Nursing HomeInspections

Town Hall Estates Keene INC

Nursing home in Keene, TX

Medicare & Medicaid certified3★ overall (CMS)

Call (817) 645-8888Send a messageMap ↗

Public-record details

Address
207 S Old Betsy Rd, Keene, TX 76059
Phone
(817) 645-8888
Listed under
Nonprofit
Medicare CCN
676047
Overall star rating
3 of 5 ★★★☆☆
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
126
Average residents per day
100
Ownership
Nonprofit, corporation
Legal business name
Town Hall Estates-Keene INC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 31, 2005
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676047. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 31, 2025. CMS lists 23 health citations for this facility across its last three standard inspection cycles and complaint inspections (Apr 27, 2023 to Jul 31, 2025): 7 from complaint inspections, 2 at the “actual harm” level or higher.

InspectionCitationSeverity
Jul 31, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights		D
Potential for more than minimal harm, isolated
Jul 31, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 31, 2025Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights		E
Potential for more than minimal harm, pattern
Jul 31, 2025Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 31, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Jul 9, 2025Ensure that residents are free from significant medication errors.
Pharmacy Service · complaint inspection		G
Actual harm, isolated
Mar 19, 2025Reasonably accommodate the needs and preferences of each resident.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2025Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 24, 2025Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection		D
Potential for more than minimal harm, isolated
Feb 5, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care · complaint inspection		D
Potential for more than minimal harm, isolated
Jan 16, 2025Provide and implement an infection prevention and control program.
Infection Control · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 23. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $16,209 in the last three years.

Jul 9, 2025Fine: $8,402
Oct 20, 2023Fine: $7,807

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.18 hours
Registered nurse (RN) time per resident per day
0.21 hours
Nurse aide time per resident per day
2.06 hours
Total nurse staffing on weekends
2.85 hours
Nursing staff turnover (yearly)
46%
RN turnover (yearly)
63%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.