Nursing Homes · Medicare certified
Town Hall Estates Keene INC
207 S Old Betsy Rd · Keene, TX 76059 · 126 certified beds
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About Town Hall Estates Keene INC
Town Hall Estates Keene INC is a nursing home in Keene, Texas. Its capacity is 126 beds, above the Johnson County median of 122 for nursing homes. It is run by a nonprofit operator. It is Medicare certified. Its public inspection record shows 24 citations, the most recent on July 31, 2025. CMS also lists 2 fines or payment denials against it. Nurse staffing averages 3.39 hours per resident per day. Residents and families can raise concerns with the Texas Long-Term Care Ombudsman Program at 1-800-252-2412. Its public records were last updated in October 2026.
Public record
CMS Care Compare, updated October 2026
Certification
Medicare-certified.
Ratings
Overall
3.0Staffing
2.0Quality measures
3.0CMS Care Compare, October 2026.
Inspection history (24)
Records from April 2023 to July 2025.
July 31, 2025
Tag F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 30, 2025.
July 31, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 30, 2025.
July 31, 2025
Tag F0692Provide enough food/fluids to maintain a resident's health.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 30, 2025.
July 31, 2025
Tag F0565Honor the resident's right to organize and participate in resident/family groups in the facility.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 30, 2025.
July 31, 2025
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected August 30, 2025.
July 31, 2025
Tag F0645PASARR screening for Mental disorders or Intellectual Disabilities.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected August 30, 2025.
July 9, 2025
Tag F0760Ensure that residents are free from significant medication errors.
Severity G: isolated, actual harm. Corrected July 31, 2025.
March 19, 2025
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 31, 2025.
February 24, 2025
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 9, 2025.
February 24, 2025
Tag F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 9, 2025.
February 5, 2025
Tag F0677Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected February 28, 2025.
January 16, 2025
Tag F0880Provide and implement an infection prevention and control program.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected January 31, 2025.
June 6, 2024
Tag F0641Ensure each resident receives an accurate assessment.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
June 6, 2024
Tag F0558Reasonably accommodate the needs and preferences of each resident.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
June 6, 2024
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
June 6, 2024
Tag F0880Provide and implement an infection prevention and control program.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected June 28, 2024.
October 20, 2023
Tag F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity G: isolated, actual harm. Corrected October 24, 2023.
June 2, 2023
Tag F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected June 30, 2023.
April 27, 2023
Tag F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected May 24, 2023.
April 27, 2023
Tag F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected May 24, 2023.
Penalties (2)
Total fines: $16,209
July 9, 2025 · Fine
CMS recorded a civil money penalty of $8,402 against this nursing home on July 9, 2025.
October 20, 2023 · Fine
CMS recorded a civil money penalty of $7,807 against this nursing home on October 20, 2023.
Staffing
3.39 nurse hours per resident per day in Q2 2026, up from 2.96 in Q4 2025.
From the payroll records nursing homes file with CMS.
Ownership
Non profit - Corporation
Typical cost
CareScout Cost of Care Survey, 2025
This provider's prices aren't public. Here is what the same care typically costs in Texas.
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