Town Hall Estates Keene Inc: Staffing, Turnover, and Inspection Record
Town Hall Estates Keene Inc is a 126-bed nonprofit nursing home in Keene, Texas. In the CMS August 2026 release it reported 2.06 nurse aide hours per resident per day, 3% above the Texas average of 2.00, and 45.6% nursing staff turnover (Texas average 55.3%).
Town Hall Estates Keene Inc
207 S Old Betsy RdKeene, TX 76059
Johnson County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Town Hall Estates Keene Inc, nurse aides logged 2.06 hours per resident per day, 3% above the Texas average. With about 100 residents a day, that works out to roughly 207 aide hours a day, or about 26 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.06 | 2.00 | 2.32 |
| Licensed practical nurses | 0.90 | 0.95 | 0.86 |
| Registered nurses | 0.21 | 0.43 | 0.69 |
| All nursing staff | 3.18 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.85 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
45.6% of nursing staff at Town Hall Estates Keene Inc left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 62.5%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 31, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 6 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $16,209 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 9, 2025 | Fine | $8,402 |
| Oct 20, 2023 | Fine | $7,807 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Town Hall Estates Keene Inc holds 3 of 5 overall; the Texas average is 2.6.
About Town Hall Estates Keene Inc
- Ownership: Non profit - Corporation
- Legal name: Town Hall Estates-Keene Inc
- Medicare and Medicaid certified since: Mar 31, 2005
- Councils: resident council
- Area: urban
Nursing homes near Town Hall Estates Keene Inc
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Colonial Manor Nursing Center Cleburne · abuse citation | 4.8 | 137 | 2.24 | 3.78 | 52.8% | 3 | $51,594 |
| Heritage Trails Nursing and Rehabilitation Center Cleburne | 5.7 | 122 | 1.48 | 2.76 | 53.2% | 4 | $67,124 |
| Alvarado Meadows Nursing & Rehabilitation Alvarado | 6.7 | 115 | 2.24 | 3.36 | 95.7% | 3 | $85,479 |
| Ridgeview Rehabilitation and Skilled Nursing Cleburne | 7.7 | 134 | 2.02 | 3.67 | 51.6% | 4 | None |
| Advanced Rehabilitation & Healthcare of Burleson Burleson | 8.5 | 121 | 2.13 | 3.36 | 63.6% | 2 | $17,804 |
| 600 Maple Ave. Burleson | 9.6 | 120 | 1.37 | 2.87 | 56.4% | 3 | None |
| Crowley Nursing and Rehabilitation Crowley | 12.1 | 120 | 2.18 | 3.47 | 53.5% | 5 | $18,470 |
| Grandview Nursing and Rehabilitation Center Grandview | 12.1 | 82 | 2.68 | 3.84 | 44.3% | 5 | $21,125 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.