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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasTown Hall Estates Keene, Inc.

Town Hall Estates Keene, Inc.

207 S Old Betsy Rd, Keene, TX 760598176458888
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
3/5
Staffing
2/5
Quality
2/5
Beds
126
certified
5 fine(s) totaling $88,891

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 126 certified beds with an average of 104 residents per day (83% occupancy)

• Last health inspection found 11 deficiencies (inspected Jul 31, 2025)

• Has been fined a total of $88,891 across 5 fine(s)

• Total nursing staff: 3.09 hours per resident per day

• Staff turnover rate: 49.0%

Town Hall Estates Keene, Inc. is a 3-star Medicare and Medicaid certified nursing home in Keene, Texas with 126 certified beds. It has been operating since 2005. The facility scored at average compared to Texas facilities.

Beds
126
Avg Residents/Day
104
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 31, 2005
Sprinklers
Yes
Council
Resident
County
Johnson
Last Inspection
Jul 31, 2025
Deficiencies (Cycle 1)
11
Weighted Score
76.0
Infection Citations
0

Deficiency Citations (26)

F0760Actual Harm

Ensure that residents are free from significant medication errors.

Survey: Jul 9, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Mar 19, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Feb 24, 2025Corrected: NoCycle: 1
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Feb 24, 2025Corrected: NoCycle: 1
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Feb 5, 2025Corrected: NoCycle: 1
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 31, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jan 16, 2025Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jun 6, 2024Corrected: NoCycle: 2
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Oct 20, 2023Corrected: NoCycle: 3
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Jun 2, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 25, 2023Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 25, 2023Corrected: NoCycle: 3
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0583Potential for Harm

Keep residents' personal and medical records private and confidential.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0730Potential for Harm

Observe each nurse aide's job performance and give regular training.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Apr 27, 2023Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Apr 27, 2023Corrected: NoCycle: 3
Total Fines
$88,891
Number of Fines
5
Payment Denials
0
Total Penalties
5

Penalty History

FineMar 20, 2023
$4,196
FineOct 20, 2023
$7,807
FineFeb 28, 2023
$10,489
FineJul 9, 2025
$12,735
FineMar 25, 2023
$53,664

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.96 hrs
National avg: 2.35 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.42 hrs
National avg: 0.68 hrs
Total Nursing3.09 hrs
National avg: 3.89 hrs
Weekend Total2.75 hrs
National avg: 0.00 hrs
Physical Therapist0.06 hrs
National avg: 0.07 hrs
Total Turnover
49.0%
RN Turnover
37.5%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Non profit - Corporation
Recent Change
No

Owners & Managers (3)

NameRoleTypeOwnership %Since
DAVIS, LAURAOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 15, 2021
ECORD, BARBARACORPORATE DIRECTORIndividualN/AMay 1, 2005
ECORD, BARBARACORPORATE OFFICERIndividualN/AMay 1, 2005

Frequently Asked Questions

What is the CMS rating for Town Hall Estates Keene, Inc.?▾
Town Hall Estates Keene, Inc. has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 2/5, and quality measures rating of 2/5. This facility is rated average.
Has Town Hall Estates Keene, Inc. had any health inspection violations?▾
Town Hall Estates Keene, Inc. had 11 deficiency citations in its most recent health inspection (Jul 31, 2025). The facility has been fined a total of $88,891 across 5 fine(s).
What are the staffing levels at Town Hall Estates Keene, Inc.?▾
Town Hall Estates Keene, Inc. provides 3.09 total nursing staff hours per resident per day, including 0.42 RN hours, 0.71 LPN hours, and 1.96 nurse aide hours. The total staff turnover rate is 49.0%.
How many beds does Town Hall Estates Keene, Inc. have?▾
Town Hall Estates Keene, Inc. has 126 certified beds with an average of 104 residents per day, resulting in approximately 83% occupancy. The facility is Non profit - Corporation owned.