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Nursing home report

Town Hall Estates

Hillsboro, TX · Medicare-certified · 138 beds

Needs attention
Non-profit
Data as of September 1, 2026
1 of 5 overall

Town Hall Estates (Hillsboro, TX) has an overall rating of 1 out of 5 stars, with a 1-star health inspection rating and 2-star staffing rating. It has a recent federal penalty, $13,260 in fines in the last 24 months, and reported nurse staffing of 3.07 hours per resident per day, below the federal benchmark of 4.1.

Facility ratings

Health inspections

Staffing

3.0711 hrs/resident/day

Quality measures

Last inspection: June 23, 2026Penalties, last 24 months: $13,260recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0711.

Staffing detail

Registered nurses
0.48
Licensed practical nurses
0.93
Nurse aides
1.66
Weekend nursing
2.91

Hours per resident per day.

Total staff turnover: 62%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

14.8%11.1%Improving

Residents with a fall causing major injury

4.9%5.1%No change

Residents with pressure ulcers (bedsores)

5%0%Improving

Residents with a urinary tract infection

0%10.3%Worsening

Residents who lost too much weight

2.8%0%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

6.1%10%Worsening

Residents whose ability to walk got worse

—14.2%—

Long-stay residents on antianxiety or sleep medication

27.8%28.1%No change

Short-stay residents newly given an antipsychotic

5%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

24.3%31.6%Worsening

Residents with depressive symptoms

13.3%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

—90.4%—

Long-stay residents given the pneumonia vaccine

82.9%56.4%Worsening

Short-stay residents given the seasonal flu vaccine

—28.6%—

Short-stay residents given the pneumonia vaccine

71.4%40%Worsening

What the inspectors found

The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited August 2024 — limited pattern, immediate jeopardy to residents.

View the original federal record

F-Tag 684 — 42 CFR §483.25 — S/S: K

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited September 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to create and carry out a timely plan to meet a new resident’s most immediate needs after admission. Cited September 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 655 — 42 CFR §483.21 — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: E

The home failed to properly label and securely store medications and biologicals. Cited June 2024 — limited pattern, potential for harm.

View the original federal record

F-Tag 761 — 42 CFR §483.45(g) — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  4. INSPECTION

    Health inspection found 11 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $13,260 was recorded.

  6. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  7. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  8. PENALTY

    A federal payment denial was recorded.

  9. PENALTY

    A federal fine of $38,829 was recorded.

Penalties & enforcement

On record with Medicare: 2 fines · $52,089 in total fines · 1 payment denial.

  • Federal fine

    Apr 18, 2025

    $13,260
  • Medicare/Medicaid payment denial

    Aug 29, 2024

    38 days
  • Federal fine

    Aug 29, 2024

    $38,829

Operator & ownership

Ownership
Non profit - Corporation
Occupancy
43.7 residents on an average day (32% of 138 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.