Town And Country Nursing And Rehabilitation Center

Penalties

• Jul 26, 2024 — Fine ($75,832)
• Mar 31, 2024 — Fine ($75,090)

Inspection findings

1. Apr 24, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Apr 25, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Apr 25, 2026 · CMS health inspection

2. Jan 8, 2026 Health · 1 finding
   • Not serious Scope/severity C Complaint

     F0732 Nursing and Physician Services Deficiencies

     Post nurse staffing information every day.

     Corrected Jan 9, 2026 · CMS health inspection

3. Dec 17, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Dec 18, 2025 · CMS health inspection

4. Dec 4, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Dec 5, 2025 · CMS health inspection

5. May 22, 2025 Health · 24 findings
   • Not serious Scope/severity D

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0553 Resident Rights Deficiencies

     Allow resident to participate in the development and implementation of his or her person-centered plan of care.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0604 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0641 Resident Assessment and Care Planning Deficiencies

     Ensure each resident receives an accurate assessment.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     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 · CMS health inspection

   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0685 Quality of Life and Care Deficiencies

     Assist a resident in gaining access to vision and hearing services.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jun 17, 2025 · CMS health inspection

   • Not serious Scope/severity F

     K0211 Egress Deficiencies

     Keep aisles, corridors, and exits free of obstruction in case of emergency.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0222 Egress Deficiencies

     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.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0227 Egress Deficiencies

     Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0281 Egress Deficiencies

     Install proper backup exit lighting.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0321 Smoke Deficiencies

     Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0324 Smoke Deficiencies

     Provide properly protected cooking facilities.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0351 Smoke Deficiencies

     Install an approved automatic sprinkler system.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0355 Smoke Deficiencies

     Properly select, install, inspect, or maintain portable fire extinguishes.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0372 Smoke Deficiencies

     Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity D

     K0511 Services Deficiencies

     Have properly installed electrical wiring and gas equipment.

     Corrected Jun 17, 2025 · CMS fire safety

   • Not serious Scope/severity E

     K0918 Gas, Vacuum, and Electrical Systems Deficiencies

     Have generator or other power source capable of supplying service within 10 seconds.

     Corrected Jun 17, 2025 · CMS fire safety

6. May 2, 2025 Health · 4 findings
   • Not serious Scope/severity D Complaint

     F0583 Resident Rights Deficiencies

     Keep residents' personal and medical records private and confidential.

     Corrected May 3, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Sep 27, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected May 3, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected May 3, 2025 · CMS health inspection

7. Feb 25, 2025 Health · 7 findings
   • Not serious Scope/severity E Complaint

     F0684 Quality of Life and Care Deficiencies

     Provide appropriate treatment and care according to orders, resident’s preferences and goals.

     Corrected Feb 26, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Feb 26, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Feb 26, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0761 Pharmacy Service Deficiencies

     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 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0842 Resident Assessment and Care Planning Deficiencies

     Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

     Corrected Feb 26, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Feb 26, 2025 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0945 Infection Control Deficiencies

     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 · CMS health inspection

8. Jul 26, 2024 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0726 Nursing and Physician Services Deficiencies

     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 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 27, 2024 · CMS health inspection

9. May 3, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0656 Resident Assessment and Care Planning Deficiencies

     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 · CMS health inspection

10. Mar 31, 2024 Health · 12 findings
    • Not serious Scope/severity E Complaint

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Apr 3, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0657 Resident Assessment and Care Planning Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Apr 3, 2024 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0679 Quality of Life and Care Deficiencies

      Provide activities to meet all resident's needs.

      Corrected Apr 3, 2024 · CMS health inspection

    • Serious Scope/severity K Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Apr 3, 2024 · CMS health inspection

    • Serious Scope/severity J Complaint

      F0761 Pharmacy Service Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0791 Quality of Life and Care Deficiencies

      Provide or obtain dental services for each resident.

      Corrected Apr 3, 2024 · CMS health inspection

    • Not serious Scope/severity F Complaint

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Apr 3, 2024 · CMS health inspection

    • Not serious Scope/severity D

      K0222 Egress Deficiencies

      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.

      Corrected Apr 3, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Mar 27, 2024 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Mar 27, 2024 · CMS fire safety

    • Not serious Scope/severity D

      K0920 Gas, Vacuum, and Electrical Systems Deficiencies

      Ensure proper usage of power strips and extension cords.

      Corrected Apr 3, 2024 · CMS fire safety

11. Feb 22, 2024 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0578 Resident Rights Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0624 Resident Rights Deficiencies

      Prepare residents for a safe transfer or discharge from the nursing home.

      Corrected Mar 14, 2024 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0656 Resident Assessment and Care Planning Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0839 Administration Deficiencies

      Employ staff that are licensed, certified, or registered in accordance with state laws.

      Corrected Mar 14, 2024 · CMS health inspection

12. Oct 5, 2023 Health · 3 findings
    • Not serious Scope/severity D Complaint

      F0558 Resident Rights Deficiencies

      Reasonably accommodate the needs and preferences of each resident.

