.0 · National 1.7
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- Government - Hospital district
- Legal business name
- MEDINA COUNTY HOSPITAL DISTRICT
- Certified for
- Medicare and Medicaid
- Certified beds
- 126
- Residents per day (average)
- 79.4
- In Medicare/Medicaid since
- Mar 3, 1998
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
- County
- Kendall
- Located in a hospital
- No
Company profiles: Wellsential Health (67 homes, average 2.8 stars), Medina County Hospital District (6 homes, average 2.2 stars)
Part of WELLSENTIAL HEALTH
One of 67 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 2.8
- Health inspections
- 2.9
- Staffing
- 1.6
- Quality
- 4.3
Owners, officers and managers (37) [6]
Adp Of The Snf
- 625 N MAIN STREET LLC (organization, NOT APPLICABLE, since 10/01/2018)
- AGHA, YASMEEN (individual, NOT APPLICABLE, since 01/01/2025)
- BEAUMONT, JAIME (individual, NOT APPLICABLE, since 01/01/2025)
- CSV RHEA MANAGEMENT HOLDCO, LLC (organization, NOT APPLICABLE, since 10/01/2018)
- DEKOWSKI, DONOVAN (individual, NOT APPLICABLE, since 10/01/2018)
- DWD TX HOLDINGS LLC (organization, NOT APPLICABLE, since 10/01/2018)
- JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC (organization, NOT APPLICABLE, since 10/01/2018)
- MARTINEZ, DELIA (individual, NOT APPLICABLE, since 01/01/2025)
- MARTINEZ, THELMA (individual, NOT APPLICABLE, since 04/10/2023)
- REG BRIDGE OPCO LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REG HG OPCO LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REG OPERATOR HOLDCO LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REGENCY IHS CLINICAL CONSULTING, LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REGENCY IHS OF BOERNE LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REGENCY IHS REHAB LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REGENCY INTEGRATED HEALTH SERVICES LLC (organization, NOT APPLICABLE, since 10/01/2018)
- REGENCY TEXAS HOLDINGS LLC (organization, NOT APPLICABLE, since 10/01/2018)
Operational/Managerial Control
- AGHA, YASMEEN (individual, NOT APPLICABLE, since 01/01/2025)
- MARTINEZ, THELMA (individual, NOT APPLICABLE, since 04/10/2023)
Corporate Officer
- BAIN, WILLIAM (individual, NOT APPLICABLE, since 05/23/2011)
- BELL, BILLIE (individual, NOT APPLICABLE, since 06/03/2023)
- FROSCH, KEVIN (individual, NOT APPLICABLE, since 02/01/2010)
- HARDT, TIMOTHY (individual, NOT APPLICABLE, since 01/27/2020)
- JOHNSON, TONY (individual, NOT APPLICABLE, since 11/26/2012)
- MANGOLD, MARY (individual, NOT APPLICABLE, since 08/31/2023)
- WINDROW, ZACHARY (individual, NOT APPLICABLE, since 11/26/2012)
- WINKLER, JUDY (individual, NOT APPLICABLE, since 05/01/2004)
- YOUNG, CARLTON (individual, NOT APPLICABLE, since 05/01/2006)
Managing Control - Governing Body
- BAIRD, DANIEL (individual, NOT APPLICABLE, since 04/13/2021)
- CARVAJAL, ANTONIO (individual, NOT APPLICABLE, since 05/16/2024)
- CLAPP, BARBARA (individual, NOT APPLICABLE, since 06/01/2021)
- CORTESE, DAREN (individual, NOT APPLICABLE, since 08/10/2021)
- GIBSON, PATRICIA (individual, NOT APPLICABLE, since 08/01/2021)
- GONZALES, VERONICA (individual, NOT APPLICABLE, since 05/16/2024)
- KAUFMAN, NICOLE (individual, NOT APPLICABLE, since 08/10/2021)
- MANDELBAUM, ELLIOT (individual, NOT APPLICABLE, since 01/01/2025)
5% Or Greater Direct Ownership Interest
- MEDINA COUNTY HOSPITAL DISTRICT (organization, 100%, since 06/01/2014)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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