Town and Country Nursing and Rehabilitation Center
Boerne · 0.2 mi · 126 beds
Citations0Substantiated0
Care Choice of Boerne
200 E RYAN ST, Boerne, TX, 78006
Nursing home74 licensed beds0 citations on record
4 more within 6 milesOpen in Maps
Has this facility been cited?
Yes. Federal inspectors cited 13 deficiencies against Care Choice of Boerne in Boerne, Texas at its most recent standard inspection on 2026-02-14, 6 of them arising from complaints. 2 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 2 times, totalling $33,937. Medicare rates it 2 out of 5 overall.
2 / 5Medicare overall rating
74certified beds
13deficiencies at the last inspection
2immediate-jeopardy findings on record
0actual-harm findings on record
2federal fines, $33,937
What the inspectors found
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
Immediate jeopardyA resident was placed in immediate danger. The most serious band CMS uses.2
Actual harmA resident was harmed, but not placed in immediate danger.0
Potential for more than minimal harmNo resident was harmed, but the failing could have caused it.28
Potential for minimal harmThe least serious band.0
Most recentEEDEEDDDDDDDDEEEDDJJ
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · F0583 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2026-05-28 · from a complaint · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Nutrition and Dietary Deficiencies · F0801 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · F0637 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · F0656 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
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.
Pharmacy Service Deficiencies · F0761 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2026-02-14 · standard survey · No actual harm, potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · F0550 · 2025-11-19 · from a complaint · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-11-19 · from a complaint · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2025-11-19 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning Deficiencies · F0842 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · F0759 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-11-22 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-11-01 · from a complaint · Immediate jeopardy to resident health or safety
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-11-01 · from a complaint · Immediate jeopardy to resident health or safety
Medicare’s own rating
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
OverallCombines the three below2 of 5
Health inspectionBased on the last three inspection cycles3 of 5
StaffingNurse hours per resident, adjusted for how sick residents are1 of 5
Quality measuresResident outcomes reported by the home4 of 5
Nurse hours per resident per dayReported by the home to CMS2.70359
Nursing staff turnoverShare of nursing staff who left in a year41.2%
Penalties
What Medicare has fined this home
FinesCivil money penalties imposed by CMS2
Total fined$33,937
Payment denials and other penaltiesMedicare refusing to pay for new admissions is the usual one2
Ownership
Who owns Care Choice of Boerne
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DDF INVESTMENTS LLC | Organization | 15% | since 02/23/2015 |
| BROUSSARD, KENDALL | Individual | 65% | since 06/12/2024 |
| BROUSSARD, REUBEN | Individual | 10% | since 06/12/2024 |
| BROUSSARD, TODD | Individual | 10% | since 06/12/2024 |
| JOHN DAVIDSON PROPERTIES LLC | Organization | NOT APPLICABLE | since 06/12/2024 |
| L&J HEALTHCARE LLC | Organization | NOT APPLICABLE | since 06/12/2024 |
| DAVIDSON, JOHN | Individual | NOT APPLICABLE | since 06/12/2024 |
| DAVIDSON, JOSHUA | Individual | NOT APPLICABLE | since 06/12/2024 |
| DAVIDSON, ZACHARY | Individual | NOT APPLICABLE | since 06/12/2024 |
| DELRIE, ALTON | Individual | NOT APPLICABLE | since 06/12/2024 |
| FULLER, LAURIE | Individual | NOT APPLICABLE | since 06/12/2024 |
| FULLER, ROBERT | Individual | NOT APPLICABLE | since 06/12/2024 |
Part of the CHARLESTON HEALTHCARE GROUP group.
Nearby
Other licensed providers within six miles
Listed by distance. Nobody paid to appear here and the order is not for sale.
Riverview Nursing & Rehabilitation
Boerne · 1.0 mi · 96 beds
Citations0Substantiated0
Cibolo Creek
Boerne · 1.1 mi · 120 beds
Citations0Substantiated0
Kendall House Wellness & Rehabilitation
Boerne · 1.6 mi · 40 beds
Citations0Substantiated0
Contact
Ask Care Choice of Boerne a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675678.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction