Town Hall Estates Keene INC
207 S Old Betsy Rd, Keene, TX 76059 · Johnson County
Non-profit · 126 certified beds · 80% occupancy · (817) 645-8888
Town Hall Estates Keene INC reviews: what the government record shows
The U.S. government (CMS) rates Town Hall Estates Keene INC 3 out of 5 stars overall, average. Its nurse staffing is 3% below the Texas median.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 3 of 5 stars
- Nurse staffing
- 3.18 hrs/resident/day (-3% vs TX median)
- Antipsychotic drug use
- 18.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 5.1% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $16,209
- Inspection findings
- 23 cited
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
A mixed record. The strengths and concerns below are worth weighing against a visit.
Concerns
- !Nurse staffing of 3.18 hrs/resident/day is below the Texas median of 3.27.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Town Hall Estates Keene INC
Is Town Hall Estates Keene INC a good nursing home?
Town Hall Estates Keene INC in Keene, Texas holds a 3 of 5 star CMS overall rating. A mixed record. The strengths and concerns below are worth weighing against a visit.
How is Town Hall Estates Keene INC staffed?
Town Hall Estates Keene INC reports 3.18 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Town Hall Estates Keene INC been fined or flagged for abuse?
Town Hall Estates Keene INC has paid approximately $16,209 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.18 nurse hours per resident per day. 3% below the Texas median of 3.27.
Nursing staff turnover: 45.6% · RN turnover: 62.5%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0565 · Jul 31, 2025Corrected Aug 30, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
- Potential for harmTag F0692 · Jul 31, 2025Corrected Aug 30, 2025
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Potential for harmTag F0812 · Jul 31, 2025Corrected Aug 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0550 · Jul 31, 2025Corrected Aug 30, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
- Potential for harmTag F0645 · Jul 31, 2025Corrected Aug 30, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0656 · Jul 31, 2025Corrected Aug 30, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
- Actual harmTag F0760 · Jul 9, 2025ComplaintCorrected Jul 31, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0558 · Jun 6, 2024Corrected Jun 28, 2024
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0812 · Jun 6, 2024Corrected Jun 28, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0880 · Jun 6, 2024Corrected Jun 28, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 23 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is above the national median. Ask how the home decides to start these medications and how often it reviews them.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is non-profit (non profit - corporation). It is independently operated, not part of a multi-facility chain.