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TOWN HALL ESTATES - HILLSBORO, TX

 



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Address
300 HAPPY LN
HILLSBORO, TX, 76645
Phone (make sure to verify first before calling): (254) 582-8482

Number of Certified Beds: 144
Total Number of Residents: 108
Percent of Occupied Beds: 75%
Sprinkler Status: Fully Sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: Yes
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: No
Type: Skilled Nursing Facilities


Overall Star Rating: 3 Stars
Health Inspections Star Rating: 2 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 2 Stars
RN Only Star Rating: 4 Stars

Provided Services

  • Activities Services Are Provided Onsite To Residents
  • Clinical Laboratory Services Are Provided Onsite To Residents
  • Diagnostic Xray Services Are Provided Offsite To Residents
  • Dietary Services Are Provided Onsite To Residents
  • Housekeeping Services Are Provided Onsite To Residents
  • Mental Health Services Are Provided Onsite To Residents
  • Nursing Services Are Provided Offsite To Residents
  • Nursing Services Are Provided Onsite To Non Residents
  • Nursing Services Are Provided Onsite To Residents
  • Occupational Therapy Services Are Provided Onsite To Residents
  • Pharmacy Services Are Provided Offsite To Residents
  • Pharmacy Services Are Provided Onsite To Residents
  • Physical Therapy Services Are Provided Onsite To Residents
  • Physician Extender Services Are Provided Offsite To Residents
  • Physician Extender Services Are Provided Onsite To Non Residents
  • Physician Services Are Provided Offsite To Residents
  • Physician Services Are Provided Onsite To Non Residents
  • Physician Services Are Provided Onsite To Residents
  • Podiatry Services Are Provided Onsite To Residents
  • Social Work Services Are Provided Onsite To Non Residents
  • Social Work Services Are Provided Onsite To Residents
  • Speech/Language Pathology Services Are Provided Onsite To Residents

Employment Full-Time Equivalent

Administrative Staff - Full Time: 2.57
Certified Nurse Aides - Full Time: 54.44
Dietitians - Under Contract: 0.29
Food Service Personnel - Full Time: 18.29
Housekeeping Personnel - Full Time: 10.36
Licensed Practical/ Vocational Nurses - Full Time: 17.14
Persons Not Included In Any Other Categories - Full Time: 3.69
Rn Director Of Nursing - Full Time: 1.23
Social Workers - Full Time: 1.23
Activities Professionals - Full Time: 1.23
Occupational Therapists - Part Time: 0.10
Pharmacists - Under Contract: 0.23
Physical Therapists - Part Time: 0.23
Registered Nurses - Part Time: 0.69
Occupational Therapy Assistants - Part Time: 1.17
Speech Pathologists - Part Time: 0.03
Medication Aides/ Technicians - Full Time: 7.20

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
Here:

0.700
State:

0.469
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.790
Texas:

0.894
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

1.500
Texas:

1.350

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased
Here:

15.1%
State:

20.4%
Percent of long-stay residents who self-report moderate to severe pain
Here:

16.3%
State:

11.4%
Percent of long-stay high-risk residents with pressure ulcers
Here:

13.6%
Texas:

7.2%
Percent of long-stay residents who lose too much weight
This Nursing Home:

10.6%
State:

6.7%
Percent of long-stay low-risk residents who lose control of their bowels or bladder
This Nursing Home:

48.9%
Texas:

46.0%
Percent of long-stay residents who have had a catheter inserted and left in their bladder
Here:

9.5%
Texas:

3.9%
Percent of long-stay residents with a urinary tract infection
This Nursing Home:

12.5%
State:

8.3%
Percent of long-stay residents who have depressive symptoms
Here:

1.0%
Texas:

9.3%
Percent of long-stay residents who were physically restrained
This Nursing Home:

8.6%
Texas:

1.6%
Percent of long-stay residents experiencing one or more falls with major injury
Here:

1.9%
Texas:

3.5%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

100.0%
State:

91.6%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

100.0%
State:

91.1%
Percent of short-stay residents who self-report moderate to severe pain
Here:

26.9%
Texas:

20.2%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
Here:

97.9%
State:

76.2%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine
Here:

97.9%
State:

74.3%
Percent of short-stay residents who newly received an antipsychotic medication
This Nursing Home:

2.9%
Texas:

3.6%
Percent of long-stay residents who received an antipsychotic medication
This Nursing Home:

19.6%
State:

28.5%

Complaint Deficiency

Signs that state that exit doors are to be kept closed: Some (Immediate jeopardy to resident health or safety)

An approved automatic sprinkler system connected to the fire alarm system: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Immediate jeopardy to resident health or safety)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Some (Minimal harm or potential for actual harm)

A two-hour-resistant firewall in common walls: Some (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm)

Check and assess each resident's assessment at least every 3 months: Many (Potential for minimal harm)

Properly hold, secure and manage each resident's personal money which is deposited with the nursing home: Many (Potential for minimal harm)

Fire-resistant room wall surfaces: Many (Potential for minimal harm)

Allow residents to easily view the results of the nursing home's most recent survey: Some (Potential for minimal harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Some (Minimal harm or potential for actual harm)

Provide housekeeping and maintenance services: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Some (Minimal harm or potential for actual harm)

Dispose of garbage and refuse properly: Many (Potential for minimal harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

Provide bedrooms that don't allow residents to see each other when privacy is needed: Some (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Some (Minimal harm or potential for actual harm)

Give each resident enough fluids to keep them healthy and prevent dehydration: Some (Minimal harm or potential for actual harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Few (Minimal harm or potential for actual harm)

Employ qualified full-time, part-time or consultant professionals that must be licensed, certified, or registered staff to give needed services: Many (Potential for minimal harm)

Give or get quality lab services/tests in a timely manner to meet the needs of residents: Some (Minimal harm or potential for actual harm)

Walls or barriers that prevent smoke from passing through and would resist fire for at least one hour: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Many (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Many (Minimal harm or potential for actual harm)

Proper construction of ducts through walls designed to prevent smoke passage: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Potential for minimal harm)

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