Nursing Homes · Medicare certified
Town Hall Estates Keene INC
207 S Old Betsy Rd · Keene, TX 76059 · 126 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1104947811. Look this up in the CMS NPPES registry (opens in a new tab)
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About Town Hall Estates Keene INC
Town Hall Estates Keene INC is a nursing home in Keene, Texas. Public records list 126 beds. Ownership records list a nonprofit operator. It is Medicare certified. We hold 24 inspection citations for this listing, the most recent dated 31 July 2025. CMS also lists 2 fine or payment denial actions against it. Reported staffing works out to 3.18 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated August 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
Staffing rating
1.0Quality-measure rating
2.0Inspections on record
2
Cited deficiencies
18
Staffing rating
1.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
17
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Staffing rating
1.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
17
Inspection history (24)
Records from April 2023 to July 2025.
July 31, 2025 · D
Citation F0656Federal surveyors cited this nursing home on 2025-07-31 under CMS tag F0656 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2025-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVJuly 31, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-07-31 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVJuly 31, 2025 · E
Citation F0692Federal surveyors cited this nursing home on 2025-07-31 under CMS tag F0692 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide enough food/fluids to maintain a resident's health. The deficiency was recorded as corrected on 2025-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVJuly 31, 2025 · E
Citation F0565Federal surveyors cited this nursing home on 2025-07-31 under CMS tag F0565 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Honor the resident's right to organize and participate in resident/family groups in the facility. The deficiency was recorded as corrected on 2025-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVJuly 31, 2025 · E
Citation F0812Federal surveyors cited this nursing home on 2025-07-31 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVJuly 31, 2025 · D
Citation F0645Federal surveyors cited this nursing home on 2025-07-31 under CMS tag F0645 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for PASARR screening for Mental disorders or Intellectual Disabilities. The deficiency was recorded as corrected on 2025-08-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-31.GOVJuly 9, 2025 · G
Citation F0760Federal surveyors cited this nursing home on 2025-07-09 under CMS tag F0760 (CMS scope/severity G: isolated, actual harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-07-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-09.GOVMarch 19, 2025 · D
Citation F0558Federal surveyors cited this nursing home on 2025-03-19 under CMS tag F0558 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2025-03-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-03-19.GOVFebruary 24, 2025 · D
Citation F0550Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2025-04-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOVFebruary 24, 2025 · D
Citation F0657Federal surveyors cited this nursing home on 2025-02-24 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2025-04-09. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-24.GOVFebruary 5, 2025 · D
Citation F0677Federal surveyors cited this nursing home on 2025-02-05 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2025-02-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-02-05.GOVJanuary 16, 2025 · D
Citation F0880Federal surveyors cited this nursing home on 2025-01-16 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2025-01-31. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-16.GOVJune 6, 2024 · D
Citation F0641Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0641 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure each resident receives an accurate assessment. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOVJune 6, 2024 · E
Citation F0558Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0558 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Reasonably accommodate the needs and preferences of each resident. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOVJune 6, 2024 · E
Citation F0812Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOVJune 6, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-06-06 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-06-28. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-06-06.GOVOctober 20, 2023 · G
Citation F0689Federal surveyors cited this nursing home on 2023-10-20 under CMS tag F0689 (CMS scope/severity G: isolated, actual harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-10-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-20.GOVJune 2, 2023 · D
Citation F0842Federal surveyors cited this nursing home on 2023-06-02 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2023-06-30. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-06-02.GOVApril 27, 2023 · E
Citation F0812Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0812 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2023-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOVApril 27, 2023 · D
Citation F0550Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2023-05-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOV
Penalties (2)
Total fines on file: $16,209
July 9, 2025 · Fine
Citation FINE-134042CMS recorded a civil money penalty of $8,402 against this nursing home on 2025-07-09 (Fine ID: 134042). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-07-09.GOVOctober 20, 2023 · Fine
Citation FINE-111610CMS recorded a civil money penalty of $7,807 against this nursing home on 2023-10-20 (Fine ID: 111610). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-20.GOV
Staffing
Latest: 3.18 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q42.96 hrs/resident/day
- 2026-06-012.96 hrs/resident/day
- 2026-07-013.18 hrs/resident/day
- 2026-08-013.18 hrs/resident/day
- 2026Q13.18 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.22 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit - Corporation
Recent changes to this listing
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Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moNearby alternatives
No other listed providers in Keene yet.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
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Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (provider info)as of August 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Ownership type, Phone number, State, Street address, ZIP code
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
Read how we handle every file on the data sources page.