Town and Country Manor: Nursing Home OverviewSkip to content

Town and Country Manor

  • Nursing Home

Updated Nov 1, 2023 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: DNov 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: DOct 22: DNov 22: DJan 23: DFeb 23: DMar 23: DApr 23: CJun 23: CJul 23: DAug 23: DSep 23: B-Oct 23: DNov 23: D
See Rating Overview
Town and Country Manor's website

625 N Main St,
Boerne TX 78006

(830) 249-3085

79.12% 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.

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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 (2022)
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Facility Inspections

Grade: A

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: C

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 C. 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.

Short-term Care Quality

Grade: D

Turning to the area of short-term care, this facility received a grade of just D in that area. Our short-term care grade is typically used to judge a nursing home's performance with rehabilitation In order to have good rehabilitation services, facilities generally must have higher levels of highly skilled nursing. These types of services include registered nurses, physical therapists, occupational therapists and other highly trained professionals. Not surprisingly, we discovered that this facility offers far less physical therapist and registered nurse hours per patient than a typical facility. The final measure we looked at in this category is the percentage of residents who ultimately returned home from the facility. This facility struggled quite a bit in this metric as well, with just 0 percent of its patients returning home.

Nurse Quality

Grade: F

The last area we scored was nursing, where this facility received a very poor grade in this category also. Sadly, it received a lowly F in this category, which is obviously a major disappointment. Our nursing grade is based on several components, but the paramount one is the number of nurse hours per patient per week. This place averaged a meager 0.3 hours of nursing care per patient per day. To pair with its below average total nursing hours per resident, this nursing home had really bad scores in many of the quality-based metrics we looked at in calculating our nursing ratings. We looked at the percent of residents having falls which led to serious injury. This place was at more than 1.5 times the national average in this statistic. This is concerning in light of the fact that many falls could be avoided with better nursing care. This ended up sealing the nursing home's fate of receiving a poor nursing rating.

Rating Over Time

Compared to national and state averages across all facilities.

FDCB-BB+A-AA+Oct 18Dec 23

Town and Country Manor Quality Metrics

Minimizes Pressure Ulcers

Grade: A

In Town and Country Manor, 3.17% of Patients had Pressure Ulcers

This is the percentage of patients that sustained a pressure ulcer. Pressure ulcers are considered by many experts to be a barometer of nursing care . Pressure ulcers, which are also known as bed sores, are often caused by residents staying in one position for too long.

Minimizes Serious Falls

Grade: F

In Town and Country Manor, 7.39% of Patients had Serious Falls

This is the percent of patients that have had a major fall. Falls resulting in severe injury are considered by many in the nursing home industry to be an indicator of the quality of nursing care at a nursing home. Major falls are routinely caused by lower quality nursing care.

Minimizes Urinary Tract Infections

Grade: A-minus

In Town and Country Manor, 0.59% of Patients had UTIs

This tells you the percent of patients that suffered from a urinary tract infection. These infections may be linked to poor hygiene.

Appropriately Uses Anti-Psychotic Medication

Grade: B-plus

In Town and Country Manor, 11.07% of Patients use Anti-Psychotic Medication

This indicates the percent of patients who were prescribed antipsychotic drugs. While antipsychotic drugs may be vital to many residents, it is important to ensure these medications are being used only where medically required. In limited situations, increased usage of these drugs may indicate that a nursing home is using these medications to control patient behavior.

Appropriately Uses Anti-Anxiety Medication

Grade: F

In Town and Country Manor, 36.14% of Patients use Anti-Anxiety Medication

This tells you the percent of patients given antianxiety medications. Antianxiety medications are given to patients suffering from anxiety or depression.

Managing Depression Among Residents

Grade: B-minus

In Town and Country Manor, 5.49% of Patients

This datapoint is a measure of the percentage of long-term care residents who are demonstrating depressive symptoms.

Appropriate Vaccine Usage

Grade: A

In Town and Country Manor, 100% of Patients

This indicates the percentage of residents that were administered the pneumonia and flu vaccines. Higher vaccination rates should be standard at this point.

Residents Maintain Autonomy

Grade: B

In Town and Country Manor, 13.75% of Patients

This datapoint measures the percentage of long-term stay patients that required more assistance with activities of daily living over time. Activities of daily living include activities such as getting dressed and taking a bath. Some experts argue this is a reasonable measure of a resident's well-being.

Ability to Keep Residents Mobile

Grade: F

In Town and Country Manor, 4.66% of Residents

This is the percentage of residents that retained mobility levels over time. Retaining mobility can be a great sign for residents' well-being.

Hospitalizations

Grade: A-minus

In Town and Country Manor, 0.01 Hospitalizations per 1,000 resident days

This indicates the number of times residents are hospitalized per thousand days of care.

Short-term Care: Rehospitalizations

Grade: A-plus

In Town and Country Manor, 4.66% of Residents Rehospitalized

This is the number of rehospitalizations per 1,000 days of short-term care.

Short-term Care: Facilitates Functional Improvement

Grade: A-minus

In Town and Country Manor, 84.33% of Resident

Measures the percentage of short-term care patients who experienced functional improvements.

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
  • Short-term Care Rating has a grade of B-minus
  • Inspection Rating has a grade of B-plus

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