TOWN HALL ESTATES

The information listed below provides an in-depth look into the type and quality of care offered at Town Hall Estates. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

TOWN HALL ESTATES
300 HAPPY LN
HILLSBORO, TX 76645
(254) 582-8482

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

73%

Number of Residents and Certified Beds

  • Residents: 105
  • Certified Beds: 144

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Both Resident and Family Counseling Services
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Itasca | West | Whitney

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Very High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Town Hall Estates. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 0-50.7%
Total Percent:0.7%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1027.4%
ADL Index Range: 0-531.6%
Total Percent:59.0%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-162.2%
ADL Index Range: 6-1014.5%
ADL Index Range: 0-52.9%
Total Percent:19.7%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 6-103.9%
ADL Index Range: 0-51.8%
Total Percent:5.7%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 6-10
- No Signs of depression
0.4%
Total Percent:0.4%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 6-10
- Signs of depression
2.5%
ADL Index Range: 6-10
- No Signs of depression
3.4%
ADL Index Range: 2-5
- No Signs of depression
1.9%
Total Percent:7.8%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.5%
ADL Index Range: 6-10
- Less restorative nursing
6.4%
Total Percent:6.8%
 

Rating Details For Town Hall Estates

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours18 Minutes1 Hour
Licensed Practical/Vocational Nurse (LPN/LVN) Hours49 Minutes36 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 53 Minutes2 Hours and 21 Minutes
Total Licensed Nurse Hours1 Hour and 7 Minutes1 Hour and 36 Minutes
Total Nurse Hours3 Hours and 59 Minutes3 Hours and 57 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Texas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityTexas Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair5%6%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased28%18%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse8%12%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain9%4%
Percent of Long-Stay Residents Who Are More Depressed or Anxious31%13%
Percent of Long-Stay Residents Who Were Physically Restrained2%4%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder7%5%
Percent of Long-Stay Residents Who Lose Too Much Weight5%6%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores6%12%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder48%46%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%84%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores8%11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain37%16%
Percent of Short-Stay Residents Who Have Delirium2%3%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 03/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Make Sure That Nurse Aides Show They Have the Skills to Be Able to Care for Residents.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010
Have Licensed, Certified, or Registered Staff to Give Needed Services.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/15/2011
Give or Get Lab Tests to Meet the Needs of Residents.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/15/2011

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010
Get Rid of Garbage Properly.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010
Provide Bedrooms That Don't Allow Residents to See Each Other when Privacy is Needed.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/15/2011

Quality Care

Use a Registered Nurse at Least 8 Hours a Day, 7 Days a Week.
  • Inspection Date: 12/17/2008
  • Correction Date: 01/17/2009
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/15/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 03/18/2011
  • Correction Date: 04/15/2011

Resident Rights

Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/13/2010
  • Correction Date: 02/15/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Town Hall Estates, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 01/09/2009
  • Correction Date: 01/30/2009

Pharmacy Service

Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 01/09/2009
  • Correction Date: 01/30/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 01/09/2009
  • Correction Date: 01/30/2009

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Town Hall Estates had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 03/16/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 12/16/2008
  • Correction Date: 01/31/2009
Exits That Are Accessible at All Times.
  • Inspection Date: 01/14/2010
  • Correction Date: 02/01/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 01/14/2010
  • Correction Date: 01/22/2010
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/15/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 03/16/2011
  • Correction Date: 04/15/2011
Source: Medicare Nursing Home Compare; Department of Aging and Disability Services - Retrieved 2011