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Nursing home / skilled nursing

Town Hall Estates Keene Inc

Nursing home / skilled nursing in Keene, Texas

Checked November 1, 2026

Provider details
Address207 S OLD BETSY RD
CityKeene
StateTexas
ZIP code76059
CountyJohnson
Phone817-645-8888
Websitehttps://theestateskeene.org/
CMS certification number (CCN)676047
OwnershipNon profit - Corporation
Certified beds126
CertificationMedicare and Medicaid
First approved for Medicare/MedicaidMarch 31, 2005
Located in a hospitalN
Continuing care retirement communityN
Care typesskilled nursing, rehab services
Services offeredskilled nursing care, rehabilitation services

Town Hall Estates Keene Inc is in 207 S OLD BETSY RD, Keene, TX 76059. Phone: 817-645-8888. Ownership: Non profit - Corporation. CMS rates it 3 out of 5 stars overall (health inspection 3, staffing 2, quality measures 3). CMS inspection and staffing detail: total weighted health survey score 52.000; 2 federal fines totaling $16209.00; total nursing staff turnover 46.4%.

More about this provider

Town Hall Estates Keene states it is dedicated to providing unparalleled care and support for its guests, with dignity and compassion in a nurturing environment that feels like home, with personalized attention and exceptional medical care.
Services and programsPersonalized attention and exceptional medical care from a team of skilled professionals (homepage describes care and support for guests; no named service list published on the opened homepage)
Visiting and contact details207 S Old Betsy Rd, Keene, TX 76059; Phone: (817) 645-8888; contact email listed on site: jessica@keenetownhall.org
Websitehttps://theestateskeene.org/

Quality measures

Source: CMS · CMS processing date: 2026-10-01

Star ratings and staffing hours
Overall rating3 of 5
Health inspection rating3 of 5
Staffing rating2 of 5
Quality measure rating3 of 5
Long-stay quality rating3 of 5
Short-stay quality rating3 of 5
RN staffing hours per resident per day0.31
Total nurse staffing hours per resident per day3.39

Inspection results

Source: CMS · processing date 2026-10-01
Rating Cycle 1 Total Health Score40
Total Weighted Health Survey Score52.000
Rating Cycle 2/3 Total Health Score88
Rating Cycle 1 Health Deficiency Score40
Rating Cycle 2/3 Health Deficiency Score88
Rating Cycle 1 Standard Survey Health Date2025-07-31
Rating Cycle 1 Total Number of Health Deficiencies7
Rating Cycle 2/3 Total Number of Health Deficiencies11
Rating Cycle 1 Number of Standard Health Deficiencies6
Number of Citations from Infection Control Inspections0
Rating Cycle 1 Number of Complaint Health Deficiencies1
Rating Cycle 2/3 Number of Complaint Health Deficiencies7

Staffing

Source: CMS · processing date 2026-10-01
Nursing Case-Mix Index1.34385
Registered Nurse turnover62.5
Nursing Case-Mix Index Ratio0.95291
Total nursing staff turnover46.4
Reported LPN Staffing Hours per Resident per Day0.85965
Reported Licensed Staffing Hours per Resident per Day1.16496
Number of administrators who have left the nursing home0
Reported Nurse Aide Staffing Hours per Resident per Day2.22831
Registered Nurse hours per resident per day on the weekend0.16544
Total number of nurse staff hours per resident per day on the weekend2.98422

Penalties

Source: CMS · processing date 2026-10-01
Number of Fines2
Number of Payment Denials0
Total Number of Penalties2
Total Amount of Fines in Dollars16209.00

Ownership

Source: CMS · processing date 2026-10-01
Legal Business NameTOWN HALL ESTATES-KEENE INC
Provider Changed Ownership in Last 12 MonthsN

Occupancy and payer mix

Source: CMS · processing date 2026-10-01
Abuse IconN
High Performing IconN
With a Resident and Family CouncilResident
Average Number of Residents per Day96.9
Automatic Sprinkler Systems in All Required AreasYes
Most Recent Health Inspection More Than 2 Years AgoN

Who pays for nursing home / skilled nursing?

What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:

Nursing home / skilled nursing guide · Paying for care

Other nursing home / skilled nursing in Johnson County

Common questions about Town Hall Estates Keene Inc

Where is Town Hall Estates Keene Inc located?

Town Hall Estates Keene Inc is at 207 S OLD BETSY RD, Keene, Texas 76059.

What care and services does Town Hall Estates Keene Inc offer?

Town Hall Estates Keene Inc offers skilled nursing, rehab services, skilled nursing care, rehabilitation services.

Is Town Hall Estates Keene Inc Medicare-certified?

Yes. Town Hall Estates Keene Inc is certified for both Medicare and Medicaid.

What is Town Hall Estates Keene Inc's quality rating?

CMS gives Town Hall Estates Keene Inc an overall star rating of 3 out of 5.

How do I contact Town Hall Estates Keene Inc?

Call Town Hall Estates Keene Inc at 817-645-8888.

How much does a nursing home cost?

The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.

Does Medicare pay for a nursing home?

Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.

What is the difference between a nursing home and assisted living?

A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.

Who else pays for a nursing home besides Medicare?

Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.

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