Town Hall Estates

Ratings Deep Dive

Score

1.0

State Average

2.8

National Average

2.8

5 Deficiencies found in last inspections

10 Penalties in last 3 years

9 Fines issued

Citation	Date	Description	Severity
—	Sep 6, 2025	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.	D
—	Sep 6, 2025	Ensure each resident receives an accurate assessment.	D
—	Sep 6, 2025	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D
—	Sep 6, 2025	Assess the resident when there is a significant change in condition	D
—	Sep 6, 2025	Ensure each residentâs drug regimen must be free from unnecessary drugs.	D

Score

2.0

State Average

2.1

National Average

2.9

0.4 RN Hours / Resident / Day

3.5 Total Nurse Hours / Resident / Day

66.7% RN Turnover Rate

Score

4.0

State Average

3.8

National Average

3.6

4.0 Long-Stay QM Rating

— Short-Stay QM Rating

36.9 Avg Residents Per Day

Measure	Score	Type
Percentage of long-stay residents whose need for help with daily activities has increased	—	Long Stay
Percentage of long-stay residents who lose too much weight	—	Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder	—	Long Stay
Percentage of long-stay residents with a urinary tract infection	—	Long Stay
Percentage of long-stay residents who have depressive symptoms	—	Long Stay
Percentage of long-stay residents who were physically restrained	—	Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury	—	Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	—	Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	—	Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication	—	Short Stay

Ownership Info

5% OR GREATER DIRECT OWNERSHIP INTEREST AMERICAN RELIGIOUS TOWN HALL MEETING INC

5% OR GREATER INDIRECT OWNERSHIP INTEREST ECORD, BARBARA

5% OR GREATER INDIRECT OWNERSHIP INTEREST TANDY, STEVEN

CORPORATE DIRECTOR CAVINESS, GLEN

CORPORATE DIRECTOR ECORD, BARBARA

CORPORATE DIRECTOR FAUTHEREE, STACIE

CORPORATE DIRECTOR FAUTHEREE, WILLIAM

CORPORATE DIRECTOR PETERS, ROBIN

CORPORATE DIRECTOR TANDY, ROBERT

CORPORATE DIRECTOR TANDY, STEVEN

Recent Penalties