Town Hall Estates — Nursing Home in Hillsboro, TX

300 Happy Ln, Hillsboro, TX, 76645 | 2545828482

CMS Five-Star Rating

★☆☆☆☆ 1/5

Based on health inspections, staffing, and quality measures

Facility Overview

Medicare Medicaid
Certified Beds138
Average Residents/Day43.3
CMS Certification Number676033

Staffing Levels

Hours Per Resident Day (HPRD)

Total Nurse Staffing 3.45 HPRD
RN Staffing 0.33 HPRD

Health Inspection Findings & Deficiencies

Most Recent Inspection September 6, 2025
Total Deficiencies 11 2 Severe

Town Hall Estates had 11 health inspection deficiencies on its most recent inspection (September 6, 2025), including 2 classified as severe.

Inspection Findings — September 6, 2025

  • Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. (Level D)
    Corrected — September 28, 2025
  • Assess the resident when there is a significant change in condition (Level D)
    Corrected — September 28, 2025
  • Ensure each resident receives an accurate assessment. (Level D)
    Corrected — September 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. (Level D)
    Corrected — September 28, 2025
  • Ensure each resident’s drug regimen must be free from unnecessary drugs. (Level D)
    Corrected — September 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. (Level D)
    Corrected — September 28, 2025
  • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Level D)
    Corrected — September 28, 2025
  • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Level D)
    Corrected — September 28, 2025
  • Provide and implement an infection prevention and control program. (Level D)
    Corrected — September 28, 2025
  • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Level J)
    Corrected — September 7, 2025
  • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Level J)
    Corrected — September 7, 2025
CareQED Analysis

Town Hall Estates is a 138-bed nursing home in Hillsboro, Texas. It holds a 1-star CMS overall rating. Total nurse staffing is 3.4 hours per resident day, above the Texas average of 3.4. Its most recent inspection, in September 2025, cited 11 deficiencies, 2 of them severe.

Nurse staffing appears roughly in line with the state average, which can help maintain day‑to‑day care coverage. However, the most recent inspection found several deficiencies, including serious problems with psychotropic drug use, assessments, and medication management, so ask what specific corrective actions, monitoring, and oversight are now in place to address those issues.

Frequently Asked Questions

Is Town Hall Estates Medicare and Medicaid certified?

Town Hall Estates is Medicare certified and Medicaid certified according to CMS data.

What is Town Hall Estates's CMS star rating?

Town Hall Estates has an overall CMS rating of 1 out of 5 stars.

How is staffing at Town Hall Estates?

Town Hall Estates reports 3.44915 total nurse hours per resident day.

Has Town Hall Estates had health inspection deficiencies?

On its most recent inspection, Town Hall Estates had 11 total deficiencies, including 2 classified as severe.

How many beds does Town Hall Estates have?

Town Hall Estates has 138 certified beds.

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Data Source

This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.

CMS Provider Information updated May 1, 2026.

CMS Survey Summary updated May 1, 2026.

CMS Health Deficiencies updated May 1, 2026.

CareQED last updated June 22, 2026.

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