Texas › Johnson County › Keene
Town Hall Estates Keene Inc
207 S Old Betsy Rd, Keene, TX 76059
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Town Hall Estates Keene Inc, in Keene, Texas, is certified for 126 beds under non-profit, corporation ownership.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 3.
Inspectors recorded 23 health deficiencies across the three most recent survey cycles (6, 10, 7 by cycle, most recent first), 2 of them at the actual-harm or immediate-jeopardy level. That is 18.3 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $16K.
Reported nurse staffing is 3.2 hours per resident per day (0.2 RN), close to the Texas median of 3.3; nursing staff turnover is 45.6%.
Compared with county, state and nation
| Measure | This facility | Johnson Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 23 | 20 | 25 | 28.7 |
| Citations per 100 beds | 18.3 | 14.9 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.2 | 3.4 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 45.6% | 52.8% | 52.1% | 45.8% |
| Fines listed | $16,209 | $21,125 | $16,801 | — |
County and state figures are medians across facilities (9 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Jul 2025, 6 Jun 2024.
Severity mix: G ×2 D ×11 E ×10
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 31 Jul 2025 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 30 Aug 2025 |
| 31 Jul 2025 | F0692 | Provide enough food/fluids to maintain a resident's health. | E | Standard survey | 30 Aug 2025 |
| 31 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 30 Aug 2025 |
| 31 Jul 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 30 Aug 2025 |
| 31 Jul 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 30 Aug 2025 |
| 31 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 30 Aug 2025 |
| 9 Jul 2025 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 31 Jul 2025 |
| 19 Mar 2025 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 31 Mar 2025 |
| 24 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 9 Apr 2025 |
| 24 Feb 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 9 Apr 2025 |
| 5 Feb 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 28 Feb 2025 |
| 16 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 31 Jan 2025 |
| 6 Jun 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 28 Jun 2024 |
| 6 Jun 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 28 Jun 2024 |
| 6 Jun 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 Jun 2024 |
| 6 Jun 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 28 Jun 2024 |
| 20 Oct 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 24 Oct 2023 |
| 27 Apr 2023 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard survey | 24 May 2023 |
| 27 Apr 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 24 May 2023 |
| 27 Apr 2023 | F0730 | Observe each nurse aide's job performance and give regular training. | E | Standard survey | 24 May 2023 |
| 27 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 24 May 2023 |
| 27 Apr 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 24 May 2023 |
| 27 Apr 2023 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 24 May 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 9 Jul 2025 | Fine | $8,402 | |
| 20 Oct 2023 | Fine | $7,807 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 45.6%, RNs 62.5%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 22.2% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 18.3% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Town Hall Estates-Keene Inc.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Johnson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Grandview Nursing and Rehabilitation Center | Grandview | 82 | 5 | 4 | 2 | 9 | 11.0 | $21K | 24 Aug 2025 |
| Heritage Trails Nursing and Rehabilitation Center | Cleburne | 122 | 4 | 4 | 2 | 12 | 9.8 | $67K | 8 May 2025 |
| Ridgeview Rehabilitation and Skilled Nursing | Cleburne | 134 | 4 | 4 | 3 | 20 | 14.9 | — | 11 Dec 2025 |
| 600 Maple Ave. | Burleson | 120 | 3 | 4 | 1 | 19 | 15.8 | — | 21 Nov 2025 |
| Alvarado Meadows Nursing & Rehabilitation | Alvarado | 115 | 3 | 3 | 2 | 20 | 17.4 | $85K | 2 Jul 2026 |
| Colonial Manor Nursing Centerabuse icon | Cleburne | 137 | 3 | 2 | 3 | 15 | 10.9 | $52K | 9 Apr 2026 |
| Advanced Rehabilitation & Healthcare of Burleson | Burleson | 121 | 2 | 2 | 1 | 29 | 24.0 | $18K | 29 Jun 2026 |
| Park Bend Rehabilitation and Healthcare Center | Burleson | 178 | 2 | 1 | 1 | 25 | 14.0 | $66K | 11 Mar 2026 |
All 9 facilities in Johnson County
Questions and answers
How many deficiencies has Town Hall Estates Keene Inc been cited for?
23 health deficiencies across the three most recent survey cycles, 2 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Town Hall Estates Keene Inc been fined?
Yes. CMS lists fines totalling $16K in the period covered.
How does staffing at Town Hall Estates Keene Inc compare?
Reported total nurse staffing is 3.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Town Hall Estates Keene Inc?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Town Hall Estates Keene Inc last inspected?
The most recent survey or investigation in the CMS record is dated 31 Jul 2025; the most recent standard health survey was 31 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.