Non profit - Corporation · 126 certified beds · CMS number 676047
Town Hall Estates Keene INC, Keene, TX
CMS records 23 health deficiencies at Town Hall Estates Keene INC in Keene, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 31, 2025. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 2 fines totaling $16,209 in the last three years.
- 23deficiencies, 3 cycles (TX median 25)
- 6in the latest cycle (TX median 8)
- Ghighest severity · Actual harm
- $16,209fines, last 3 years
- 3CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Town Hall Estates Keene INC as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Town Hall Estates Keene INC may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (6 deficiencies)
Standard inspection Jul 31, 2025. CMS counts 6 health deficiencies and 0 fire safety deficiencies in this cycle.
Jul 31, 2025 · Standard inspection
6 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 30, 2025
F692 · Nutrition and hydration
Requirement cited (CMS): Provide enough food/fluids to maintain a resident's health.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 30, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 30, 2025
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 30, 2025
F565 · Resident and family councils
Requirement cited (CMS): Honor the resident's right to organize and participate in resident/family groups in the facility.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 30, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 30, 2025
Previous cycle: 10 deficiencies (standard inspection Jun 6, 2024)
Standard inspection Jun 6, 2024. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Jul 9, 2025 · Complaint inspection
1 deficiency, highest G
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Jul 31, 2025
Mar 19, 2025 · Complaint inspection
1 deficiency, highest D
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Mar 31, 2025
Feb 24, 2025 · Complaint inspection
2 deficiencies, highest D
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 9, 2025
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 9, 2025
Feb 5, 2025 · Complaint inspection
1 deficiency, highest D
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 28, 2025
Jan 16, 2025 · Complaint inspection
1 deficiency, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 31, 2025
Jun 6, 2024 · Standard inspection
4 deficiencies, highest E
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 28, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 28, 2024
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 28, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jun 28, 2024
Earlier cycle: 7 deficiencies (standard inspection Apr 27, 2023)
Standard inspection Apr 27, 2023. CMS counts 7 health deficiencies and 0 fire safety deficiencies in this cycle.
Oct 20, 2023 · Complaint inspection
1 deficiency, highest G
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- G Actual harm (not immediate jeopardy), isolated
- Status
- Correction date Oct 24, 2023
Apr 27, 2023 · Standard inspection
6 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 2023
F730 · Nurse aide reviews and in-service training
Requirement cited (CMS): Observe each nurse aide's job performance and give regular training.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 2023
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 2023
F583 · Personal privacy and confidential records
Requirement cited (CMS): Keep residents' personal and medical records private and confidential.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 24, 2023
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 24, 2023
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 24, 2023
Tags cited in more than one inspection
4 tags cited on more than one inspection date at Town Hall Estates Keene INC; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F550 Dignity and the right to exercise rights | 3 | Jul 31, 2025; Feb 24, 2025; Apr 27, 2023 |
| F812 Food safety and sanitation | 3 | Jul 31, 2025; Jun 6, 2024; Apr 27, 2023 |
| F558 Accommodating individual needs and preferences | 2 | Mar 19, 2025; Jun 6, 2024 |
| F880 Infection prevention and control program | 2 | Jan 16, 2025; Jun 6, 2024 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jul 9, 2025 | Fine | $8,402 |
| Oct 20, 2023 | Fine | $7,807 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.18 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.21 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.85 h
- Nursing staff turnover
- 45.6% (Texas median 52.1%)
- Administrators who left
- 0
- CMS overall rating
- 3 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Town Hall Estates Keene INC, copied as published; Texas medians are ours.
Facility details
- Address
- 207 S Old Betsy Rd, Keene, TX 76059
- Phone
- (817) 645-8888
- County
- Johnson
- Accepts
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 126
- Average residents per day
- 100.3
- In Medicare/Medicaid since
- Mar 31, 2005
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- How do staff learn about and respect each resident's personal routines and choices? (F550, cited 3 times)
- When was the kitchen last inspected, and how are food temperatures checked? (F812, cited 3 times)
- How does the home adapt rooms and routines for residents with limited mobility, vision, or hearing? (F558, cited 2 times)
- How do staff track and report infections among residents? (F880, cited 2 times)
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.