Town Hall Estates
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
Keep an eye on this facility
Penalties and enforcement
9 enforcement action(s), totaling $83,494 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-04-18 | Fine | $13,260 |
| 2024-08-29 | Fine | $38,829 |
| 2024-08-29 | Payment Denial | payment denial |
| 2023-09-05 | Fine | $4,587 |
| 2023-08-28 | Fine | $4,587 |
| 2023-08-21 | Fine | $4,587 |
| 2023-08-14 | Fine | $4,235 |
| 2023-08-07 | Fine | $3,882 |
| 2023-07-17 | Fine | $9,527 |
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2025-09-06 | F0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-09-06 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-06 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-06 | F0655 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2025-09-06 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-09-06 | F0756 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-06 | F0757 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-06 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-09-06 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2025-09-06 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-09-06 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-04-18 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-03-07 | F0677 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-07 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-10-14 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-08-29 | F0684 | Quality of Life and Care Deficiencies | K | not recorded |
| 2024-08-29 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-06-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-06-27 | F0677 | Quality of Life and Care Deficiencies | E | not recorded |
| 2024-06-27 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-06-27 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-06-27 | F0812 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-06-27 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-06-14 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-06-14 | F0687 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-06-14 | F0695 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-06-14 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-06-14 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2023-06-14 | F0919 | Environmental Deficiencies | E | not recorded |