Nursing HomeMedicaid Investigative

Town Hall Estates Keene INC

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

207 S Old Betsy Rd, Keene, TX 76059|126 beds|Licensed & Active

2/5

Medicare

Inspection

Quality

Staffing

Google rating

4.1/5

based on 60 Google reviews

(817) 645-8888 Directions Website

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1/ 10

low Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Low staffing rating (2/5 stars)

Above average in Texas · Below recommended RN staffing · $78,402 in fines

Source: Medicare data

What this means for your family

This facility is highly regarded for its physical therapy and the kindness of its nursing staff, making it a strong candidate for rehabilitation. However, families should closely monitor call light responsiveness and staff interactions, as some reviewers have noted issues with neglect and rudeness.

Google Reviews

60 reviews on Google

“Families often praise the facility for its compassionate nursing staff and excellent physical therapy department, with many residents feeling treated like family. However, there are serious reports of neglect regarding call light responsiveness and occasional instances of staff rudeness or lack of empathy.”

Quality Themes

Tap a score for details

Strengths

Compassionate and attentive nursing staff
Excellent physical therapy and rehab services
Clean and well-maintained facility
Warm and welcoming atmosphere

Concerns

Slow response to call lights (mentioned by 2 reviewers)
Staff rudeness or lack of empathy (mentioned by 3 reviewers)
Inconsistent medication timing (mentioned by 2 reviewers)
Food quality and temperature (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

Distribution · 64 analyzed

How They Respond to Reviews

10%response rate

Generic

The owner primarily uses repetitive, templated phrases to acknowledge positive reviews and uses a standard corporate disclaimer to deflect negative feedback. Responses to 5-star reviews often lack depth, frequently relying on variations of 'Thank you for the 5 star review.'

Questions for Your Tour

1We've heard wonderful things about the warmth of your nursing staff; how do you ensure that same level of compassion is maintained during busy shifts?
2Could you walk us through your process for managing medication schedules to ensure everything is delivered accurately and on time?
3How does the team handle call lights during the night to make sure residents aren't waiting too long for assistance?
4We'd love to hear more about the dining experience, specifically how you ensure meals are served at the right temperature and how much variety is offered?
5What kind of daily activities or social programs do you have in place to keep the residents engaged and part of the community?
6In the event of a medical emergency after hours, what is the specific protocol for notifying the family and coordinating care?

Personalized based on this facility's data

Key Review Excerpts

“The nurses, physical therapy, CNA’s, maintenance & the admin are all the nicest people. My dad was treated with dignity and kindness and he really enjoyed everyone here.”

Long-term resident's family · 2026★★★★★

“U know a place is great when u actually miss the people taking care of ur loved one. The warmth, respect, and kindness shown was beyond.”

Long-term resident's family · 2025★★★★★

“My father was here for skilled nursing, strength rehabilitation. This place neglected my dad. His call light was plugged and I plugged it back in. I hit the call button, over 15 minutes pasted and noone came in.”

Rehab patient's family · 2025★☆☆☆☆

Source: 60 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026

RN Hours

0.26hrs

35%

Registered nurses for medical care

Total Nursing

2.96hrs

72%

All nurses + aides combined

Staff Turnover

50%

Lower is better (< 30% = good)

RN Turnover

56%

Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating

2/ 5

Better Than Avg

measures

Worse Than Avg

measures

Mixed Results

measures

Long-Stay Residents

🚶

Residents whose walking got worse

↓ Lower is better

This Facility26.4%

Worse than Avg

Here

26.4%

15.3%

14.9%

Johnson

17.1%

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better

This Facility14.9%

Better than Avg

Here

14.9%

19.5%

18.4%

Johnson

25.4%

🛏️

Residents needing more daily help over time

↓ Lower is better

This Facility23.4%

Worse than Avg

Here

23.4%

14.4%

16.1%

Johnson

16.6%

💊

Residents on antipsychotic medication

↓ Lower is better

This Facility17.9%

Worse than Avg

Here

17.9%

15.4%

9.4%

Johnson

13.6%

😔

Residents with depression symptoms

↓ Lower is better

This Facility4.6%

Mixed vs Avgs

Here

4.6%

12.1%

2.5%

Johnson

10.2%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

🚿

Residents whose bladder or bowel control got worse

↓ Lower is better

This Facility19.3%

Mixed vs Avgs

Here

19.3%

19.4%

14.2%

Johnson

24.7%

Short-Stay Residents (Rehab / Post-Acute)

💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better

This Facility42.2%

Worse than Avg

Here

42.2%

81.8%

89.2%

Johnson

82.1%

💉

Short-stay residents vaccinated for the flu

↑ Higher is better

This Facility66.3%

Worse than Avg

Here

66.3%

79.7%

88.0%

Johnson

78.2%

💊

Short-stay residents newly given antipsychotics

↓ Lower is better

This Facility0.5%

Better than Avg

Here

0.5%

1.6%

1.5%

Johnson

2.2%

Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies

2penalties

Near state avg (9.1)

8 complaint-triggered

$78,402 in fines

This facility shows concerning patterns with 11 complaint-triggered deficiencies out of 27 total, indicating families have filed reports about care issues. The most recurring problems involve resident rights violations, care planning failures, and safety hazards including medication errors. Issues persist across multiple years, with recent complaints in 2025 about dignity rights and care planning, suggesting ongoing challenges despite corrections being reported for each deficiency.

Jul 31, 2025Routine6 findings

0565Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to organize and participate in resident/family groups in the facility.

0692Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide enough food/fluids to maintain a resident's health.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0645Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

0656Potential for harm · IsolatedCorrected

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.

Jul 9, 2025Complaint1 finding

0760Actual harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Mar 19, 2025Complaint1 finding

0558Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Reasonably accommodate the needs and preferences of each resident.

Feb 24, 2025Complaint2 findings

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0657Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Feb 5, 2025Complaint1 finding

0677Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jan 16, 2025Complaint1 finding

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Federal Penalties

Fine

Jul 9, 2025

$8,278

Fine

Oct 20, 2023

$7,807

Ownership & Operations

Who Operates This Facility

Owner / Operator

Town Hall Estates Keene INC

Administrator

VICKIE BRADWELL

Ownership & Management

Key personnel

Ecord, BarbaraOfficer / DirectorEcord, BarbaraOfficer / DirectorDavis, LauraManager

Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

(817) 645-8888

theestateskeene.org

keeneadministrator@keenetownhall.org

207 S Old Betsy Rd

Keene, TX 76059

Get Directions View on Google Maps

References & Resources

Medicare Care Compare

Official Medicare quality ratings, inspections & staffing data

Google Maps

Photos, directions & neighborhood info

Google Reviews

60 reviews from families & visitors

Official Website

Visit theestateskeene.org

Medicare data downloads

Original nursing home datasets

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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