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Town and Country Manor

  • Nursing Home

Updated Sep 1, 2022 by Nick Reese

Historical Rating
Grade: D
Oct 18: DNov 18: DDec 18: DJan 19: FFeb 19: FMay 19: FJun 19: FJul 19: FAug 19: FSep 19: FJan 20: DMar 20: DApr 20: DMay 20: DJun 20: DJul 20: DAug 20: DSep 20: DOct 20: DJan 21: FFeb 21: FMar 21: FApr 21: FMay 21: FJun 21: FJul 21: FAug 21: FSep 21: FOct 21: DNov 21: DJan 22: DFeb 22: DMar 22: DApr 22: DMay 22: DJun 22: DAug 22: DSep 22: D
See Rating Overview
Town and Country Manor's website

625 N Main St,
Boerne TX 78006

(830) 249-3085

62.53% estimated occupancy 1

Town and Country Manor is one of five available facilities in Boerne, Texas. We awarded this facility an overall grade of D. A grade of this caliber typically indicates some red flags. Boerne received a city grade of B-, so there are other options in the city worth considering. If you aren't deterred by this nursing home's report card, you can continue reading to learn more about its category scores. Inspection grades are discussed in the next section.

Quick Details

  • Accepts Medicare 1
  • Accepts Medicaid 1
  • No CCRC
  • Has Resident Council
  • No Family Council
  • For profit - Corporation
  • Offers Post-Acute Care 
  • Offers Inpatient Rehab

Specialized Services

  • Speech Therapy
  • Stroke Recovery
  • IV Antibiotic Therapy
  • Wound Care
  • Occupational Therapy
  • Cardiac Therapy
  • Diabetes Management
  • Physical Therapy
  • Orthopedic Rehabilitation

Registered Staff Hours

Medical Staff Hours Per Patient (2021)
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Facility Inspections

Grade: A-minus

While we were not high on this facility's overall grade, it received a very impressive inspection report this year. In fact, it received an excellent inspection report this year. As a result, it received one of our highest scores in that category with an A-. Inspection ratings take several factors into consideration, including deficiencies and substantiated complaints. You can learn more about each of these items by obtaining copies of nursing homes' inspection reports. While this place had some minor dings on its report, it had no severe deficiencies. Severe deficiencies are ones labeled as categories G through L. This means CMS didn't deem any of the deficiencies on this facility's report to pose an imminent threat to patient health or safety. A couple minor deficiencies aren't necessarily the end of the world.

Long-term Care Quality

Grade: B-minus

The next highest category we awarded this nursing home in any category came in the area of long-term care, where we gave it a grade of B-. Our long-term care grade focuses on a nursing home's personal care rather than the highly skilled therapy and healthcare services that are critical to a rehabilitation facility. In addition to considering the amount of care provided by nurses and other staff, we looked at the number of residents vaccinated for pneumonia. This facility administered the vaccine to 100 percent of its residents, which is more than most nursing homes. This nursing home also excelled at keeping its patients out of the hospital. Indeed, it had less than one hospitalization per one thousand long-term resident days, which is a remarkably low figure.

Nurse Quality

Grade: D

Turning to the area of nursing care, this facility received a grade of just D in this category. Nursing grades are mostly associated with a nursing home's nurse staffing. This place offered just 0.3 hours of nursing care per resident daily. This is not a very impressive figure. Lastly, we also assessed some nursing quality-based metrics in determining our nursing ratings. This facility performed well when it comes to avoiding pressure ulcers and major falls.

Short-term Care Quality

Grade: D

The final area we analyzed was short-term care, which ended up being a low point for this nursing home. We gave this nursing home a D in the area of short-term care. In the area of short-term care, we seek to evaluate measures of a facility's rehabilitation services. We analyze a nursing home's skilled nursing services, including those performed by registered nurses and various therapists. As you might expect, we discovered that this place offers significantly less registered nurse and physical therapist hours per patient than the typical nursing home. Lastly, we assessed the percentage of patients who were able to return to the community from this nursing home. We found that just 0 percent of this nursing home's residents returned home.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Sep 22

Town and Country Manor Quality Metrics

Minimizes Pressure Ulcers

Grade: A-plus

In Town and Country Manor, 7.79% of Patients had Pressure Ulcers

This is the percent of patients who suffered from a pressure ulcer. Pressure ulcers, also referred to as bed sores, are routinely caused by residents not being moved frequently enough. Better nursing care reduces the percentage of residents in a nursing home who sustain pressure ulcers.

Minimizes Serious Falls

Grade: D

In Town and Country Manor, 3.33% of Patients had Serious Falls

This metric gauges the percentage of long-term stay residents who experienced falls which resulted in serious injury. Falls can happen for a variety of reasons, but high rates of falls resulting in injuries could be an indicator of lower levels of patient supervision.

Minimizes Urinary Tract Infections

Grade: A+

In Town and Country Manor, 1.51% of Patients had UTIs

This figure is a measure of the percentage of long-term care patients that experienced a urinary tract infection. Although more of these infections may reflect poorly on a nursing home's hygiene protocols, it is problematic to compare between nursing homes due to reporting standards.

Appropriately Uses Anti-Psychotic Medication

Grade: A

In Town and Country Manor, 11.48% of Patients use Anti-Psychotic Medication

This metric gauges the percent of long-term patients taking antipsychotic drugs. While antipsychotic drugs play an important role in caring for many residents, it is important to make sure these medications are being used only where medically required. In some cases, increased usage of these drugs may indicate a nursing home is using these drugs to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: F

In Town and Country Manor, 22.56% of Patients use Anti-Anxiety Medication

This indicates the percent of residents prescribed antianxiety medications. These medications are prescribed to residents experiencing anxiety or depression.

Managing Depression Among Residents

Grade: B-minus

In Town and Country Manor, 4.81% of Patients

This datapoint is a measure of the percent of long-term residents who are showing depressive symptoms.

Appropriate Vaccine Usage

Grade: A

In Town and Country Manor, 94.64% of Patients

This datapoint measures the percentage of long-term patients that received the flu and pneumonia vaccines.

Residents Maintain Autonomy

Grade: B-plus

In Town and Country Manor, 17.1% Percentage of Patients

Measures the percentage of long-term care patients who required more assistance with activities of daily living over time. ADL's include activities such as moving around and taking a bath.

Ability to Keep Residents Mobile

Grade: D

In Town and Country Manor, 16.36% Percentage of Residents

This indicates the percent of residents that maintained mobility over time. Retaining mobility is often a good sign for residents' health.

Short-term Care: Rehospitalizations

Grade: A

In Town and Country Manor, 16.36 Percentage of Residents Rehospitalized

Measures the number of times residents are rehospitalized per thousand days of short-term patient care.

Short-term Care: Facilitates Functional Improvement

Grade: F

In Town and Country Manor, 66.86% Percentage of Resident

This tells you the percent of short-term care residents that saw functional improvements, such as with activities of daily living.

Scores for Boerne, TX

  • Overall Rating has a grade of B-minus
  • Nurse Rating has a grade of C
  • Long-term Care Rating has a grade of B-minus
  • Short-term Care Rating has a grade of B-minus
  • Inspection Rating has a grade of A-minus

Looking for more options? Boerne, Texas has 4 other nursing homes

Nearby Hospitals

  • Legent Orthopedic + SpineAcute Care Hospitals 16.66 miles away5330 North Loop 1604 West San Antonio Texas 78249Proprietary(717) 620-2424

Nearby Dialysis

  • Boerne Dialysis Center1.47 miles away1369 Main Street Boerne Texas 78006Dialysis Stations: 12 (830) 249-1491
  • Us Renal Care Boerne Dialysis2.3 miles away1595 South Main Suite 107 Boerne Texas 78006Dialysis Stations: 16 (830) 816-3030
  • Fmc San Antonio, LLC16.66 miles away5418 N Loop 1604 W Ste 120 San Antonio Texas 78249Dialysis Stations: 13 (210) 561-7879
  • Innovative Dialysis Solutions at Home, Pllc17.34 miles away2795 Bulverde Rd Suite B Bulverde Texas 78163Dialysis Stations: 2 (830) 428-0524
  • North Central Kidney Disease Center19.47 miles away116 Gallery Circle #102 San Antonio Texas 78258Dialysis Stations: 16 (210) 499-4003
  • Stone Oak Dialysis19.66 miles away731 Carnoustie Drive #101 San Antonio Texas 78258CMS Rating: 3 stars Dialysis Stations: 20 (210) 403-2162

Helpful Articles

Footnotes:

  1. https://www.medicare.gov/nursinghomecompare/profile.html#ID=455796