Texas ›Hillsboro

Town Hall Estates

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300 Happy Ln, Hillsboro, TX 76645 (opens Google Maps) · Hill County · (254) 582-8482· 138 certified beds · avg 44 residents/day · certified since Aug 26, 2004 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

1/5
Health inspection rating (on-site)
inspected Sep 6, 2025
5
Serious findings on record
most recent Sep 6, 2025
$65,850
Fines, last 3 years
3.32
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Immediate jeopardy, isolated · Sep 6, 2025 · F-0655 · triggered by a complaint

The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable.

Why it matters: In the critical first days, staff may not know a new resident's medications, diet, or fall risks.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 7, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Sep 6, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 7, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, isolated · Apr 18, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (J): Immediate jeopardy to resident health or safety was cited. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Apr 19, 2025 (Deficient, Provider has date of correction)

▲ Immediate jeopardy, pattern · Aug 29, 2024 · F-0684 · triggered by a complaint

The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.

Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.

Severity (K): Immediate jeopardy to resident health or safety was cited. The scope was a pattern: more than a limited occurrence, without being widespread. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 27, 2024 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 29, 2024 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 27, 2024 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 30 inspection findings. Open the full record below to read every finding.

  1. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

  2. J · Immediate jeopardy, isolated

    The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint F-0655

  3. J · Immediate jeopardy, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

View all 30 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 23, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 6, 2025▲ J · Immediate jeopardy, isolatedThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · from a complaint · F-0655
Sep 6, 2025▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way. · F-0637
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · F-0641
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. · F-0756
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · F-0757
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Sep 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 18, 2025▲ J · Immediate jeopardy, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Mar 7, 2025E · Potential for more than minimal harm, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Mar 7, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Oct 14, 2024E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint · F-0812
Aug 29, 2024▲ K · Immediate jeopardy, patternThe facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint · F-0684
Aug 29, 2024▲ G · Actual harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Jun 27, 2024E · Potential for more than minimal harm, patternThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Jun 27, 2024E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Jun 27, 2024E · Potential for more than minimal harm, patternThe facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · F-0842
Jun 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Jun 27, 2024D · Potential for more than minimal harm, isolatedThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 27, 2024C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Jun 14, 2023E · Potential for more than minimal harm, patternThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jun 14, 2023E · Potential for more than minimal harm, patternThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 14, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jun 14, 2023E · Potential for more than minimal harm, patternThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Jun 14, 2023D · Potential for more than minimal harm, isolatedThe facility did not coordinate resident assessments with the state's pre-admission screening program for mental illness and intellectual disabilities, or failed to refer residents for the special services they need. · F-0644
Jun 14, 2023D · Potential for more than minimal harm, isolatedThe facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (6 → 11).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2023
All citations: 6
Serious citations (G–L): 0
2024
All citations: 9
Serious citations (G–L): 2
2025
All citations: 14
Serious citations (G–L): 3
2026
All citations: 1
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
202360E
202492K ▲
2025143J ▲
202610D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

5 fines totaling $65,850, plus 1 Medicare payment denial period.

Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.

DateTypeAmount / length
Apr 18, 2025Fine$13,260
Aug 29, 2024Fine$38,829
Aug 29, 2024Payment Denial38 days from Oct 1, 2024
Sep 5, 2023Fine$4,587
Aug 28, 2023Fine$4,587
Aug 21, 2023Fine$4,587

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityTexas averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.32
Texas average: 3.46
U.S. average: 3.95
Registered Nurse hours
This facility: 0.52
Texas average: 0.44
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.15
Texas average: 3.04
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityTexas avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.323.463.95top 50% in Texas; bottom 27% in the U.S.
Registered Nurse hours0.520.440.69top 24% in Texas; bottom 41% in the U.S.
Weekend total nurse staffing3.153.043.50top 32% in Texas; bottom 39% in the U.S.
Weekend RN hours (not acuity-adjusted)0.350.340.48top 34% in Texas; bottom 43% in the U.S.
Total nursing staff turnover (%)62.255.345.8bottom 29% in Texas; bottom 13% in the U.S.
RN turnover (%)—54.642.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.07, RN 0.48, weekend 2.91.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.07 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Town Hall Estates. CMS inspection and staffing records do not tell us what this home will charge you.

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  • Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
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Understand who pays for care · How we handle price evidence · Report an incorrect price

Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
American Religious Town Hall Meeting INCOrganization5% or Greater Direct Ownership Interest100%03/18/1988
Ecord, BarbaraIndividual5% or Greater Indirect Ownership Interest11%06/02/2015
Tandy, StevenIndividual5% or Greater Indirect Ownership Interest14%06/02/2015
Caviness, GlenIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Ecord, BarbaraIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Fautheree, StacieIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Fautheree, StacieIndividualCorporate OfficerNOT APPLICABLE07/01/2016
Fautheree, WilliamIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Peters, RobinIndividualCorporate DirectorNOT APPLICABLE01/01/2014
Tandy, RobertIndividualCorporate DirectorNOT APPLICABLE08/30/2017
Tandy, StevenIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Tandy, VickyIndividualCorporate DirectorNOT APPLICABLE07/01/2016
Tubbs, JohnIndividualW-2 Managing EmployeeNOT APPLICABLE11/09/2015
Tubbs, JohnIndividualCorporate DirectorNOT APPLICABLE11/09/2015
Tubbs, JohnIndividualCorporate OfficerNOT APPLICABLE11/09/2015

All 15 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What does the care plan for a brand-new resident cover in the first 48 hours, and who writes it?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
  • "What percentage of your residents are on antipsychotic or sedating medications, and how do you work to reduce that?"
  • "If my family member's health suddenly changes, how quickly do you reassess them and update their care?"
  • "Who completes resident assessments here, and how do you check them for accuracy?"
  • "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
  • "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 62% total nursing staff turnover here — who on the care team has been with you longest?"
  • "The ownership record on file lists 15 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Avir at Hillsboro0.5 miHillsboro, TX★☆☆☆☆1/5
Avir at Itasca10.5 miItasca, TX★★★★☆4/5
West Rest Haven13.5 miWest, TX★☆☆☆☆1/5
Whitney Nursing and Rehabilitation Center13.9 miWhitney, TX★★☆☆☆3/5
Renaissance Rehabilitation and Healthcare Center16.6 miItaly, TX★★★★★5/5
Grandview Nursing and Rehabilitation Center18.6 miGrandview, TX★★★★★4/5

Compare this facility with the 3 closest →

All facilities in Hillsboro →

Facility data as of CMS processing date 2026-08-01. CCN 676033.

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