All states › Texas › Keene › Town Hall Estates Keene
207 S Old Betsy Rd Keene, TX 76059 · Johnson County
CMS certification number 676047 · See this home on Medicare Care Compare
Is Town Hall Estates Keene a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Town Hall Estates Keene as of October 2026.
CMS rates it 3 out of 5 stars overall, about the same as the Texas average of 2.8.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.39 hours per resident per day at Town Hall Estates Keene, about the same as the Texas median of 3.30 (US median: 3.72). About 0.31 of those hours are from registered nurses. On weekends it falls to 2.98 hours, 12% below its all-week average. 46.4% of nursing staff left within a year (Texas median 50.2%).
About this nursing home
Paying for care at Town Hall Estates Keene: Medicare and Medicaid
Town Hall Estates Keene is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Texas's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on July 31, 2025 and found 6 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 24 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 24 citations at Town Hall Estates Keene across 10 inspection dates, 8 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 9, 2025. The most common areas cited were resident rights (8) and resident assessment and care planning (5). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, July 9, 2025).
August 4, 2026 · 1 citation · includes complaint inspection
DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
July 31, 2025 · 6 citations
EHonor the resident's right to organize and participate in resident/family groups in the facility.
EProvide enough food/fluids to maintain a resident's health.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DPASARR screening for Mental disorders or Intellectual Disabilities
DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
July 9, 2025 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
March 19, 2025 · 1 citation · includes complaint inspection
DReasonably accommodate the needs and preferences of each resident.
February 24, 2025 · 2 citations · includes complaint inspection
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
February 5, 2025 · 1 citation · includes complaint inspection
DProvide care and assistance to perform activities of daily living for any resident who is unable.
January 16, 2025 · 1 citation · includes complaint inspection
DProvide and implement an infection prevention and control program.
June 6, 2024 · 4 citations
EReasonably accommodate the needs and preferences of each resident.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DEnsure each resident receives an accurate assessment.
October 20, 2023 · 1 citation, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 27, 2023 · 6 citations
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
ECreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
EObserve each nurse aide's job performance and give regular training.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DKeep residents' personal and medical records private and confidential.
Questions to ask on a tour of Town Hall Estates Keene
- Inspectors cited the home at the actual-harm level on July 9, 2025 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
2 penalties in the last three years, including $16,209 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Jul 9, 2025 | Fine | $8,402 |
| Oct 20, 2023 | Fine | $7,807 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 3/5 | 3/5 | 2/5 | 3/5 |
| August 2026 | 3/5 | 4/5 | 1/5 | 3/5 |
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Location
Hospitals near Town Hall Estates Keene
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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7.6 mi
Texas Health Harris Methodist Hospital Cleburne CleburneEmergency room ★★★★★ Medicare overall 5 of 5Median ER visit 2h 17m for patients treated and sent home
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12.5 mi
Baylor Scott and White Emergency Hospital BurlesonEmergency roomMedian ER visit 1h 35m for patients treated and sent home
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13.1 mi
Huguley Health System Fort WorthEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 8m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Higher-rated nursing homes within 10 miles
- Ridgeview Rehabilitation and Skilled Nursing · Cleburne · 5 stars · 7.7 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.