F

Town Hall Estates

300 Happy Ln, Hillsboro, TX 76645
Score: 10 / 100

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

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 12 / 15 pts
4 ★ quality measures

🏥 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

29
Total Deficiencies
Sep 5, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 24 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0655 Severity J
    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
    Sep 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity J
    Ensure 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 D
    Prevent 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 D
    Assess the resident when there is a significant change in condition
    Sep 5, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0641 Severity D
    Ensure 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

Ownership
Non profit - Corporation
Certified Beds
138
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Sep 5, 2025
Deficiencies (Cycle 1)
14