Town Hall Estates
Hillsboro, TX · Medicare and Medicaid-certified nursing home (CCN 676033) · 138 certified beds
Health inspection: 1 · Quality measures: 4 · Staffing: 2
Federal fines: 5 totaling $65,850 · 1 payment denial
Phone: (254) 582-8482 · Verify on Medicare Care Compare ↗
Town Hall Estates has a CMS overall star rating of 1 out of 5, below the Texas state average of 2.65 stars. Its health inspection rating is also 1 star, and its staffing rating is 2 stars.
Town Hall Estates reports 3.07 total nurse hours per resident per day, including 0.48 RN hours, with a staffing star rating of 2 out of 5. Nursing staff turnover is reported at 62.2%.
Town Hall Estates has 5 federal fines on record totaling $65,850.00, plus 1 payment denial. No abuse icon or Special Focus Facility designation is noted in the available CMS data for this facility.
About this facility
Town Hall Estates is a non-profit-operated nursing home in Hillsboro, Texas (Hill County), certified for Medicare and Medicaid since August 2004. It is licensed for 138 beds, though average occupancy is reported at 43.7 residents.
According to CMS Care Compare, Town Hall Estates holds an overall star rating of 1 out of 5, which is below the Texas state average of 2.65 stars. The facility's health inspection rating is also 1 star, while its quality measures rating is 4 stars and its staffing rating is 2 stars. These four component ratings—health inspections, staffing, quality measures, and the overall composite—are each published separately by CMS and combine into the overall score.
Nurse staffing levels average 3.07 total nursing hours per resident per day, with 0.48 of those hours provided by registered nurses. Nursing staff turnover is reported at 62.2%, a measure of how many staff left and were replaced over the reporting period.
On penalties, CMS records show 5 federal fines totaling $65,850.00 against this facility, along with 1 payment denial, meaning Medicare and/or Medicaid payments were withheld for a period due to non-compliance.
No abuse icon or Special Focus Facility designation is indicated in the data provided for Town Hall Estates. No chain affiliation or recent ownership change is noted in the available data. This information reflects CMS Care Compare data as provided; families should verify current details directly on Care Compare before making decisions.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
Town Hall Estates has an overall rating of 1 out of 5 stars, which is below the Texas state average of 2.65 stars.
Does this facility accept Medicare, Medicaid, or both?
Yes, Town Hall Estates is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
The facility reports 3.07 total nurse hours per resident per day, with 0.48 RN hours per resident per day, and a staffing star rating of 2 out of 5. Nursing turnover is 62.2%.
Does this facility have federal fines or penalties on record?
Yes, CMS records 5 fines totaling $65,850.00 and 1 payment denial for this facility.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not indicate an abuse icon or Special Focus Facility status for Town Hall Estates.
How large is this facility and how many residents live there?
Town Hall Estates is certified for 138 beds, with an average of 43.7 residents.
Who owns this facility — and is it part of a chain?
It is operated as a non-profit corporation; no chain affiliation is listed in the available data.
How long has this facility been Medicare/Medicaid certified?
The facility was first approved for certification on August 26, 2004.
What do the four different CMS star ratings mean?
CMS publishes separate ratings for health inspections, staffing, quality measures, and an overall composite; Town Hall Estates scores 1, 2, and 4 stars respectively, with an overall rating of 1 star.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service lines like short-term rehab; contact the facility at 2545828482 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided doesn't cover tour details; contact the facility at 2545828482 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review Town Hall Estates' full record at https://www.medicare.gov/care-compare/details/nursing-home/676033?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.