01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-06 | 12 | 2025-09-06 | 2 |
| Cycle 2 | 2024-06-27 | 12 | 2024-06-27 | 3 |
| Cycle 3 | 2023-06-14 | 6 | 2023-06-14 | 17 |
CMS CCN 6760332026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Town Hall Estates
300 Happy Ln · Hillsboro, TX 76645 · Hill County
Certified beds138CMS provider file
Recent citation rows52current CMS citation release
Penalty rows6current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
52 rows in the current release
5 rows carry G–L scope/severity codes; 4 carry J–L. 11 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2026-06-23 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-07-08 · complaint2025-09-06 · HEALTHF0605Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0655Severity J · isolated immediate jeopardy
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
Correction field: Deficient, Provider has date of correction · 2025-09-07 · complaint2025-09-06 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-09-07 · complaint2025-09-06 · HEALTHF0756Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0757Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0761Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0812Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0842Severity D · isolated; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-09-282025-09-06 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2025-12-082025-09-06 · FIREK0372Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Correction field: Deficient, Provider has date of correction · 2025-12-082025-04-18 · HEALTHF0689Severity J · isolated immediate jeopardy
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2025-04-19 · complaint2025-03-07 · HEALTHF0677Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2025-04-04 · complaint2025-03-07 · HEALTHF0684Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2025-04-04 · complaint2024-10-14 · HEALTHF0812Severity E · pattern; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-11-08 · complaint2024-08-29 · HEALTHF0684Severity K · pattern of immediate jeopardy
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Deficient, Provider has date of correction · 2024-09-27 · complaint2024-08-29 · HEALTHF0689Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2024-09-27 · complaint2024-06-27 · HEALTHF0656Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Correction field: Deficient, Provider has date of correction · 2024-06-302024-06-27 · HEALTHF0677Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Correction field: Deficient, Provider has date of correction · 2024-07-102024-06-27 · HEALTHF0732Severity C · widespread; potential for minimal harm
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Correction field: Deficient, Provider has date of correction · 2024-06-302024-06-27 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
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.
Correction field: Deficient, Provider has date of correction · 2024-06-3003 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-18 | Fine | $13,260 | 0 |
| 2024-08-29 | Fine | $38,829 | 0 |
| 2024-08-29 | Payment Denial | $0 | 38 |
| 2023-09-05 | Fine | $4,587 | 0 |
| 2023-08-28 | Fine | $4,587 | 0 |
| 2023-08-21 | Fine | $4,587 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AMERICAN RELIGIOUS TOWN HALL MEETING INCOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST100% · since 03/18/1988
- ECORD, BARBARAIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST11% · since 06/02/2015
- TANDY, STEVENIndividual · 5% OR GREATER INDIRECT OWNERSHIP INTEREST14% · since 06/02/2015
- TUBBS, JOHNIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 11/09/2015
- CAVINESS, GLENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- ECORD, BARBARAIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- FAUTHEREE, STACIEIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- FAUTHEREE, WILLIAMIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- PETERS, ROBINIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 01/01/2014
- TANDY, ROBERTIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 08/30/2017
- TANDY, STEVENIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- TANDY, VICKYIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 07/01/2016
- TUBBS, JOHNIndividual · CORPORATE DIRECTORNOT APPLICABLE · since 11/09/2015
- FAUTHEREE, STACIEIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/01/2016
- TUBBS, JOHNIndividual · CORPORATE OFFICERNOT APPLICABLE · since 11/09/2015
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.07per resident day
RN hours0.48per resident day
Weekend nurse hours2.91per resident day
Staff turnover62.2%CMS reported field
06 / LOCAL RECORDS
Open the Hillsboro ledger →