Non profit - Corporation · 138 certified beds · CMS number 676033
Town Hall Estates, Hillsboro, TX
CMS records 30 health deficiencies at Town Hall Estates in Hillsboro, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Sep 6, 2025. The highest severity cited is K (immediate jeopardy to resident health or safety). 4 citations were at the immediate jeopardy level. CMS lists 2 fines totaling $52,089 and 1 payment denial in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 12in the latest cycle (TX median 8)
- Khighest severity · Immediate jeopardy
- $52,089fines, last 3 years
- 1CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Town Hall Estates as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Town Hall Estates may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (12 deficiencies)
Standard inspection Sep 6, 2025. CMS counts 12 health deficiencies and 2 fire safety deficiencies in this cycle.
Jun 23, 2026 · Complaint inspection
1 deficiency, highest D
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 8, 2026
Sep 6, 2025 · Standard + complaint inspection
11 deficiencies, highest J
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F757 · Avoiding unnecessary drugs
Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F756 · Monthly pharmacist medication review
Requirement cited (CMS): Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 7, 2025
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Sep 7, 2025
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F637 · Reassessment after a significant change
Requirement cited (CMS): Assess the resident when there is a significant change in condition
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
F605 · Limits on psychotropic drugs and chemical restraints
Requirement cited (CMS): Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 28, 2025
Previous cycle: 10 deficiencies (standard inspection Jun 27, 2024)
Standard inspection Jun 27, 2024. CMS counts 10 health deficiencies and 3 fire safety deficiencies in this cycle.
Apr 18, 2025 · Complaint inspection
1 deficiency, highest J
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Apr 19, 2025
Mar 7, 2025 · Complaint inspection
2 deficiencies, highest E
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Apr 4, 2025
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 4, 2025
Oct 14, 2024 · Complaint inspection
1 deficiency, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Nov 8, 2024
Jun 27, 2024 · Standard inspection
6 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 28, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 30, 2024
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jun 30, 2024
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 10, 2024
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 30, 2024
Earlier cycle: 8 deficiencies (standard inspection Jun 14, 2023)
Standard inspection Jun 14, 2023. CMS counts 8 health deficiencies and 17 fire safety deficiencies in this cycle.
Aug 29, 2024 · Complaint inspection
2 deficiencies, highest K
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Sep 27, 2024
F684 · Quality of care
Requirement cited (CMS): Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Severity
- K Immediate jeopardy to resident health or safety, pattern
- Status
- Correction date Sep 27, 2024
Jun 14, 2023 · Standard inspection
6 deficiencies, highest E
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 21, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 11, 2023
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jul 11, 2023
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 18, 2023
F687 · Foot care
Requirement cited (CMS): Provide appropriate foot care.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 15, 2023
F644 · Coordinating with PASARR screening
Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jul 6, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Town Hall Estates; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F689 Accident prevention and supervision | 4 | Jun 23, 2026; Sep 6, 2025; Apr 18, 2025; Aug 29, 2024 |
| F812 Food safety and sanitation | 4 | Sep 6, 2025; Oct 14, 2024; Jun 27, 2024; Jun 14, 2023 |
| F677 Help with daily care | 2 | Mar 7, 2025; Jun 27, 2024 |
| F684 Quality of care | 2 | Mar 7, 2025; Aug 29, 2024 |
| F761 Drug labeling and secure storage | 2 | Sep 6, 2025; Jun 27, 2024 |
| F842 Complete, confidential medical records | 2 | Sep 6, 2025; Jun 27, 2024 |
| F880 Infection prevention and control program | 2 | Sep 6, 2025; Jun 14, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Apr 18, 2025 | Fine | $13,260 |
| Aug 29, 2024 | Fine | $38,829 |
| Aug 29, 2024 | Payment Denial | 38 days from Oct 1, 2024 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.07 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.48 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.91 h
- Nursing staff turnover
- 62.2% (Texas median 52.1%)
- Administrators who left
- 2
- CMS overall rating
- 1 of 5
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 4 of 5
CMS figures for Town Hall Estates, copied as published; Texas medians are ours.
Facility details
- Address
- 300 Happy Ln, Hillsboro, TX 76645
- Phone
- (254) 582-8482
- County
- Hill
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 138
- Average residents per day
- 43.7
- In Medicare/Medicaid since
- Aug 26, 2004
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 4 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 4 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
- How does the home make sure doctor's orders are followed consistently across shifts? (F684, cited 2 times)
Other nursing homes in Hillsboro
- Avir at Hillsboro
Hillsboro · 40 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.