Town Hall Estates Keene, Inc.
207 S Old Betsy Rd, Keene, TX, 76059
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Order the reportFederal 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 June 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Corporation
- Certified beds
- 126 · avg 108 residents/day
- Total nursing staff turnover
- 50% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 55.6% — near the Texas averageTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $16,209 total
Medicare certification
- CMS Certification Number
- 676047
- Certified beds
- 126 beds · avg 108 residents/day
- Ownership type
- Non profit - Corporation
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Town Hall Estates-Keene Inc
CMS Care Compare, processing date June 1, 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 May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 24)
- 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 · $8,402
- 20231 fine · $7,807
Most recent events
- Jul 9, 2025Fine · $8,402
- Oct 20, 2023Fine · $7,807
Largest single fine on record: $8,402.
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 Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Town Hall Estates Keene, Inc.into one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.