Town Hall Estates
300 Happy Ln, Hillsboro, TX 76645 · Hill County
Non-profit · 138 certified beds · 32% occupancy · (254) 582-8482
Town Hall Estates reviews: what the government record shows
The U.S. government (CMS) rates Town Hall Estates 1 out of 5 stars overall, much below average. Its nurse staffing is 6% below the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 3.07 hrs/resident/day (-6% vs TX median)
- Antipsychotic drug use
- 11.1% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $65,850
- Inspection findings
- 30 cited, 4 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 3.07 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 4 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $65,850 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Town Hall Estates
Is Town Hall Estates a good nursing home?
Town Hall Estates in Hillsboro, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Town Hall Estates staffed?
Town Hall Estates reports 3.07 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Town Hall Estates been fined or flagged for abuse?
Town Hall Estates has paid approximately $65,850 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.07 nurse hours per resident per day. 6% below the Texas median of 3.27.
Nursing staff turnover: 62.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0655 · Sep 6, 2025ComplaintCorrected Sep 7, 2025
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
- Immediate jeopardyTag F0689 · Sep 6, 2025ComplaintCorrected Sep 7, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0689 · Jun 23, 2026ComplaintCorrected Jul 8, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0605 · Sep 6, 2025Corrected Sep 28, 2025
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
- Potential for harmTag F0637 · Sep 6, 2025Corrected Sep 28, 2025
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0641 · Sep 6, 2025Corrected Sep 28, 2025
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0756 · Sep 6, 2025Corrected Sep 28, 2025
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
- Potential for harmTag F0757 · Sep 6, 2025Corrected Sep 28, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
- Potential for harmTag F0761 · Sep 6, 2025Corrected Sep 28, 2025
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
- Potential for harmTag F0812 · Sep 6, 2025Corrected Sep 28, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Showing the 10 most recent and serious of 30 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is non-profit (non profit - corporation). It is independently operated, not part of a multi-facility chain.