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Nursing Homes · Medicare certified

Town Hall Estates

300 Happy Ln · Hillsboro, TX 76645 · 138 certified beds

(254) 582-8482

NPI 1164439931 (opens in a new tab)

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About Town Hall Estates

Town Hall Estates is a nursing home in Hillsboro, Texas. Its capacity is 138 beds, above the Texas median of 120 for nursing homes. It is run by a nonprofit operator and is part of American Religious Town Hall Meeting INC. It is Medicare certified. Its public inspection record shows 29 citations, the most recent on September 6, 2025. CMS also lists 9 fines or payment denials against it. Nurse staffing averages 1.83 hours per resident per day. It is one of 2 nursing homes listed in Hillsboro. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.

Public record

CMS Care Compare, updated October 2026

Certification

Medicare-certified.

Ratings

Overall

1.0

Staffing

1.0

Quality measures

3.0

CMS Care Compare, October 2026.

Inspection history (29)

Records from June 2023 to September 2025.

  • September 6, 2025

    Tag F0605

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0637

    Assess the resident when there is a significant change in condition.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0842

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0761

    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.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0880

    Provide and implement an infection prevention and control program.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0757

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J: isolated, immediate jeopardy. Corrected September 7, 2025.

  • September 6, 2025

    Tag F0756

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • September 6, 2025

    Tag F0655

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted.

    Severity J: isolated, immediate jeopardy. Corrected September 7, 2025.

  • September 6, 2025

    Tag F0641

    Ensure each resident receives an accurate assessment.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 28, 2025.

  • April 18, 2025

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity J: isolated, immediate jeopardy. Corrected April 19, 2025.

  • March 7, 2025

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 4, 2025.

  • March 7, 2025

    Tag F0677

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 4, 2025.

  • October 14, 2024

    Tag F0812

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected November 8, 2024.

  • August 29, 2024

    Tag F0684

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Severity K: pattern, immediate jeopardy. Corrected September 27, 2024.

  • August 29, 2024

    Tag F0689

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Severity G: isolated, actual harm. Corrected September 27, 2024.

  • June 27, 2024

    Tag F0677

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2024.

  • June 27, 2024

    Tag F0842

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected July 10, 2024.

  • June 27, 2024

    Tag F0761

    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.

    Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 30, 2024.

See the source data on data.cms.gov (opens in a new tab)

Penalties (9)

Total fines: $83,494

  • April 18, 2025 · Fine

    CMS recorded a civil money penalty of $13,260 against this nursing home on April 18, 2025.

  • August 29, 2024 · Fine

    CMS recorded a civil money penalty of $38,829 against this nursing home on August 29, 2024.

  • August 29, 2024 · Payment Denial

    CMS recorded a Medicare/Medicaid payment denial for new admissions starting October 1, 2024, lasting 38 days (triggered by inspection on August 29, 2024).

  • September 5, 2023 · Fine

    CMS recorded a civil money penalty of $4,587 against this nursing home on September 5, 2023.

  • August 28, 2023 · Fine

    CMS recorded a civil money penalty of $4,587 against this nursing home on August 28, 2023.

  • August 21, 2023 · Fine

    CMS recorded a civil money penalty of $4,587 against this nursing home on August 21, 2023.

  • August 14, 2023 · Fine

    CMS recorded a civil money penalty of $4,235 against this nursing home on August 14, 2023.

  • August 7, 2023 · Fine

    CMS recorded a civil money penalty of $3,882 against this nursing home on August 7, 2023.

  • July 17, 2023 · Fine

    CMS recorded a civil money penalty of $9,527 against this nursing home on July 17, 2023.

See the source data on data.cms.gov (opens in a new tab)

Staffing

1.83 nurse hours per resident per day in Q2 2026, down from 3.00 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

  • Parent company: American Religious Town Hall Meeting INC

Typical cost

CareScout Cost of Care Survey, 2025

This provider's prices aren't public. Here is what the same care typically costs in Texas.

Nursing Homes

Texas median$5,627/mo

Nearby alternatives

Other licensed providers in Hillsboro.

Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care

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