Santa Fe Health & Rehabilitation Center

    625 N Main St, Boerne, TX 78006
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    4.0ยท54 reviews

    Compassionate care and family atmosphere

    I was very pleased with the compassionate, attentive staff and clean, homey facility. Therapy and nursing helped my loved one make steady progress, and management/administration were responsive and made our family feel safe and supported. Residents seemed happy and social - a warm, family-like atmosphere I'd recommend.

    Loved one of resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.96ยท(54)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.3
    • Staff

      4.0
    • Meals

      3.3
    • Amenities

      2.7
    • Value

      1.0

    Pros

    • Compassionate and attentive nursing and caregiving staff
    • Strong physical and occupational therapy and rehabilitation program
    • Engaged activities program and opportunities for resident socialization
    • Clean and well-maintained common areas and resident rooms
    • Supportive dietary staff and generally well-liked meals
    • Responsive management during admissions and walkthroughs
    • Long-tenured clinical leadership and stable nurse management
    • Homelike, welcoming atmosphere
    • Coordinated teamwork between therapy and nursing teams
    • Comfortable rooms and furnishings

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Staff conduct and responsiveness
    • Gaps in personal-care and incontinence-care routines
    • Inconsistent wound and post-fall clinical response
    • Security and property-control weaknesses
    • Inconsistent communication and scheduling practices
    • Variable cleanliness and sanitation in some resident rooms and areas
    • Inconsistent meal quality and service timeliness
    • Potential medication-management and billing process gaps
    • Language and communication barriers with some staff

    Summary of reviews

    The reviews describe a facility with notable strengths in rehabilitation, therapeutic services, and a number of caring frontline employees, alongside recurring operational weaknesses that prospective residents and families should evaluate. Many families praised the physical and occupational therapy programs as effective for strength and balance recovery, and several described positive interactions with activity staff and a social, home-like atmosphere. Multiple reviewers emphasized that particular nursing leaders and long-tenured team members provide stable clinical oversight and that coordination between therapy and nursing often leads to measurable progress toward discharge goals.

    At the same time, a consistent theme across reviews is variability in day-to-day caregiving and facility processes. Staffing levels and turnover were frequently cited as contributing to delayed responses to resident needs, inconsistent personal-care routines (including grooming and bathing schedules), and intermittent lapses in room-level sanitation. Several families reported safety-related events such as resident falls and subsequent concerns about wound or pressure-injury management and post-fall follow-up; these indicate potential gaps in transfer-safety practices and in the timeliness of clinical incident response.

    Communication and administrative practices are another mixed area. While some reviewers found management helpful and admissions walkthroughs informative, others described difficulty scheduling, poor familyโ€“staff communication, and billing or medication-administration inconsistencies. Property security and belongings management were raised as a concern in multiple accounts, and at least one review raised an allegation of missing items; this suggests that inventory and property-control procedures may not be consistently enforced. Language and interpersonal communication barriers with some staff members were also noted and can affect family confidence and care coordination.

    Dining and facilities draw both praise and criticism. Several residents enjoyed the food and described attentive dietary staff, but there are also complaints about portion sizes, slow meal service, and uneven food quality. Common areas and many rooms were described as clean and comfortable by some reviewers, though other comments flagged sanitation and odor concerns in certain rooms or units, indicating variability in housekeeping standards.

    In summary, Santa Fe Health & Rehabilitation Center appears to offer strong rehabilitation services, compassionate caregivers, and effective clinical leadership in parts of the facility. However, recurring operational issues โ€” especially inconsistent staffing, variable personal-care practices, communication and scheduling gaps, security controls for personal property, and uneven cleanliness โ€” are patterns families should investigate during a visit. Recommended areas to evaluate in person include staffing ratios and shift continuity, wound- and post-fall protocols, medication and billing procedures, property-security measures, language accessibility, and mealtime practices. Observing a meal, meeting the director of nursing, and reviewing recent inspection or quality reports can help clarify whether the facilityโ€™s strengths align with a prospective residentโ€™s needs.

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    Location

    Map showing location of Santa Fe Health & Rehabilitation Center

    Santa Fe Health & Rehabilitation Center is located at 625 N Main St, Boerne, TX, 78006.

    About Santa Fe Health & Rehabilitation Center

    Town and Country Manor - Boerne is a dedicated nursing and rehabilitation center located in the heart of Boerne, TX. Serving as a welcoming sanctuary for individuals in need of skilled nursing care and rehabilitation services, the community is supported by a compassionate team of professionals. The core mission at Town and Country Manor - Boerne is to help each resident live their healthiest and most fulfilling life possible.

    The experienced staff at Town and Country Manor - Boerne prioritizes a holistic approach to caregiving, meeting not only the physical but also the emotional and social needs of every resident. Emphasis is placed on providing individualized care, designed to enhance the well-being and dignity of those in their care. Residents and their families can take comfort in knowing that the team is committed to delivering the highest quality of service throughout the recovery or long-term care journey.

    At the heart of Town and Country Manor - Boerne is a philosophy that values personal and professional growth. The organization passionately encourages its team members to pursue advanced certifications and continued education, fostering a culture of lifelong learning. This dedication ensures that all caregivers remain knowledgeable about the latest best practices in healthcare, which directly benefits residents in their everyday experience.

    Whether residents are seeking short-term rehabilitation after a hospital stay or require ongoing supportive care as part of their daily lives, Town and Country Manor - Boerne is fully equipped to meet a variety of healthcare needs. The team works collaboratively to develop customized care plans suited to individual preferences, capabilities, and goals. The warm, supportive environment creates a sense of community that enhances the quality of life for every person who calls Town and Country Manor - Boerne home.

    People often ask...

    Santa Fe Health & Rehabilitation Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 625 N Main St, Boerne, TX 78006.

    No, Santa Fe Health & Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Santa Fe Health & Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Santa Fe Health & Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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