nursing home in Hillsboro, TX
Town Hall Estates
300 Happy Ln, Hillsboro, TX 76645 · (254) 582-8482
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Town Hall Estates at a glance
Town Hall Estates is a 138-bed non-profit nursing home in Hillsboro, Texas (Hill County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.1 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 6, 2025) found 12 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $52,089.
Nursing staff turnover is 62.2% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 138
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 26, 2004
- Resident/family council
- Resident
- County
- Hill County
- CMS Certification Number
- 676033
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.07 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.48 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.66 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.91 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 62.2% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 12 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 191.8 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $52,089 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 138 | 113 | 107 | |
| Average residents per day | 44 | 76 | 86 | |
| Occupancy | 31.7% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.1% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 11.1% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.7% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12.8% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 14.2% | 14% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 2.4% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 4.8% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.6% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 27.8% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 90.4% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 74.5% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1.1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 28.6% | 88% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 67.1% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 30 health deficiencies and 22 fire safety deficiencies in the inspection records CMS currently publishes. 5 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 23, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 8, 2026 |
| September 6, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected December 8, 2025 |
| September 6, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 8, 2025 |
| September 6, 2025 Complaint | Create 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 Deficiencies · Tag F0655 | J Immediate jeopardy, isolated | Corrected September 7, 2025 |
| September 6, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected September 7, 2025 |
| September 6, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Pharmacy Service Deficiencies · Tag F0756 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Assess the resident when there is a significant change in condition Resident Assessment and Care Planning Deficiencies · Tag F0637 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected September 28, 2025 |
| September 6, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected September 28, 2025 |
| April 18, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected April 19, 2025 |
| March 7, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected April 4, 2025 |
| March 7, 2025 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected April 4, 2025 |
| October 14, 2024 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected November 8, 2024 |
| August 29, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | K Immediate jeopardy, pattern | Corrected September 27, 2024 |
| August 29, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected September 27, 2024 |
| June 27, 2024 Fire safety | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Tag K0223 | E Potential harm, pattern | Corrected February 27, 2025 |
| June 27, 2024 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected February 25, 2025 |
| June 27, 2024 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected February 27, 2025 |
| June 27, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected June 30, 2024 |
| June 27, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected July 10, 2024 |
| June 27, 2024 Standard | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | E Potential harm, pattern | Corrected July 10, 2024 |
| June 27, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected June 28, 2024 |
| June 27, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected June 30, 2024 |
| June 27, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected June 30, 2024 |
| June 14, 2023 Fire safety | Conduct risk assessment and an All-Hazards approach. Emergency Preparedness Deficiencies · Tag E0006 | F Potential harm, widespread | Corrected August 15, 2023 |
| June 14, 2023 Fire safety | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Tag E0004 | F Potential harm, widespread | Corrected August 4, 2023 |
| June 14, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 9, 2023 |
| June 14, 2023 Fire safety | Have a battery powered remote alarm panel in a location accessible by operating personnel. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0916 | F Potential harm, widespread | Corrected August 17, 2023 |
| June 14, 2023 Fire safety | Meet Health Care Facilities Code mechanical requirements. Miscellaneous Deficiencies · Tag K0900 | F Potential harm, widespread | Corrected July 21, 2023 |
| June 14, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 14, 2023 |
| June 14, 2023 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected August 7, 2023 |
| June 14, 2023 Fire safety | Properly install and monitor supervisory attachments on automatic sprinkler systems. Smoke Deficiencies · Tag K0352 | F Potential harm, widespread | Corrected August 9, 2023 |
| June 14, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | F Potential harm, widespread | Corrected August 3, 2023 |
| June 14, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected August 15, 2023 |
| June 14, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected July 28, 2023 |
| June 14, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected July 28, 2023 |
| June 14, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected July 21, 2023 |
| June 14, 2023 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | E Potential harm, pattern | Corrected August 9, 2023 |
| June 14, 2023 Fire safety | Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Smoke Deficiencies · Tag K0361 | D Potential harm, isolated | Corrected August 3, 2023 |
| June 14, 2023 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | D Potential harm, isolated | Corrected August 8, 2023 |
| June 14, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected July 19, 2023 |
| June 14, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected June 18, 2023 |
| June 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 11, 2023 |
| June 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected July 11, 2023 |
| June 14, 2023 Standard | Make sure that a working call system is available in each resident's bathroom and bathing area. Environmental Deficiencies · Tag F0919 | E Potential harm, pattern | Corrected June 21, 2023 |
| June 14, 2023 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected July 6, 2023 |
| June 14, 2023 Standard | Provide appropriate foot care. Quality of Life and Care Deficiencies · Tag F0687 | D Potential harm, isolated | Corrected June 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $52,089 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| April 18, 2025 | Fine | $13,260 |
| August 29, 2024 | Payment Denial | 38 days from October 1, 2024 |
| August 29, 2024 | Fine | $38,829 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| AMERICAN RELIGIOUS TOWN HALL MEETING INC Organization | 5% or greater direct ownership interest | 100% | 03/18/1988 |
| ECORD, BARBARA Individual | 5% or greater indirect ownership interest | 11% | 06/02/2015 |
| TANDY, STEVEN Individual | 5% or greater indirect ownership interest | 14% | 06/02/2015 |
| CAVINESS, GLEN Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| ECORD, BARBARA Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| FAUTHEREE, STACIE Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| FAUTHEREE, WILLIAM Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| PETERS, ROBIN Individual | corporate director | NOT APPLICABLE | 01/01/2014 |
| TANDY, ROBERT Individual | corporate director | NOT APPLICABLE | 08/30/2017 |
| TANDY, STEVEN Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| TANDY, VICKY Individual | corporate director | NOT APPLICABLE | 07/01/2016 |
| TUBBS, JOHN Individual | corporate director | NOT APPLICABLE | 11/09/2015 |
| FAUTHEREE, STACIE Individual | corporate officer | NOT APPLICABLE | 07/01/2016 |
| TUBBS, JOHN Individual | corporate officer | NOT APPLICABLE | 11/09/2015 |
| TUBBS, JOHN Individual | w-2 managing employee | NOT APPLICABLE | 11/09/2015 |
Other nursing homes near Town Hall Estates
Avir at Hillsboro
411 Old Brandon Road, Hillsboro, TX 76645 · under 1 mi
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★★★★★1Much below averageAvir at Itasca
409 S Files St, Itasca, TX 76055 · 10.5 mi
For-profit · 51 beds · Part of Avir Health Group
★★★★★4Above average- ★★★★★1Much below average
Whitney Nursing and Rehabilitation Center
101 N San Marcos Street, Whitney, TX 76692 · 13.9 mi
Government · 88 beds · Part of Foursquare Healthcare
★★★★★2Below averageRenaissance Rehabilitation and Healthcare Center
220 Davenport, Italy, TX 76651 · 16.6 mi
Government · 74 beds · Part of Nexion Health
★★★★★5Much above averageGrandview Nursing and Rehabilitation Center
301 W Criner St, Grandview, TX 76050 · 18.6 mi
Non-profit · 82 beds
★★★★★5Much above average
Frequently asked questions
What is Town Hall Estates's rating?
Town Hall Estates has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Town Hall Estates receive?
Its most recent standard health inspection found 12 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Town Hall Estates accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Town Hall Estates?
It is non profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Town Hall Estates and how do I contact it?
Town Hall Estates is at 300 Happy Ln, Hillsboro, TX 76645. Phone: (254) 582-8482.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.