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Town Hall Estates

300 Happy Ln
Hillsboro, TX 76645 · 2545828482 · Hill County

CMS Star Ratings

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Facility Facts

Certified beds138
OwnershipNon profit - Corporation
State rank#936

By the numbers

30
Health citations (3 cycles)
4
Immediate-jeopardy (J/K/L)
1
Actual-harm (G/H/I)
$65,850
Federal fines (CMPs)
The trend: Citations are rising — 12 in the most recent cycle versus 6 two cycles ago.

Recent Health Citations

Jun 23, 2026 · Health survey · F-tag 0689
D — No actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Sep 6, 2025 · Health survey · F-tag 0880
D — No actual harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Sep 6, 2025 · Health survey · F-tag 0842
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 6, 2025 · Health survey · F-tag 0812
D — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Sep 6, 2025 · Health survey · F-tag 0761
D — No actual harm
Pharmacy Service Deficiencies
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.
Sep 6, 2025 · Health survey · F-tag 0757
D — No actual harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Sep 6, 2025 · Health survey · F-tag 0756
D — No actual harm
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Sep 6, 2025 · Health survey · F-tag 0641
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Sep 6, 2025 · Health survey · F-tag 0637
D — No actual harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Sep 6, 2025 · Health survey · F-tag 0605
D — No actual harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Sep 6, 2025 · Health survey · F-tag 0689
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Sep 7, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Sep 6, 2025 · Health survey · F-tag 0655
J — Immediate jeopardy
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Details
Correction status: Corrected Sep 7, 2025 — Deficient, Provider has date of correction
Inspection cycle: 1
Survey origin: Complaint investigation
Apr 18, 2025 · Health survey · F-tag 0689
J — Immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Apr 19, 2025 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Mar 7, 2025 · Health survey · F-tag 0677
D — No actual harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Mar 7, 2025 · Health survey · F-tag 0684
E — No actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Oct 14, 2024 · Health survey · F-tag 0812
E — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 29, 2024 · Health survey · F-tag 0689
G — Actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Details
Correction status: Corrected Sep 27, 2024 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Aug 29, 2024 · Health survey · F-tag 0684
K — Immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Details
Correction status: Corrected Sep 27, 2024 — Deficient, Provider has date of correction
Inspection cycle: 2
Survey origin: Complaint investigation
Jun 27, 2024 · Health survey · F-tag 0732
C — Cited
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Jun 27, 2024 · Health survey · F-tag 0812
D — No actual harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Showing the 20 most recent citations. View the full inspection record on CMS Care Compare →

More facilities in Texas →

How to read this page. Star ratings and citation counts come from the Centers for Medicare & Medicaid Services (CMS) Care Compare August 2026 dataset, covering the three most recent inspection cycles. Scope/severity letters: D–F no actual harm, G–I actual harm, J–L immediate jeopardy to resident health or safety.

Source: CMS Care Compare, August 2026 dataset. Updated quarterly. Figures come from public CMS records; contact info@theskilledreport.com for corrections.