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Nursing homeFAID #14442

Town Hall Estates

300 HAPPY LN, HILLSBORO, TX, 76645

(254) 582-8482

138 licensed beds

CMS rates Town Hall Estates 1 out of 5 overall. Federal inspectors issued 55 citations across 14 inspections in the last three years, with $52,089 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo via Google · Patty Donaldson

Address

300 Happy Ln

Hillsboro, TX 76645

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Public record summary

What we can show you for free.

Bed capacity

138

CMS facility ID

676033

Care type

Nursing home

County

Hill

Facility name

Town Hall Estates

Street address

300 HAPPY LN

City / state / ZIP

Hillsboro, TX 76645

Phone

(254) 582-8482

Website

theestateshillsboro.org

About this facility — Town Hall Estates

Town Hall Estates is a Medicare/Medicaid-certified skilled nursing facility in Hillsboro, Texas. It is licensed for 138 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 4 senior care facilities in Hillsboro and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Town Hall Estates 55 times across 14 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $52,089 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

Non profit - Corporation

Registered owners & officers

American Religious Town Hall Meeting Inc

Direct owner — 100% stake — since 1988

Tandy, Steven

Indirect owner · Director — 14% stake — since 2015

Ecord, Barbara

Indirect owner · Director — 11% stake — since 2015

Caviness, Glen

Director — since 2016

Fautheree, Stacie

Director · Officer — since 2016

Fautheree, William

Director — since 2016

Peters, Robin

Director — since 2014

Tandy, Robert

Director — since 2017

Tandy, Vicky

Director — since 2016

Tubbs, John

Managing employee · Director · Officer — since 2015

Regulatory standing

Federal court records

1 naming this facility — view the cases (a listed case is not a finding of wrongdoing)

Licensed / certified since

2004-08-26

CMS overall rating

1 of 5 stars

Health deficiencies

15 at the last standard inspection

Federal fines

$52,089 total

Last standard inspection

2025-09-06

Nurse staffing

1.8 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$430 per day (≈ $13,070/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

11% Medicaid · 10% Medicare · 80% private/other

Occupancy

24% (fiscal year 2023)

Vs. state median

55% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

138

Medicare

Accepted

Medicaid

Accepted

Wheelchair accessible

entrance and parking

Visiting hours

Daily Open 24 hours

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.

2026-08-29Health inspectionComplaint-triggered1 citation

F-0609

D · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2026-09-24

2026-08-21Health inspectionComplaint-triggered2 citations

F-0641

E · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2026-09-23

F-0844

C · No harm foundFrom a complaint

Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel.

Corrected 2026-09-23

11 earlier / fire-safety inspections (52 citations)

2026-06-23Health inspectionComplaint-triggered1 citation

F-0689

D · No harm foundFrom a complaint

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

Corrected 2026-07-08

2025-09-06Health inspectionComplaint-triggered11 citations

F-0605

D · No harm found

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

Corrected 2025-09-28

F-0637

D · No harm found

Assess the resident when there is a significant change in condition

Corrected 2025-09-28

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2025-09-28

F-0655

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-09-07

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-09-07

F-0756

D · No harm found

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

Corrected 2025-09-28

F-0757

D · No harm found

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

Corrected 2025-09-28

F-0761

D · No harm found

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.

Corrected 2025-09-28

F-0812

D · No harm foundFood safety

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

Corrected 2025-09-28

F-0842

D · No harm found

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

Corrected 2025-09-28

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-09-28

2025-04-18Health inspectionComplaint-triggered1 citation

F-0689

J · Immediate jeopardyFrom a complaint

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

Corrected 2025-04-19

2025-03-07Health inspectionComplaint-triggered2 citations

F-0677

D · No harm foundFrom a complaint

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

Corrected 2025-04-04

F-0684

E · No harm foundFrom a complaint

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

Corrected 2025-04-04

2024-10-14Health inspectionComplaint-triggered1 citation

F-0812

E · No harm foundFood safetyFrom a complaint

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

Corrected 2024-11-08

2024-08-29Health inspectionComplaint-triggered2 citations

F-0684

K · Immediate jeopardyFrom a complaint

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

Corrected 2024-09-27

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-09-27

2024-06-27Health inspection6 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-06-30

F-0677

E · No harm found

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

Corrected 2024-07-10

F-0732

C · No harm found

Post nurse staffing information every day.

Corrected 2024-06-30

F-0761

E · No harm found

Corrected 2024-06-30

F-0812

D · No harm foundFood safety

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

Corrected 2024-06-28

F-0842

E · No harm found

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

Corrected 2024-07-10

2023-06-14Health inspection6 citations

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-07-06

F-0687

D · No harm found

Provide appropriate foot care.

