Town Hall Estates

300 Happy Ln, Hillsboro, TX 76645 · CCN 676033 · 138 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-09-06 IMMEDIATE JEOPARDY (tag F0655, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
2025-09-06 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-04-18 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-08-29 IMMEDIATE JEOPARDY (tag F0684, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-08-29 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.58

state median 2.67

Weekend staffing gap

−1%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.15

registered nurses only

Contract (agency) staff

2%

share of all nursing hours

Days with zero RN hours reported

22

with residents present

Nursing staff turnover

62%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

9 enforcement action(s), totaling $83,494 in fines.

DateTypeAmount
2025-04-18Fine$13,260
2024-08-29Fine$38,829
2024-08-29Payment Denialpayment denial
2023-09-05Fine$4,587
2023-08-28Fine$4,587
2023-08-21Fine$4,587
2023-08-14Fine$4,235
2023-08-07Fine$3,882
2023-07-17Fine$9,527

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 23 · Immediate jeopardy: 4

Survey dateTagCategorySeverityCorrected
2025-09-06F0605Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-06F0637Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-06F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-06F0655Resident Assessment and Care Planning DeficienciesJnot recorded
2025-09-06F0689Quality of Life and Care DeficienciesJnot recorded
2025-09-06F0756Pharmacy Service DeficienciesDnot recorded
2025-09-06F0757Pharmacy Service DeficienciesDnot recorded
2025-09-06F0761Pharmacy Service DeficienciesDnot recorded
2025-09-06F0812Nutrition and Dietary DeficienciesDnot recorded
2025-09-06F0842Resident Assessment and Care Planning DeficienciesDnot recorded
2025-09-06F0880Infection Control DeficienciesDnot recorded
2025-04-18F0689Quality of Life and Care DeficienciesJnot recorded
2025-03-07F0677Quality of Life and Care DeficienciesDnot recorded
2025-03-07F0684Quality of Life and Care DeficienciesEnot recorded
2024-10-14F0812Nutrition and Dietary DeficienciesEnot recorded
2024-08-29F0684Quality of Life and Care DeficienciesKnot recorded
2024-08-29F0689Quality of Life and Care DeficienciesGnot recorded
2024-06-27F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-27F0677Quality of Life and Care DeficienciesEnot recorded
2024-06-27F0732Nursing and Physician Services DeficienciesCnot recorded
2024-06-27F0761Pharmacy Service DeficienciesEnot recorded
2024-06-27F0812Nutrition and Dietary DeficienciesDnot recorded
2024-06-27F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2023-06-14F0644Resident Assessment and Care Planning DeficienciesDnot recorded
2023-06-14F0687Quality of Life and Care DeficienciesDnot recorded
2023-06-14F0695Quality of Life and Care DeficienciesEnot recorded
2023-06-14F0812Nutrition and Dietary DeficienciesEnot recorded
2023-06-14F0880Infection Control DeficienciesEnot recorded
2023-06-14F0919Environmental DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Town Hall Estates, Hillsboro” at medicare.gov/care-compare.