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
The U.S. government (CMS) rates Town Hall Estates Keene, INC. 2 out of 5 stars overall — below average. Its nurse staffing is 3% below the Texas median.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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.
- Actual harmTag F0760 · Jul 9, 2025ComplaintCorrected Jul 31, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- 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
- 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.