Corrected 2023-06-15

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-06-18

F-0812

E · No harm foundFood safety

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

Corrected 2023-07-11

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2023-07-11

F-0919

E · No harm found

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2023-06-21

2025-09-06Fire-safety inspection2 citations

K-0321

D · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-12-08

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-12-08

2024-06-27Fire-safety inspection3 citations

K-0211

E · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-27

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-02-25

K-0223

E · No harm found

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

Corrected 2025-02-27

2023-06-14Fire-safety inspection17 citations

E-0004

F · No harm found

Develop and maintain an Emergency Preparedness Program (EP).

Corrected 2023-08-04

E-0006

F · No harm found

Conduct risk assessment and an All-Hazards approach.

Corrected 2023-08-15

E-0030

F · No harm found

List the names and contact information of those in the facility.

Corrected 2023-08-15

K-0211

D · No harm found

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-07-19

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-07-28

K-0291

E · No harm found

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2023-08-09

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-07-28

K-0324

F · No harm found

Provide properly protected cooking facilities.

Corrected 2023-08-03

K-0352

F · No harm found

Properly install and monitor supervisory attachments on automatic sprinkler systems.

Corrected 2023-08-09

K-0355

E · No harm found

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-07-21

K-0361

D · No harm found

Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.

Corrected 2023-08-03

K-0372

D · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-08-08

K-0511

F · No harm found

Have properly installed electrical wiring and gas equipment.

Corrected 2023-08-07

K-0712

F · No harm found

Have simulated fire drills held at unexpected times.

Corrected 2023-08-14

K-0900

F · No harm found

Meet Health Care Facilities Code mechanical requirements.

Corrected 2023-07-21

K-0916

F · No harm found

Have a battery powered remote alarm panel in a location accessible by operating personnel.

Corrected 2023-08-17

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2023-08-09

Federal penalties

2025-04-18Fine$13,260

2024-08-29Fine$38,829

2024-08-29Medicare payment denial — 38 days

Total fines$52,089

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676033.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 85% of nursing homes in the state

State median: 33

Federal fines, 3 years

$52,089

More than 77% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

1.8

Among the lowest of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

55%

Higher than 63% of nursing homes in the state

State median: 50%

Resident outcomes

On 19 federal quality measures, this facility does better than the Texas average on 6 and worse on 13. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	12.5%	15.8%	13.5%	Better than state
Lose too much weight	3.3%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	0.0%	0.3%	0.7%	Better than state
With a urinary tract infection	5.5%	0.8%	1.5%	Worse than state
Have depressive symptoms	4.8%	2.3%	13.5%	Worse than state
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	4.1%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	67.3%	96.4%	93.7%	Worse than state
Ability to walk independently worsened	15.7%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	28.1%	17.8%	19.5%	Worse than state
Assessed and appropriately given the seasonal influenza vaccine	82.9%	97.0%	95.3%	Worse than state
With pressure ulcers	1.4%	3.7%	4.5%	Better than state
With new or worsened bowel or bladder incontinence	25.8%	12.5%	18.3%	Worse than state
Received an antipsychotic medication	11.2%	9.8%	15.4%	Worse than state
Hospitalizations per 1000 long-stay resident days	1.47	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	3.66	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	55.0%	88.7%	82.3%	Worse than state
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state
Were assessed and appropriately given the seasonal influenza vaccine	39.0%	85.4%	80.1%	Worse than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0689 4 inspections. Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F-0812 4 inspections. Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F-0641 2 inspections. Ensure each resident receives an accurate assessment.
F-0761 2 inspections. 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.
F-0842 2 inspections. Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F-0880 2 inspections. Provide and implement an infection prevention and control program.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Texas Health Harris Methodist Hospital Cleburne, about 30 miles. CMS rating 5 of 5.
Ennis Regional Medical Center, about 34 miles.
Ascension Providence, about 35 miles. CMS rating 2 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

Avir At Hillsboro, Hillsboro, about 0.5 miles. CMS rating 1 of 5.
Avir At Itasca, Itasca, about 10 miles. CMS rating 4 of 5.
West Rest Haven, West, about 13 miles. CMS rating 2 of 5.
Whitney Nursing and Rehabilitation Center, Whitney, about 14 miles. CMS rating 2 of 5.
Renaissance Rehabilitation and Healthcare Center, Italy, about 17 miles. CMS rating 5 of 5.

Visitor reviews

What people say on Google.

4.228 ratings on Google

★★★★★trina Mckenzie · 2026-05-26 · via Google
“Everyone I have dealt with has been very nice. I do believe this is the right place for Tony and he will be well taken care of care of”

★★★★★gigi · 2025-07-29 · via Google
“Wonderful place. Very warm and welcoming. Most of the staff are great and really seem to care about their patients. I was only there for a couple of weeks after knee surgery but I had a good experience. Therapy team was excellent.”

★★★★★Elaine · 2025-08-01 · via Google
“My grandfather was in Town Hall Estates after his stroke. The place was clean and he was well taken care of. It was a difficult transition for him but the staff was very kind and understanding and went out of their way to make sure he was as comfortable as possible.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 55 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Citations, owner history, lawsuits — decoded into one PDF.

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Google Business Profile

Photos, reviews & hours

Displayed with attribution · refreshed on re-run

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered