Town and Country Nursing and Rehabilitation Center
State inspectors recorded 3 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2024-07-26 — IMMEDIATE JEOPARDY (tag F0755, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2024-03-31 — IMMEDIATE JEOPARDY (tag F0761, severity J)
Pharmacy Service Deficiencies · correction not recorded in CMS data
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.
2024-03-31 — IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Staffing, from payroll records
Nursing hours / resident / day
1.80
state median 2.67
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.33
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Nursing staff turnover
66%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
2 enforcement action(s), totaling $150,922 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-07-26 | Fine | $75,832 |
| 2024-03-31 | Fine | $75,090 |
Ownership
Ownership type: Government - Hospital district. Part of the WELLSENTIAL HEALTH chain.
Other facilities under the same ownership, with their CMS overall ratings:
- Laredo West Nursing and Rehabilitation Center (Laredo, TX) —
- Windsor Nursing and Rehabilitation Center of Morga (Corpus Christi, TX) —
- Heritage Park Rehabilitation and Skilled Nursing C (Austin, TX) —
- Windsor Nursing and Rehabilitation Center of Mcall (Mcallen, TX) —
- Longview Hill Nursing and Rehabilitation Center (Longview, TX) —
- Monument Rehabilitation and Nursing Center (La Grange, TX) —
- SPINDLETOP HILL NURSING & REHAB CENTER (BEAUMONT, TX) —
- Pearsall Nursing and Rehabilitation Center (Pearsall, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-04-24 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-04-24 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-01-08 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2025-12-17 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-12-04 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-22 | F0552 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-22 | F0553 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-22 | F0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-05-22 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-22 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-22 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0685 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-05-22 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-22 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-05-22 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-05-02 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2025-05-02 | F0760 | Pharmacy Service Deficiencies | E | not recorded |
| 2025-05-02 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-05-02 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-02-25 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-25 | F0686 | Quality of Life and Care Deficiencies | E | not recorded |
| 2025-02-25 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-02-25 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-02-25 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2025-02-25 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-02-25 | F0945 | Infection Control Deficiencies | E | not recorded |
| 2024-07-26 | F0726 | Nursing and Physician Services Deficiencies | D | not recorded |
| 2024-07-26 | F0755 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-05-03 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-31 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | E | not recorded |
| 2024-03-31 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-03-31 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-31 | F0679 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-03-31 | F0689 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-03-31 | F0761 | Pharmacy Service Deficiencies | J | not recorded |
| 2024-03-31 | F0791 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-03-31 | F0812 | Nutrition and Dietary Deficiencies | F | not recorded |
| 2024-02-22 | F0578 | Resident Rights Deficiencies | D | not recorded |
| 2024-02-22 | F0624 | Resident Rights Deficiencies | E | not recorded |
| 2024-02-22 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-02-22 | F0839 | Administration Deficiencies | E | not recorded |
| 2023-10-05 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-05 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2023-10-05 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-08-16 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2023-08-16 | F0919 | Environmental Deficiencies | D | not recorded |
| 2023-08-01 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-01 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-01 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-08-01 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-02-10 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-10 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2023-02-10 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-02-10 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-10 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-02-10 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |