Updated: March 2026
Keene, TX
Town Hall Estates Keene, Inc.
207 S Old Betsy Rd, Keene, Texas 76059
3★
Overall
3★
Health Insp.
2★
Staffing
2★
Quality Care
50.4
Score /100
#906
in Texas
#12,033
of 14,676 nationally
National Rank
#906
of 1,177 in Texas
State Rank
#1
of 1 in Keene
City Rank
$185/day
TX median · semi-private
Daily Cost
50.4
score
Composite Quality Score / 100
State rank #906 · National rank #12,033
Visual Snapshot
Occupancy
104 residents for 126 certified beds · 83% occupied
CMS Ratings
Overall, inspection, staffing, and quality measure ratings on the CMS 1–5 scale.
Facility Details
126
Certified Beds
104
Avg Residents/Day
3h 5m
Nurse Hrs/Day
49%
Staff Turnover
CMS Star Ratings (2026)
CMS 1–5 star scale. Official Medicare Nursing Home Compare data, March 2026.
Compliance Snapshot
8
Latest Health Deficiencies
0
IJ Citations in CMS File
$78,402
Total Fines
4
Total Penalties
Latest standard health survey date: 2025-07-31. Use the government report for full deficiency details.
Cost of Care in Texas
$185
Per Day
Semi-private
$5,627
Per Month
State median
$67,525
Per Year
State median
41% below national avg
Vs National
CareScout/Genworth
Source: CareScout/Genworth Cost of Care Survey, 2025. Actual facility pricing can differ from the state median.
Need deeper analysis?
NursingHomeObserver.com can be linked from this page for more trend analysis, compliance context, and comparisons.
Data from CMS Nursing Home Compare, March 2026. Composite scores are estimated for non-Alabama rows using your Alabama benchmark file plus current CMS provider metrics. Verify decisions at medicare.gov/care-compare.