61/100
Average
Town Hall Estates
300 Happy Ln, Hillsboro, TX 76645
- Certified beds
- 138
- Occupancy
- 32%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$52,089 in federal fines
CMS has fined this facility across 2 penalty action(s).
Nursing staff turnover of 62%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Our read on Town Hall Estates
Town Hall Estates runs on thinner nursing coverage than most homes, about 3.07 nurse hours per resident day against a national average near 3.86, with weekends dipping below its own weekday levels. That shortfall shows up in the staffing rating and in a turnover rate of 62.2%, well above the 45.8% national figure. The inspection record is the bigger concern: 29 deficiencies, five serious enough to involve harm or jeopardy, and one tied to abuse, plus eight fines totaling $83,494. A recent September 2025 inspection means the picture is current, not stale. Quality measures score well, but that's the one bright spot in an otherwise difficult record.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.32 total nurse hours per resident per day (national median 3.77)
- →0.48 RN hours per resident per day
- →Weekend staffing drops 5% against weekdays
Staff stability
3/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →62% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
3/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$52,089 in federal fines across 2 action(s)
- →-2 for 1 denial(s) of Medicare payment for new admissions
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: September 6, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Town Hall Estates
What is the ElderGrade for Town Hall Estates? +
Town Hall Estates holds an ElderGrade of C (61 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Town Hall Estates? +
Residents receive an average of 3.07 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Town Hall Estates been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Town Hall Estates accept Medicaid? +
Yes, Town Hall Estates is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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