Town Hall Estates is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2004-08-26. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (254) 582-8482 or your local Medicaid office to verify current eligibility.

Town Hall Estates holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 1 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (2★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 66.3/100, placing it #9837 of 14703 facilities nationally and #756 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Town Hall Estates receives a reported average of 3 hours 30 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 23 minutes; Licensed Practical Nurse (LPN) — 1 hour 9 minutes; Nurse Aide — 1 hour 58 minutes. On weekends, total nurse staffing is 3 hours 26 minutes per resident per day. The CMS Staffing Rating for this facility is 2 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 59.1%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 8 fine(s) totaling $83,494. One substantiated complaint was recorded across the 5-year period. There were 1 Medicare payment denial(s) in the current period. In the most recent CMS reporting period, the facility received 8 fine(s) totaling $83,494, and 1 Medicare payment denial(s). Total penalties: 9. The Total Weighted Health Survey Score is 232.25 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Town Hall Estates ranks 9837th out of 14,703 facilities (composite score: 66.3/100), placing it in the below average nationwide. Within TX, it ranks 756th out of 1,177 nursing homes. In Hillsboro, it ranks 1st out of 2 facilities. Among facilities sharing its ZIP code, it ranks 1st of 2. For 2026 staffing: total nurse hours rank #9,092 nationally and RN hours rank #11,293 nationally (#546 in TX). Our composite quality score of 66.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Hillsboro, visit: https://nursinghomesnearme.org/texas/hillsboro/