Town Hall Estates
300 Happy Ln · Hillsboro, TX · 76645 · 2545828482
138 certified beds Non profit - Corporation
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $52,089 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$52,089 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
3.00 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.00 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.39 | 0.55–0.75 |
| Weekend hours / resident-day | 2.84 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 8 · $83,494 |
Inspection citations (29 in the current record)
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Immediate jeopardy · J September 6, 2025 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected September 7, 2025 · Resident Assessment and Care Planning
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Immediate jeopardy · J September 6, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 7, 2025 · Quality of Life and Care
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Potential for harm · D September 6, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D September 6, 2025
Assess the resident when there is a significant change in condition
Corrected September 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 6, 2025
Ensure each resident receives an accurate assessment.
Corrected September 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 6, 2025
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 28, 2025 · Pharmacy Service
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Potential for harm · D September 6, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected September 28, 2025 · Pharmacy Service
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Potential for harm · D September 6, 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.
Corrected September 28, 2025 · Pharmacy Service
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Potential for harm · D September 6, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 28, 2025 · Nutrition and Dietary
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Potential for harm · D September 6, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected September 28, 2025 · Resident Assessment and Care Planning
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Potential for harm · D September 6, 2025
Provide and implement an infection prevention and control program.
Corrected September 28, 2025 · Infection Control
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Immediate jeopardy · J April 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 19, 2025 · Quality of Life and Care
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Potential for harm · D March 7, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · E March 7, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected April 4, 2025 · Quality of Life and Care
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Potential for harm · E October 14, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 8, 2024 · Nutrition and Dietary
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Immediate jeopardy · K August 29, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 27, 2024 · Quality of Life and Care
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Actual harm · G August 29, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 27, 2024 · Quality of Life and Care
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Potential for harm · D June 27, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected June 30, 2024 · Resident Assessment and Care Planning
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Potential for harm · E June 27, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected July 10, 2024 · Quality of Life and Care
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Potential for harm · E June 27, 2024
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.
Corrected June 30, 2024 · Pharmacy Service
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Potential for harm · D June 27, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 28, 2024 · Nutrition and Dietary
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Potential for harm · E June 27, 2024
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected July 10, 2024 · Resident Assessment and Care Planning
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No harm found · C June 27, 2024
Post nurse staffing information every day.
Corrected June 30, 2024 · Nursing and Physician Services
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Potential for harm · D June 14, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected July 6, 2023 · Resident Assessment and Care Planning
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Potential for harm · D June 14, 2023
Provide appropriate foot care.
Corrected June 15, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 18, 2025 | Fine | $13,260 |
| August 29, 2024 | Fine | $38,829 |
| August 29, 2024 | Payment Denial | 38 days |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,587 |
| August 14, 2023 | Fine | $4,235 |
| August 7, 2023 | Fine | $3,882 |
| July 17, 2023 | Fine | $9,527 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676033 · certified since August 26, 2004. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.