Town Hall Estates Keene
Nursing Home Facility
207 S Old Betsy Rd, Keene, TX 76059
Town Hall Estates Keene is a senior care community located in Keene, TX. It provides nursing home care and senior living for older adults in the Keene area. To learn more or schedule a tour, call (817) 645-8888.
Town Hall Estates Keene is licensed for 126 beds, about typical for the area, where senior care communities in Tarrant County average about 166 beds.
Federal reporting puts occupancy at about 80% of its licensed beds. That is above the Tarrant County average of roughly 68%.
Medicare rates this community 3 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 1 star for staffing against 4 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 6 deficiencies.
Residents receive about 3.2 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 46%.
The community is located in Tarrant County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 23 problems at Town Hall Estates Keene. 2 findings involved harm to a resident. 7 came from investigating complaints by residents or families.
In the last three years Medicare fined this home once, a total of $8,402.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to organize and participate in resident/family groups in the facility.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
PASARR screening for Mental disorders or Intellectual Disabilities
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Town Hall Estates Keene offers nursing home care and senior living.
Facility details
- Organization type Non profit - Corporation
- Beds / units 126
- Occupancy 80%
- Nursing hours per resident/day 3.2
- Annual staff turnover 46%
- Last health inspection July 2025
Resident & family reviews
No one has shared a review of Town Hall Estates Keene yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.