Nursing home report
Hillsboro, TX · Medicare-certified · 138 beds
1 out of 5 stars overall. Town Hall Estates in Hillsboro, TX has a 1-star health inspection rating, 2-star staffing, 4-star quality measures rating, reported nurse staffing below the federal benchmark (3.07 vs 4.1 hours per resident per day), $52,089 in fines over the last 24 months, and a recent federal penalty.
Health inspections
Staffing
3.0711 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0711.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
F-Tag 684 — 42 CFR §483.25 — S/S: K
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.
F-Tag 655 — 42 CFR §483.21 — S/S: J
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.
F-Tag 689 — 42 CFR §483.25(d) — 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.
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.
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 11 health deficiencies.
A federal fine of $13,260 was recorded.
Health inspection found 1 health deficiency.
Health inspection found 2 health deficiencies.
A federal payment denial was recorded.
A federal fine of $38,829 was recorded.
On record with Medicare: 8 fines · $83,494 in total fines · 1 payment denial.
Federal fine
Apr 18, 2025
Medicare/Medicaid payment denial
Aug 29, 2024
Federal fine
Aug 29, 2024
Federal fine
Sep 5, 2023
Federal fine
Aug 28, 2023
Federal fine
Aug 21, 2023
Federal fine
Aug 14, 2023
Federal fine
Aug 7, 2023
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.
