Town Hall Estates
300 Happy Ln, Hillsboro, TX 76645
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
Vetting This Facility? Get Answers They Don't Volunteer
Free guide: the exact questions to ask Town Hall Estates, how to pull the public records (ownership, inspections, penalties), and how to request the info that isn't online — like the medical director.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
How Town Hall Estates Compares
Town Hall Estates is a 138-bed nonprofit nursing facility in Hillsboro, Texas. It holds an overall CMS rating of 1 out of 5 stars, below the Texas average of 2.6 stars. Its strongest area is quality measures (4 stars), while health inspections (1 star) is its weakest. Its rate of high-risk residents with pressure ulcers (2.1%) is below the Texas average of 3.8%, a favorable sign for resident care. With 138 certified beds, it has notable available capacity at roughly 32% occupied.
Among the 2 nursing facilities ElderVoice tracks in Hillsboro, the local average is 1.0 stars.
By the numbers vs. Texas average
- Long-stay antipsychotic medication use: 11.1% — worse than the Texas average of 9.6%.
- Falls with major injury: 4.0% — worse than the Texas average of 3.3%.
- High-risk pressure ulcers: 2.1% — better than the Texas average of 3.8% (45% lower).
Comparisons use CMS Care Compare data (updated September 9, 2026) measured against Texas averages across 1177 facilities tracked by ElderVoice.
Questions to Ask Town Hall Estates
Use these facility-specific questions when calling admissions, touring the building, or comparing Town Hall Estates with other nursing homes in Hillsboro.
How is Town Hall Estates addressing its health inspections rating?
CMS currently rates this category 1 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.
What is Town Hall Estates doing to reduce long-stay antipsychotic medication use?
Long-stay antipsychotic medication use is 11.1% here versus 9.6% across Texas. Lower is generally better for this CMS measure.
What is Town Hall Estates doing to reduce falls with major injury?
Falls with major injury is 4.0% here versus 3.3% across Texas. Lower is generally better for this CMS measure.
Why is Town Hall Estates's occupancy below many full facilities?
The facility reports roughly 32% occupancy across 138 certified beds. Lower occupancy can mean availability, but families should ask whether renovations, staffing, reputation, or service mix are factors.
How can a new family connect with existing councils at Town Hall Estates?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Town Hall Estates?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Hillsboro
Hillsboro sits in Hill County, where adults 65 and older make up about 20.6% of the population — a higher share of seniors than Texas as a whole (12.5% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.
- Residents 65+
- 7,444 (20.6%)
- Median age
- 41.8 years
- Median household income
- $55,615
- Median home value
- $112,200
Demographics for Hill County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Hillsboro.
Facility Details
Other Facilities in Hillsboro
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