69/100
Average
Town Hall Estates Keene Inc
207 S Old Betsy Rd, Keene, TX 76059
- Certified beds
- 126
- Occupancy
- 80%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$16,209 in federal fines
CMS has fined this facility across 2 penalty action(s).
Our read on Town Hall Estates Keene Inc
Town Hall Estates Keene runs 126 certified beds as a nonprofit, and its nursing hours come in at 3.18 per resident day, roughly 18% under the national average of 3.86. That shortfall is the main reason its staffing rating sits at the bottom of CMS's scale, and weekends dip about 10% below what the home itself staffs on weekdays. Turnover is 45.6%, essentially level with the national figure, so retention isn't the standout problem here; coverage is. The inspection record shows 23 deficiencies, two of them serious enough to reach harm or jeopardy level, with no abuse citations, and $16,209 in fines across two penalties. Its most recent inspection came in July 2025.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
13/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →3.32 total nurse hours per resident per day (national median 3.77)
- →0.21 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →46% of nursing staff left in the last year
Resident outcomes
9/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →3 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$16,209 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: July 31, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Town Hall Estates Keene Inc
What is the ElderGrade for Town Hall Estates Keene Inc? +
Town Hall Estates Keene Inc holds an ElderGrade of C (69 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Town Hall Estates Keene Inc? +
Residents receive an average of 3.18 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Town Hall Estates Keene Inc been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Town Hall Estates Keene Inc accept Medicaid? +
Yes, Town Hall Estates Keene Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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