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Complaint Investigation

Town Hall Estates

April 18, 2025 · Hillsboro, TX · 300 Happy Ln
Citations 1
CMS Rating 2/5
Beds 138
Provider ID 676033
Healthcare Facility
Town Hall Estates
Hillsboro, TX  ·  View full profile →
Inspection Summary

Town Hall Estates in Hillsboro, TX — inspection on April 18, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF689
Immediate to ensure that no resident exits the facility. Upstairs assigned staff will be physically present at the area that Few affected

Observation on 4/17/25 at 04:45 PM revealed the OHD hall staff coordinating if they leave the Office Hall to ensure staff were present to hear the alarm on OHD and to monitor the hall for residents.

Observed 1 staff member assigned to the unused nurses station located between WHD and LHD with constant visual monitoring of the doors that weren't working.

In an interview on 4/17/25 at 12:48 PM, the DON stated the following steps had been completed:

QAPI Meeting held on 4/16/25 at 08:30 PM with the ADM, the DON, and the MD.

In-services were done on 4/16/25 and 2 in-services were done on 4/17/25.

Another in-service and Elopement Drill were planned for 4/17/25 on the night shift.

The ENG company just left, and they confirmed doors not working and ordered the parts.

They were supposed to return Monday.

She further stated it was important to monitor Dementia residents because they were unaware of their own safety needs and the facility had to keep them safe.

She stated the negative outcome to residents if they wander could be injury and death.

She stated if alarms sound too often it becomes background noise and that was why they were now coordinating staff to not use the OHD at all so the alarm will not sound if there was not a problem.

She stated they were also coordinating the office staff to make sure someone was on the hall.

During the business hours the hall was accessible.

Record review reflected 3 completed in-services on elopements and alarms with staff signatures attached and dated 4/1625 and 4/17/25.

Record review reflected an invoice from the ENG showing doors were worked on and parts were ordered and dated 4/17/25.

Record review on 4/17/25 reflected the typed minutes of the QAPI meeting held on 4/16/25 listed topics as facility elopement and the follow-up plan to sustain compliance.

Attendees shown as the ADM, the DON, and the MD.

676033

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 676033 B.

Wing 04/18/2025

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Town Hall Estates 300 Happy LN Hillsboro, TX 76645

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Hillsboro, TX, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Town Hall Estates or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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