Town Hall Estates has received an F grade based on CMS data, with a score of 10/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Hillsboro facility should carefully review its inspection history and quality metrics.
Staffing at Town Hall Estates is near the national average, with 3.50 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 29 deficiencies at Town Hall Estates, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.50 | 3.8 | Average |
| Registered Nurses (RN) | 0.38 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.16 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 3.44 | 3.8 | Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0655 Severity JCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedSep 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0689 Severity JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Sep 5, 2025 · Quality of Life and Care Deficiencies
- Tag 0605 Severity DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.Sep 5, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0637 Severity DAssess the resident when there is a significant change in conditionSep 5, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Sep 5, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.2% | 4.5% | Worse |
| Falls with major injury | 4.0% | 3.0% | Worse |
| On antipsychotic medication | 15.3% | 14.5% | Average |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 8.7% | 14.0% | Better |
| Excessive weight loss | 2.0% | 7.5% | Better |
| New/worsened incontinence | 24.0% | 45.0% | Better |
⚠️ Penalties & Fines
8 penalties recorded by CMS
Total fines: $83,494
How This Grade Was Calculated
This facility's grade of F is based on a score of 10 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -8 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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