Nursing HomeInspections

Town Hall Estates

Nursing home in Hillsboro, TX

Medicare & Medicaid certified1★ overall (CMS)

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Public-record details

Address
300 Happy Ln, Hillsboro, TX 76645
Phone
(254) 582-8482
Listed under
Nonprofit
Medicare CCN
676033
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
138
Average residents per day
44
Ownership
Nonprofit, corporation
Legal business name
Town Hall Estates-Hillsboro, INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Aug 26, 2004
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676033. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 6, 2025. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 14, 2023 to Jun 23, 2026): 9 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 23, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 6, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		D
Potential for more than minimal harm, isolated
Sep 6, 2025Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 6, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 6, 2025Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 6, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 6, 2025Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 6, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Sep 6, 2025Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Sep 6, 2025Provide and implement an infection prevention and control program.
Infection Control		D
Potential for more than minimal harm, isolated
Sep 6, 2025Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning · complaint inspection		J
Immediate jeopardy, isolated
Sep 6, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection		J
Immediate jeopardy, isolated

Showing the 12 most recent of 30. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 5 fines totalling $65,850 and 1 denial of Medicare payment for new admissions in the last three years.

Apr 18, 2025Fine: $13,260
Aug 29, 2024Fine: $38,829
Aug 29, 2024Payment denial for 38 days from Oct 1, 2024
Sep 5, 2023Fine: $4,587
Aug 28, 2023Fine: $4,587
Aug 21, 2023Fine: $4,587

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.07 hours
Registered nurse (RN) time per resident per day
0.48 hours
Nurse aide time per resident per day
1.66 hours
Total nurse staffing on weekends
2.91 hours
Nursing staff turnover (yearly)
62%
Administrators who left in the past year
2

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Hillsboro

Avir at Hillsboro411 Old Brandon Rd · Hillsboro, TX 76645 · (254) 582-8416 · For-profit39 health citations in 3 inspection cycles · last standard inspection Dec 6, 2025 · $106,866 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

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