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HomeTexasTown Hall Estates Keene, Inc.

Town Hall Estates Keene, Inc.

207 S Old Betsy Rd, Keene, TX 760598176458888WebsiteGoogle Maps
4.1on Google(60 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
1/5
Quality
3/5
Beds
126
certified
2 fine(s) totaling $16,209

How Town Hall Estates Keene, Inc. Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
3.18 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.21 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
45.6%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Reported RN time is 0.21 hours per resident per day, below the state average of 0.43.
Staff turnover is 45.6%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
10
deficiency citations
Inspected Jun 6, 2024
Most recent cycle
7
deficiency citations
Inspected Jul 31, 2025
The most recent cycle recorded 3 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Johnson County 65+
25,532
14.0% of county
County Population
182,690
Johnson County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Town Hall Estates Keene, Inc. is a 2-star Medicare and Medicaid certified nursing home in Keene, Texas with 126 certified beds. It has been operating since 2005. Its overall CMS rating is 2 out of 5.

Beds
126
Avg Residents/Day
100.3
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)
7
Weighted Score
59.0
Infection Citations
0

Deficiency Citations (23)

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
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
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
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
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: 2
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: 2
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: 2
F0677Potential for Harm

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

Survey: Feb 5, 2025Corrected: NoCycle: 2
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
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
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

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
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
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
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
Total Fines
$16,209
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineOct 20, 2023
$7,807
FineJul 9, 2025
$8,402

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

Nurse Aide2.06 hrs
National avg: 2.32 hrs
LPN0.90 hrs
National avg: 0.86 hrs
RN0.21 hrs
National avg: 0.69 hrs
Total Nursing3.18 hrs
National avg: 3.86 hrs
Weekend Total2.85 hrs
National avg: 0.00 hrs
Physical Therapist0.05 hrs
National avg: 0.07 hrs
Total Turnover
45.6%
RN Turnover
62.5%
Administrators Left
0

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

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Town Hall Estates Keene, Inc. and nearby alternatives.

All Texas facilities
Town Hall Estates Keene, Inc.
Keene, TXCurrent facility
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $16,209
Colonial Manor Nursing Center
Cleburne, TX4.8 miAbuse flag
CMS
3/5
Health
2/5
Staffing
3/5
Recorded fines: $51,594
Heritage Trails Nursing and Rehabilitation Center
Cleburne, TX5.7 mi
CMS
4/5
Health
4/5
Staffing
2/5
Recorded fines: $67,124
Alvarado Meadows Nursing & Rehabilitation
Alvarado, TX6.7 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $85,479
Ridgeview Rehabilitation and Skilled Nursing
Cleburne, TX7.7 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Advanced Rehabilitation & Healthcare of Burleson
Burleson, TX8.5 mi
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $17,804
Avir at Burleson
Burleson, TX9.6 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Town Hall Estates Keene, Inc.
Keene, TX · Current facility
—2/53/51/5$16,209
Colonial Manor Nursing Center
Cleburne, TX
4.8 mi3/52/53/5$51,594
Heritage Trails Nursing and Rehabilitation Center
Cleburne, TX
5.7 mi4/54/52/5$67,124
Alvarado Meadows Nursing & Rehabilitation
Alvarado, TX
6.7 mi3/53/52/5$85,479
Ridgeview Rehabilitation and Skilled Nursing
Cleburne, TX
7.7 mi4/54/53/5None recorded
Advanced Rehabilitation & Healthcare of Burleson
Burleson, TX
8.5 mi2/52/51/5$17,804
Avir at Burleson
Burleson, TX
9.6 mi3/54/51/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Town Hall Estates Keene, Inc. cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Town Hall Estates Keene, Inc. participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Town Hall Estates Keene, Inc. had any health inspection violations?▾
Town Hall Estates Keene, Inc. had 7 deficiency citations in its most recent health inspection (Jul 31, 2025). The current CMS dataset records 2 fine(s) totaling $16,209.
What are the staffing levels at Town Hall Estates Keene, Inc.?▾
Town Hall Estates Keene, Inc. provides 3.18 total nursing staff hours per resident per day, including 0.21 RN hours, 0.90 LPN hours, and 2.06 nurse aide hours. The total staff turnover rate is 45.6%.
How many beds does Town Hall Estates Keene, Inc. have?▾
Town Hall Estates Keene, Inc. has 126 certified beds with an average of 100.3 residents per day, resulting in approximately 80% occupancy. The facility is Non profit - Corporation owned.
Are there other nursing homes near Town Hall Estates Keene, Inc.?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Town Hall Estates Keene, Inc.?▾
On Google Maps, Town Hall Estates Keene, Inc. has a rating of 4.1 out of 5 based on 60 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.