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Nursing homeFAID #14455

Town Hall Estates Keene

207 S OLD BETSY RD, KEENE, TX, 76059
(817) 645-8888
theestateskeene.org
126 licensed beds
★★★★★3/5CMS Five-Star overall4/5 health inspections1/5 staffing3/5 quality measuresSource: CMS Care Compare

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Photo of TOWN HALL ESTATES KEENE INC
Photo via Google · Town Hall Estates Nursing and Rehab. Keene

Public record summary

What we can show you for free.
Bed capacity
126
CMS facility ID
676047
Care type
Nursing home
County
Johnson
Facility name
Town Hall Estates Keene
Street address
207 S OLD BETSY RD
City / state / ZIP
Keene, TX 76059
Phone
(817) 645-8888
Website
theestateskeene.org

About this facility — Town Hall Estates Keene

Town Hall Estates Keene is a Medicare/Medicaid-certified skilled nursing facility in Keene, Texas. It is licensed for 126 beds — close to the median for skilled nursing facilities in Texas (120 beds).

It is one of 2 senior care facilities in Keene and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Town Hall Estates Keene 24 times across 14 inspections in the last three years, including 3 food-safety citations, and CMS has imposed $16,209 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Non profit - Corporation

Registered owners & officers

Davis, Laura
Operational control — since 2021
Ecord, Barbara
Director · Officer — since 2005

Regulatory standing

Licensed / certified since
2005-03-31
CMS overall rating
3 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$16,209 total
Last standard inspection
2025-07-31
Nurse staffing
3.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$619 per day (≈ $18,820/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
18% Medicaid · 12% Medicare · 70% private/other
Occupancy
34% (fiscal year 2023)
Vs. state median
123% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
126
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 3 food-safety citations on its three-year record — flagged below among the inspections.
2025-07-31Health inspection6 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-08-30
F-0565
E · No harm found
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-08-30
F-0645
D · No harm found
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-08-30
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-08-30
F-0692
E · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-08-30
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-30
2025-07-09Health inspectionComplaint-triggered1 citation
F-0760
G · Actual harmFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2025-07-31
8 earlier / fire-safety inspections (17 citations)
2025-03-19Health inspectionComplaint-triggered1 citation
F-0558
D · No harm foundFrom a complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-03-31
2025-02-24Health inspectionComplaint-triggered2 citations
F-0550
D · No harm foundFrom a complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-04-09
F-0657
D · No harm foundFrom a complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-04-09
2025-02-05Health inspectionComplaint-triggered1 citation
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-02-28
2025-01-16Health inspectionComplaint-triggered1 citation
F-0880
D · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2025-01-31
2024-06-06Health inspection4 citations
F-0558
E · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2024-06-28
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2024-06-28
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-28
2023-10-20Health inspectionComplaint-triggered1 citation
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-10-24
2023-04-27Health inspection6 citations
F-0550
D · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-05-24
F-0580
E · No harm found
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-05-24
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2023-05-24
F-0655
E · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-24
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2023-05-24
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-24
2024-06-06Fire-safety inspection1 citation
E-0006
F · No harm found
Conduct risk assessment and an All-Hazards approach.
Corrected 2025-02-28

Federal penalties

2025-07-09Fine$8,402
2023-10-20Fine$7,807
Total fines$16,209
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676047.

Visitor reviews

What people say on Google.
4.160 ratings on Google
★★★★★hongping chen · 2025-06-12 · via Google

“My husband stayed here for two weeks. Corinna, RN, Nurse, took care of my husband patiently. She is responsible in her work and is a qualified and good nurse. I also like the two male doctors there. They are excellent. It's a pity that I didn't remember their names. There is also the top female manager of the nursing home. I met her once. She has a kind and beautiful face and is reasonable. Thank …”

★★★★★Brenda King Pitre · 2025-12-23 · via Google

“Absolutely wonderful experience. U know a place is great when u actually miss the people taking care of ur loved one. The warmth, respect, and kindness shown was beyond. I wish I could remember everyone’s names but just to name a few of the excellent staff: Nurse and friend Denisa, social worker Jessica, Vicki Director of nursing, and to the nursing staff on hall A + CNA Kimber, LaAsia, & Vanessa…”

★★★★★Paula9782 · 2026-01-06 · via Google

“My dad has needed these wonderful people twice over the last couple years with the most recent being Dec 2025. The nurses, physical therapy, CNA’s, maintenance & the admin are all the nicest people. My dad was treated with dignity and kindness and he really enjoyed everyone here. He transitioned to assisted living elsewhere but agrees if he ever is in need again he will go back and pester the nurs…”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 24 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered