Town Hall Estates Hillsboro INC
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 27 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (14 vs median 8.0)
- High staff turnover (59%)
- High RN turnover (67%)
Bottom 25% in Texas · Below recommended RN staffing · Above average staffing · $83,494 in fines
What this means for your family
This facility shows a strong upward trend in quality, with recent reviews highly praising the new nursing and management leadership. However, because of historical reports of bed sores and neglect, families should perform unannounced visits and closely monitor skin integrity and daily care during their stays.
Google Reviews
Google Reviews
27 reviews on Google“Families can expect a warm, welcoming environment with a highly praised rehabilitation and nursing team that treats residents like family. While recent reviews highlight significant improvements in management and staff competency, one critical report of bed sores and a warning to monitor residents closely remains a serious concern for potential residents.”
Quality Themes
Tap a score for detailsStrengths
- Kind and attentive nursing and CNA staff
- Excellent rehabilitation and therapy services
- Clean and well-maintained facilities
- Engaging resident activities and crafts
- Professional and helpful management team
Concerns
- Risk of neglect or lack of oversight
- History of medical oversight (bed sores)
Rating Trends
Tap a year to see what changed
Distribution · 29 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1I've heard wonderful things about your rehab and therapy services; could you tell me more about how the therapy team works with residents to regain their strength?
- 2With the recent improvements in management, what specific steps are being taken to ensure consistent medical oversight and skin integrity for all residents?
- 3We've read that the CNA and nursing staff are very kind and attentive; how do you ensure that level of personal care remains consistent during shift changes?
- 4Could you describe what a typical day looks like regarding the daily activities and crafts available for residents to stay engaged?
- 5How does the facility manage nutrition and dining, and are there options to customize meals to meet specific dietary needs?
- 6In the event of a medical emergency during the night, what is the protocol for ensuring immediate physician or specialist contact?
Personalized based on this facility's data
Key Review Excerpts
“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.”
“I cannot say enough good things about everyone from nurses, CNA's, therapy and even the maintenance, cleaning and laundry staff. I made many friends in the time we were there.”
“The facility was very clean you can tell they don’t have the top of the line as far as furniture and beds . But they have the top of the line faculty ,The nurses and the aids answered our many questions, even though they were very busy .”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
4
measures
8
measures
5
measures
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
Residents on anti-anxiety or sleep medication
Residents vaccinated for the flu
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility has concerning patterns of repeat issues, with 51 deficiencies across 7 surveys and families filing complaints that triggered 8 investigations. The most frequent problems involve accident prevention and safety hazards, medication management, and food safety, with several issues recurring across multiple surveys. While the facility has corrected each cited deficiency, the persistent nature of complaints and repeat violations in critical care areas suggests ongoing operational challenges that families should carefully consider.
Sep 6, 2025Routine11
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Sep 6, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 18, 2025Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 7, 2025Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Oct 14, 2024Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Aug 29, 2024Complaint2
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal Penalties
Fine
Apr 18, 2025
$13,260
Payment Denial
Aug 29, 2024
38-day denial
Fine
Aug 29, 2024
$38,829
Fine
Sep 5, 2023
$4,587
Fine
Aug 28, 2023
$4,587
Fine
Aug 21, 2023
$4,587
Fine
Aug 14, 2023
$4,235
Fine
Aug 7, 2023
$3,882
Fine
Jul 17, 2023
$9,527
Ownership & Operations
Who Operates This Facility
Town Hall Estateshillsboro INC
nonprofit
NA
MISTY D COTTONGAME
Ownership & Management
Owners
American Religious Town Hall Meeting INC
Owner · Organization
Ecord, Barbara
Owner (parent company)
Tandy, Steven
Owner (parent company)
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
27 reviews from families & visitors
Official Website
Visit theestateshillsboro.org
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 3 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.