Town Hall Estates Keene, Inc.

207 S Old Betsy Rd, Keene, TX 76059 · CCN 676047 · 126 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality3 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 1 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-07-09 ACTUAL HARM (tag F0760, severity G)
Pharmacy Service Deficiencies · correction not recorded in CMS data
Ensure that residents are free from significant medication errors.
2023-10-20 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Staffing, from payroll records

Nursing hours / resident / day

2.15

state median 2.67

Weekend staffing gap

−7%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.15

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

1

with residents present

Nursing staff turnover

46%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $16,209 in fines.

DateTypeAmount
2025-07-09Fine$8,402
2023-10-20Fine$7,807

Ownership

Ownership type: Non profit - Corporation.

Full citation history

By severity: Actual harm: 2 · Potential for more than minimal harm: 21

Survey dateTagCategorySeverityCorrected
2025-07-31F0550Resident Rights DeficienciesDnot recorded
2025-07-31F0565Resident Rights DeficienciesEnot recorded
2025-07-31F0645Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-31F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-07-31F0692Quality of Life and Care DeficienciesEnot recorded
2025-07-31F0812Nutrition and Dietary DeficienciesEnot recorded
2025-07-09F0760Pharmacy Service DeficienciesGnot recorded
2025-03-19F0558Resident Rights DeficienciesDnot recorded
2025-02-24F0550Resident Rights DeficienciesDnot recorded
2025-02-24F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2025-02-05F0677Quality of Life and Care DeficienciesDnot recorded
2025-01-16F0880Infection Control DeficienciesDnot recorded
2024-06-06F0558Resident Rights DeficienciesEnot recorded
2024-06-06F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2024-06-06F0812Nutrition and Dietary DeficienciesEnot recorded
2024-06-06F0880Infection Control DeficienciesEnot recorded
2023-10-20F0689Quality of Life and Care DeficienciesGnot recorded
2023-04-27F0550Resident Rights DeficienciesDnot recorded
2023-04-27F0580Resident Rights DeficienciesEnot recorded
2023-04-27F0583Resident Rights DeficienciesDnot recorded
2023-04-27F0655Resident Assessment and Care Planning DeficienciesEnot recorded
2023-04-27F0730Nursing and Physician Services DeficienciesEnot recorded
2023-04-27F0812Nutrition and Dietary DeficienciesEnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Town Hall Estates Keene, Inc., Keene” at medicare.gov/care-compare.