Town Hall Estates
300 Happy Ln, Hillsboro, TX 76645 · (254) 582-8482
Non profit - Corporation · 138 certified beds
Town Hall Estates has a 1-star overall rating from Medicare, out of 5. Its last standard inspection, in September 2025, found 11 citations, 2 for actual harm or immediate jeopardy (the Texas average is 9.4). It was fined 2 times in the last three years, $52,089 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 1 out of 5 stars · Much below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 1 out of 5 stars · Much below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 2 out of 5 stars · Below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on September 6, 2025 found 11 citations. What an inspection citation means
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedSeptember 6, 2025 · F0655 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 6, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.September 6, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Assess the resident when there is a significant change in conditionSeptember 6, 2025 · F0637 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.September 6, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.September 6, 2025 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident’s drug regimen must be free from unnecessary drugs.September 6, 2025 · F0757 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.September 6, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 6, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.September 6, 2025 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide and implement an infection prevention and control program.September 6, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 23, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedSeptember 6, 2025 · F0655 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.September 6, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.April 18, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Provide care and assistance to perform activities of daily living for any resident who is unable.March 7, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.March 7, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.October 14, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.August 29, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.August 29, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $13,260April 18, 2025
- Fine of $38,829August 29, 2024
- Medicare payment denial for 38 daysStarting October 1, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.07 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.48 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.93 | 0.95 | 0.86 |
| Nurse aides | 1.66 | 2.01 | 2.32 |
| Total nursing staff turnover | 62.2% | 55.3% | 45.8% |
About this home
| Ownership | Non profit - Corporation |
| Certified beds | 138 |
| Average residents per day | 43.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at Hillsboro Hillsboro · ★★★★★ 1 out of 5 stars
- Avir at Itasca Itasca · ★★★★★ 4 out of 5 stars
- Whitney Nursing and Rehabilitation Center Whitney · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Town Hall Estates on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.