Quick answers
- Where is Town Hall Estates?
- 300 Happy Ln, Hillsboro, TX 76645, in Hill County, Texas.
- What is the phone number of Town Hall Estates?
- (254) 582-8482, as listed by Medicare (CMS).
- What is the Medicare star rating of Town Hall Estates?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Town Hall Estates been fined?
- Medicare lists 2 fines totaling $52,089 and 1 payment denial.
- What did inspectors find at Town Hall Estates?
- In its last three inspection cycles (June 14, 2023 to August 29, 2026), Medicare lists 33 health citations; the most serious was level K. 5 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (June 14, 2023 to August 29, 2026), Town Hall Estates had 33 health citations; the most serious was level K (immediate jeopardy to resident health or safety). 5 of them were level G or higher (actual harm or immediate jeopardy). It was fined $52,089 in total (2 fines, the latest on April 18, 2025) and had 1 Medicare payment denial. Nurse staffing is 1.83 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: September 6, 2025 — 15 health citations
Inspections in this cycle: September 6, 2025 (standard health inspection); June 23, 2026 (complaint investigation); August 21, 2026 (complaint investigation); August 29, 2026 (complaint investigation).
F0655 Level J
“Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted”
immediate jeopardy to resident health or safety; isolated (a few residents) · Resident Assessment and Care Planning Deficiencies
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 13 less serious citations (levels A to F)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0605 Level D
“Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.”
F0637 Level D
“Assess the resident when there is a significant change in condition”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0756 Level D
“Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.”
F0757 Level D
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0761 Level D
“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.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0842 Level D
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
F0844 Level C
“Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.”
Previous cycle: June 27, 2024 — 10 health citations
Inspections in this cycle: June 27, 2024 (standard health inspection); October 14, 2024 (complaint investigation); March 7, 2025 (complaint investigation); April 18, 2025 (complaint investigation); September 6, 2025 (complaint investigation).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 9 less serious citations (levels A to F)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0677 Level E
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0761 Level E
“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.”
F0842 Level E
“Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.”
F0677 Level D
“Provide care and assistance to perform activities of daily living for any resident who is unable.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0812 Level D
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0732 Level C
“Post nurse staffing information every day.”
Earlier cycle: June 14, 2023 — 8 health citations
Inspections in this cycle: June 14, 2023 (standard health inspection); August 29, 2024 (complaint investigation).
F0684 Level K
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
immediate jeopardy to resident health or safety; pattern (some residents) · Quality of Life and Care Deficiencies
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 6 less serious citations (levels A to F)
F0695 Level E
“Provide safe and appropriate respiratory care for a resident when needed.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0919 Level E
“Make sure that a working call system is available in each resident's bathroom and bathing area.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0687 Level D
“Provide appropriate foot care.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (22)
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0211 Level E
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0223 Level E
“Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.”
E0004 Level F
“Develop and maintain an Emergency Preparedness Program (EP).”
E0006 Level F
“Conduct risk assessment and an All-Hazards approach.”
E0030 Level F
“List the names and contact information of those in the facility.”
K0324 Level F
“Provide properly protected cooking facilities.”
K0352 Level F
“Properly install and monitor supervisory attachments on automatic sprinkler systems.”
K0511 Level F
“Have properly installed electrical wiring and gas equipment.”
K0712 Level F
“Have simulated fire drills held at unexpected times.”
K0900 Level F
“Meet Health Care Facilities Code mechanical requirements.”
K0916 Level F
“Have a battery powered remote alarm panel in a location accessible by operating personnel.”
K0918 Level F
“Have generator or other power source capable of supplying service within 10 seconds.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0291 Level E
“Install emergency lighting that can last at least 1 1/2 hours.”
K0321 Level E
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0355 Level E
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0211 Level D
“Keep aisles, corridors, and exits free of obstruction in case of emergency.”
K0361 Level D
“Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.”
K0372 Level D
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Fines and payment denials
Total fines over about the last three years: $52,089 (2 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| April 18, 2025 | Fine | $13,260 |
| August 29, 2024 | Fine | $38,829 |
| August 29, 2024 | Payment denial | from October 1, 2024, 38 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.30 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.50 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.03 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 1.83 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 1.80 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.25 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 54.8% | 50.8% | 45.3% |
| Administrators who left in the last year | 1.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Town Hall Estates-Hillsboro, Inc..
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| American Religious Town Hall Meeting Inc | Direct owner | 100% | March 18, 1988 |
| Ecord, Barbara | Indirect owner | 11% | June 2, 2015 |
| Tandy, Steven | Indirect owner | 14% | June 2, 2015 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 138 |
| Average residents per day | 46.5 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – corporation |
| Legal business name | Town Hall Estates-Hillsboro, Inc. |
| First approved by Medicare/Medicaid | 2004-08-26 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 300 Happy Ln, Hillsboro, TX 76645 |
| County | Hill County |
| State | Texas |
| Phone | (254) 582‑8482 |
| CMS Certification Number | 676033 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Avir at Hillsboro0.5 mi · Hillsboro, TX · 1 of 5 stars
- Avir at Itasca10 mi · Itasca, TX · 4 of 5 stars
- West Rest Haven13 mi · West, TX · 2 of 5 stars
- Whitney Nursing and Rehabilitation Center14 mi · Whitney, TX · 2 of 5 stars
- Renaissance Rehabilitation and Healthcare Center17 mi · Italy, TX · 5 of 5 stars
Nearest hospital emergency rooms
- Hill Regional Hospital1.7 mi · Hillsboro, TX · Critical Access Hospital
- Texas Health Harris Methodist Hospital Cleburne30 mi · Cleburne, TX · Acute Care Hospital
- Baylor Scott & White Medical Center- Waxahachie30 mi · Waxahachie, TX · Acute Care Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13