Town Hall Estates Keene INC
Nursing Home · Keene, TX
CMS certification number676047
Contact & location
207 S Old Betsy RDKeene, TX 76059
Johnson County
- Phone
- (817) 645-8888
- ZIP code
- 76059 – all care providers
Facility details
- Certified beds
- 126
- Residents per day
- 100.3 (80% occupied)
- Ownership
- Non profit - Corporation
- Legal name
- Town Hall Estates-Keene INC
- Medicare certified since
- March 31, 2005
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.18 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.21 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.90 (state 0.95 · U.S. 0.86)
- Nurse aides
- 2.06 (state 2.00 · U.S. 2.32)
- Weekend total
- 2.85 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 45.6 (state 55.3 · U.S. 45.8)%
- RN turnover
- 62.5 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- July 31, 2025
- Health deficiencies (last cycle)
- 6.0 (state 9.3 · U.S. 9.3)
- From complaints
- 0
- Citations on record (3 years)
- 23 health · 1 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2025-07-31 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-07-31 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-07-31 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-07-31 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-07-31 | PASARR screening for Mental disorders or Intellectual Disabilities F0645 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-07-31 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-08-30 |
| 2025-07-09 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-07-31 |
| 2025-03-19 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-31 |
| 2025-02-24 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-09 |
| 2025-02-24 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-09 |
| 2025-02-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2025-01-16 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-01-31 |
| 2024-06-06 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-06-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-06-06 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2024-06-06 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-06-28 |
| 2023-10-20 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
Corrected 2023-10-24 |
| 2023-04-27 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-24 |
| 2023-04-27 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-24 |
| 2023-04-27 | Observe each nurse aide's job performance and give regular training. F0730 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-24 |
| 2023-04-27 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-05-24 |
| 2023-04-27 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-24 |
| 2023-04-27 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-05-24 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $16,209 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-09 | Fine | $8,402 |
| 2023-10-20 | Fine | $7,807 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ecord, Barbara (individual) | Corporate Director · NOT APPLICABLE | |
| Ecord, Barbara (individual) | Corporate Officer · NOT APPLICABLE | |
| Davis, Laura (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Town Hall Estates Keene INC?
Town Hall Estates Keene INC has a 3-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Town Hall Estates Keene INC have?
It has 126 certified beds and cares for about 100 residents per day.
Has Town Hall Estates Keene INC been fined?
Yes. CMS lists 2 penalties totaling $16,209 in the last three years.
What is the phone number of Town Hall Estates Keene INC?
(817) 645-8888. The facility is located at 207 S Old Betsy RD, Keene, TX 76059.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.