Town Hall Estates
300 Happy Ln, Hillsboro, TX 76645 · Hill County
Non-profit · 138 certified beds · 32% occupancy · (254) 582-8482
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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 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
- Potential for harmTag F0842 · Sep 6, 2025Corrected Sep 28, 2025
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
Showing the 10 most recent and serious of 29 findings. See the full inspection history on Medicare.gov.