Town Hall Estates Keene Inc
207 S OLD BETSY RD, Keene, TX, 76059
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 126 · avg 104 residents/day
- Total nursing staff turnover
- 49% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 37.5% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 4 fines · $78,402 total
State licensing & capacity
- License number
- 144705
- Service type
- Medicare/medicaid
- Licensed capacity
- 126 beds
- Bed type breakdown
- 126 Medicaid/Medicare
- Current license effective
- June 15, 2025
- Current license expires
- June 15, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Town Hall Estates Keene Inc
- Administrator
- Vickie Bradwell
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Disclosed owners (2 on record)
- Laura Davis
Operational/managerial Control · 100% · since 2021
- Barbara Ecord
Corporate Officer · since 2005
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 26)
- E0812·Jul 31, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0692·Jul 31, 2025
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
- D0656·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0645·Jul 31, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- E0565·Jul 31, 2025
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D0550·Jul 31, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- G0760·Jul 9, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- D0558·Mar 19, 2025Complaint
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Federal penalties
By year
- 20251 fine · $13K
- 20233 fines · $66K
Most recent events
- Jul 9, 2025Fine · $13K
- Oct 20, 2023Fine · $7,807
- Mar 25, 2023Fine · $54K
- Mar 20, 2023Fine · $4,196
Largest single fine on record: $54K.
Fire-safety citations
1 Life-Safety-Code citation on file. Most recent: Jun 6, 2024. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Town Hall Estates Keene Inc is a 126-bed nursing home in Keene, Johnson County, Texas, licensed for Medicare and Medicaid. CMS rates it 3 stars overall, with 2-star ratings for staffing and quality measures. Four fines totaling $78,402 have been issued, and two administrators have left in the past year. The license is active through June 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 2 stars on staffing — roughly the bottom third of Texas nursing homes on this measure. Each resident receives about 185 minutes of nursing care per day, approximately 56 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — more dependent or medically complex on average — so those 185 minutes stretch thinner than the raw number suggests.
Two administrators have left in the past year. Leadership turnover at that pace tends to ripple through daily operations: care plans, staff scheduling, and vendor relationships all run through the administrator's office.
Four CMS fines have been issued totaling $78,402. The state median for fined facilities in Texas is about $20,699, and roughly 30% of Texas nursing homes have no fines at all. Four fines at nearly four times the state median places this facility toward the higher end of the fined-facility range.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Current administrator and tenure
Two administrators have left in the past year — ask how long the current administrator has been in the role and who supervises day-to-day care decisions.
What the four fines covered
CMS issued four fines totaling $78,402 — ask what each citation was for and what specific changes were made afterward.
Nursing hours on weekends
Reported weekend staffing runs about 165 minutes per resident per day, below the already-low weekday average — ask how nurse coverage is managed on Saturdays and Sundays.
Registered nurse presence daily
Reported RN hours equal roughly 25 minutes per resident per day — ask whether a registered nurse is on-site around the clock or only during certain shifts.
Resident Council activity
The facility has a Resident Council but no Family Council — ask how families are kept informed of concerns raised by residents and how those concerns are resolved.
Staffing plan for heavier-care residents
Residents here require more hands-on care than at a typical facility — ask how staffing levels are adjusted when a resident's condition declines significantly.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.