CCN 676033 · Hill County, Texas

Town Hall Estates

300 Happy Ln, Hillsboro, TX 76645

Town Hall Estates is a 138-bed nonprofit nursing home in Hillsboro, Texas, first certified for Medicare or Medicaid in 2004. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 43.7 residents a day, about 32% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).

Facility facts

Certified beds
138
Average residents per day
43.7 (31.7% of beds)
Ownership type
Non profit - Corporation
Certification
Medicare and Medicaid
Legal business name
Town Hall Estates-Hillsboro, Inc.
Certified since
Aug 26, 2004
Chain or affiliated group
None listed by CMS
Location
Rural

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityTexas medianUS median
Overall rating1 of 5State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5
Health inspections1 of 5
Quality measures4 of 5
Staffing2 of 5
Total nurse hours per resident per day3.073.273.68
RN hours per resident per day0.480.380.58
Weekend nurse hours per resident per day2.91
Nursing staff turnover62.2%52.1%44.9%
Occupancy (residents / beds)31.7%68.6%85.7%
Fines reported by CMS2 totaling $52,089
Health deficiencies, latest standard survey12 (Sep 6, 2025)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Town Hall Estates does not meet it today: overall rating 1, health inspection rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
American Religious Town Hall Meeting IncOrganizationDirect Ownership Interest100%03/18/1988
Ecord, BarbaraIndividualIndirect Ownership Interest11%06/02/2015
Tandy, StevenIndividualIndirect Ownership Interest14%06/02/2015

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Town Hall Estates: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

Alert emails have not started on this site yet. Your alert is saved now; the first email will ask you to confirm it.

Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.