Town Hall Estates
Nursing home in Hillsboro, Texas, CMS certification number 676033
300 Happy Ln, Hillsboro, TX 76645 · Hill County
- CMS overall rating
- 1 of 5 stars
- Certified beds
- 138
- Certified for
- Medicare and Medicaid
- Last standard inspection
- September 6, 2025
- Deficiencies at that inspection
- 15
- Fines in 3 years
- $52,089 (2)
Does Town Hall Estates take Medicare and Medicaid?
Yes to both. Town Hall Estates is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 1 of 5 |
| Quality of resident care | 3 of 5 |
| Long-stay quality | 3 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours Town Hall Estates reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 1.83
- Registered nurse hours
- 0.30
- Licensed practical nurse hours
- 0.50
- Nurse aide hours
- 1.03
- Weekend total hours
- 1.80
- Nursing staff turnover
- 54.8%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on September 6, 2025 and cited 15 deficiencies, plus 6 from complaint visits.
The visit before, on June 27, 2024, found 6.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined Town Hall Estates 2 times in the past 3 years, for $52,089 in total.
It also had 1 payment denial, when Medicare stopped paying for new admissions for a time.
Beds and residents
On an average day 46.5 residents live here, about 34% of its 138 certified beds.
- Certified beds
- 138
- Average residents per day
- 46.5
- Certified since
- August 26, 2004
- Resident or family council
- Resident
Who owns Town Hall Estates
- Legal business name
- Town Hall Estates-Hillsboro, Inc.
- Ownership type
- Non profit - Corporation
Other nursing homes near Town Hall Estates
- Avir at Hillsboro411 Old Brandon Road, Hillsboro 76645
- Avir at Itasca409 S Files St, Itasca 76055
- West Rest Haven503 Meadow Drive, West 76691
- Whitney Nursing and Rehabilitation Center101 N San Marcos Street, Whitney 76692
- Renaissance Rehabilitation and Healthcare Center220 Davenport, Italy 76651
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run Town Hall Estates, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about Town Hall Estates
What is the CMS star rating of Town Hall Estates?
1 out of 5 stars overall.
Does Town Hall Estates accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at Town Hall Estates?
15 cited at the last standard visit.
Who owns Town Hall Estates?
Town Hall Estates-Hillsboro, Inc., non profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.