Town Hall Estates: Staffing, Turnover, and Inspection Record
Town Hall Estates is a 138-bed nonprofit nursing home in Hillsboro, Texas. In the CMS August 2026 release it reported 1.66 nurse aide hours per resident per day, 17% below the Texas average of 2.00, and 62.2% nursing staff turnover (Texas average 55.3%).
Town Hall Estates
300 Happy LnHillsboro, TX 76645
Hill County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Town Hall Estates, nurse aides logged 1.66 hours per resident per day, 17% below the Texas average. With about 44 residents a day, that works out to roughly 72 aide hours a day, or about 9 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 5% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.66 | 2.00 | 2.32 |
| Licensed practical nurses | 0.93 | 0.95 | 0.86 |
| Registered nurses | 0.48 | 0.43 | 0.69 |
| All nursing staff | 3.07 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.91 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
62.2% of nursing staff at Town Hall Estates left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 6, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 12 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $65,850 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Apr 18, 2025 | Fine | $13,260 |
| Aug 29, 2024 | Fine | $38,829 |
| Aug 29, 2024 | Payment Denial | 38 days from Oct 1, 2024 |
| Sep 5, 2023 | Fine | $4,587 |
| Aug 28, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $4,587 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Town Hall Estates holds 1 of 5 overall; the Texas average is 2.6.
About Town Hall Estates
- Ownership: Non profit - Corporation
- Legal name: Town Hall Estates-Hillsboro, Inc.
- Medicare and Medicaid certified since: Aug 26, 2004
- Councils: resident council
- Area: rural
Nursing homes near Town Hall Estates
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Hillsboro Hillsboro | 0.5 | 105 | 2.18 | 3.24 | 90.4% | 1 | $106,866 |
| Avir at Itasca Itasca | 10.5 | 51 | 1.92 | 2.97 | 40.0% | 4 | None |
| West Rest Haven West | 13.5 | 120 | 2.24 | 3.75 | 45.1% | 1 | $14,069 |
| Whitney Nursing and Rehabilitation Center Whitney | 13.9 | 88 | 1.47 | 2.88 | — | 2 | $45,435 |
| Renaissance Rehabilitation and Healthcare Center Italy | 16.6 | 74 | 2.05 | 3.36 | 31.1% | 5 | None |
| Grandview Nursing and Rehabilitation Center Grandview | 18.6 | 82 | 2.68 | 3.84 | 44.3% | 5 | $21,125 |
| Pleasant Manor Healthcare and Rehabilitation Waxahachie | 27.3 | 132 | 2.07 | 3.31 | 57.7% | 3 | $29,011 |
| Alvarado Meadows Nursing & Rehabilitation Alvarado | 28.2 | 115 | 2.24 | 3.36 | 95.7% | 3 | $85,479 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.