      Corrected Oct 20, 2023 · CMS health inspection

    • Not serious Scope/severity E Complaint

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Oct 20, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0842 Resident Assessment and Care Planning Deficiencies

      Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

      Corrected Oct 20, 2023 · CMS health inspection

13. Aug 16, 2023 Health · 2 findings
    • Not serious Scope/severity C Complaint

      F0732 Nursing and Physician Services Deficiencies

      Post nurse staffing information every day.

      Corrected Aug 23, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0919 Environmental Deficiencies

      Make sure that a working call system is available in each resident's bathroom and bathing area.

      Corrected Aug 23, 2023 · CMS health inspection

14. Aug 1, 2023 Health · 4 findings
    • Not serious Scope/severity D Complaint

      F0684 Quality of Life and Care Deficiencies

      Provide appropriate treatment and care according to orders, resident’s preferences and goals.

      Corrected Aug 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0686 Quality of Life and Care Deficiencies

      Provide appropriate pressure ulcer care and prevent new ulcers from developing.

      Corrected Aug 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0755 Pharmacy Service Deficiencies

      Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

      Corrected Aug 25, 2023 · CMS health inspection

    • Not serious Scope/severity D Complaint

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 25, 2023 · CMS health inspection

15. Feb 10, 2023 Health · 10 findings
    • Not serious Scope/severity D

      F0584 Resident Rights Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity D

      F0585 Resident Rights Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity D

      F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

      Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

      Corrected Feb 11, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0656 Resident Assessment and Care Planning Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity D

      F0657 Resident Assessment and Care Planning Deficiencies

      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 · CMS health inspection

    • Not serious Scope/severity E

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Feb 11, 2023 · CMS health inspection

    • Not serious Scope/severity D

      K0211 Egress Deficiencies

      Keep aisles, corridors, and exits free of obstruction in case of emergency.

      Corrected Feb 9, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0324 Smoke Deficiencies

      Provide properly protected cooking facilities.

      Corrected Feb 9, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

      Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

      Corrected Feb 9, 2023 · CMS fire safety

    • Not serious Scope/severity C

      K0521 Services Deficiencies

      Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

      Corrected Feb 9, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• AGHA, YASMEEN — operational/managerial control, NOT APPLICABLE, since 01/01/2025
• AGHA, YASMEEN — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BAIN, WILLIAM — corporate officer, NOT APPLICABLE, since 05/23/2011
• BAIRD, DANIEL — managing control - governing body, NOT APPLICABLE, since 04/13/2021
• BEAUMONT, JAIME — adp of the snf, NOT APPLICABLE, since 01/01/2025
• BELL, BILLIE — corporate officer, NOT APPLICABLE, since 06/03/2023
• CARVAJAL, ANTONIO — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• CLAPP, BARBARA — managing control - governing body, NOT APPLICABLE, since 06/01/2021
• CORTESE, DAREN — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• DEKOWSKI, DONOVAN — adp of the snf, NOT APPLICABLE, since 10/01/2018
• FROSCH, KEVIN — corporate officer, NOT APPLICABLE, since 02/01/2010
• GIBSON, PATRICIA — managing control - governing body, NOT APPLICABLE, since 08/01/2021
• GONZALES, VERONICA — managing control - governing body, NOT APPLICABLE, since 05/16/2024
• HARDT, TIMOTHY — corporate officer, NOT APPLICABLE, since 01/27/2020
• JOHNSON, TONY — corporate officer, NOT APPLICABLE, since 11/26/2012
• KAUFMAN, NICOLE — managing control - governing body, NOT APPLICABLE, since 08/10/2021
• MANDELBAUM, ELLIOT — managing control - governing body, NOT APPLICABLE, since 01/01/2025
• MANGOLD, MARY — corporate officer, NOT APPLICABLE, since 08/31/2023
• MARTINEZ, DELIA — adp of the snf, NOT APPLICABLE, since 01/01/2025
• MARTINEZ, THELMA — adp of the snf, NOT APPLICABLE, since 04/10/2023
• MARTINEZ, THELMA — operational/managerial control, NOT APPLICABLE, since 04/10/2023
• WINDROW, ZACHARY — corporate officer, NOT APPLICABLE, since 11/26/2012
• WINKLER, JUDY — corporate officer, NOT APPLICABLE, since 05/01/2004
• YOUNG, CARLTON — corporate officer, NOT APPLICABLE, since 05/01/2006
• 625 N MAIN STREET LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• CSV RHEA MANAGEMENT HOLDCO, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• DWD TX HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• JACK AND NANCY DWYER WORKFORCE DEVELOPMENT CENTER INC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• MEDINA COUNTY HOSPITAL DISTRICT — 5% or greater direct ownership interest, 100%, since 06/01/2014
• REG BRIDGE OPCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG HG OPCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REG OPERATOR HOLDCO LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS CLINICAL CONSULTING, LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS OF BOERNE LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY IHS REHAB LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY INTEGRATED HEALTH SERVICES LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018
• REGENCY TEXAS HOLDINGS LLC — adp of the snf, NOT APPLICABLE, since 10/01/2018