Town Hall Estates Hillsboro Inc
300 HAPPY LN, Hillsboro, TX, 76645
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 138 · avg 37 residents/day
- Total nursing staff turnover
- 59.1% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 66.7% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 8 fines · $83,494 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 143492
- Service type
- Medicare/medicaid
- Licensed capacity
- 138 beds
- Bed type breakdown
- 47 Medicare-only · 91 Medicaid/Medicare
- Current license effective
- October 1, 2024
- Current license expires
- October 1, 2027
- Initial license date
- May 17, 1974
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Town Hall Estateshillsboro Inc (Nonprofit Organization)
- Administrator
- Misty D Cottongame
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (10 on record)
- Robert Tandy
Corporate Director · 9% · since 2017
- Barbara Ecord
Corporate Director · 9% · since 2016
- Glen Caviness
Corporate Director · 9% · since 2016
- Stacie Fautheree
Corporate Director · since 2016
- Steven m Tandy
Corporate Director · 9% · since 2016
- Vicky Tandy
Corporate Director · 9% · since 2016
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- J0689·Sep 6, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- J0655·Sep 6, 2025Complaint
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
- D0880·Sep 6, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- D0842·Sep 6, 2025
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.
- D0812·Sep 6, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·Sep 6, 2025
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.
- D0757·Sep 6, 2025
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
- D0756·Sep 6, 2025
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.
Federal penalties
By year
- 20251 fine · $13K
- 20241 fine · $39K · 1 payment denial
- 20236 fines · $31K
Most recent events
- Apr 18, 2025Fine · $13K
- Aug 29, 2024Payment denial · 38 days · starting Oct 1, 2024
- Aug 29, 2024Fine · $39K
- Sep 5, 2023Fine · $4,587
- Aug 28, 2023Fine · $4,587
- Aug 21, 2023Fine · $4,587
Largest single fine on record: $39K.
Fire-safety citations
22 Life-Safety-Code citations on file. Most recent: Sep 6, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Town Hall Estates Hillsboro is a 138-bed nonprofit nursing home in Hillsboro, Texas, licensed through October 2027. CMS rates it 1 star overall — the lowest possible rating — with a 1-star health inspection score and a 2-star staffing score. Eight CMS fines totaling $83,494 have been issued against this facility. Quality-of-care outcome measures rate 4 stars. Only about 37 residents are currently in residence, filling roughly 27% of licensed beds.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars. Each resident receives about 210 minutes of nursing care per day — roughly 31 minutes less than at a 4-star-staffing facility in Texas. RN coverage is 23 minutes per resident per day, compared to 37 minutes at the 4-star threshold in Texas. About 32% of Texas nursing homes share this staffing rating.
This facility has received 8 CMS fines totaling $83,494 since the period reflected in its record. The Texas median for nursing homes that receive any fine is about $20,699 — this facility's total is roughly four times that figure. About 30% of Texas nursing homes have received no fines at all.
One administrator has turned over in the past year. That level of leadership change can affect how consistently care policies are implemented day to day.
With about 37 residents in 138 licensed beds, the facility is operating at roughly 27% occupancy. That is well below typical levels for nursing homes in Texas.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for 1-star health rating
CMS gave this facility a 1-star health inspection score — ask what specific deficiencies drove that rating and what corrective steps have been taken.
Eight fines totaling $83,494
CMS issued 8 fines totaling $83,494 — ask which care areas the citations covered and whether any resulted in changes to staffing or care procedures.
RN coverage on a typical day
Reported RN hours average 23 minutes per resident per day; ask how many registered nurses are on the floor during day, evening, and overnight shifts.
Why occupancy is so low
Only about 37 of 138 beds are currently filled — ask whether admissions have been restricted, paused, or declined by CMS, and what is driving the low census.
Administrator transition and current leadership
One administrator turned over in the past year — ask how long the current administrator has been in place and whether department-head roles are fully staffed.
How the Resident Council operates
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets, who attends from management, and how families can raise concerns.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.