Federal Nursing-Home Survey Record
Town Hall Estates Keene, Inc.
Does Town Hall Estates Keene, Inc. have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), Town Hall Estates Keene, Inc. (CCN 676047), in Keene, TX, has federal inspection findings on its record. In its current inspection cycle, CMS cited the facility for 7 deficiencies; the most serious carries scope/severity G on CMS's A–L scale, a level CMS classifies as actual harm. The most recent federal survey on file is dated 2025-07-31. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. CMS has $16,085 in civil money penalties on file against the facility. This page restates the federal record as published by CMS and draws no conclusion of its own. Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
The Federal Record
At its most recent federal inspection, CMS cited this facility for 1 actual-harm deficiency.
Below is this facility's federal survey record as on file with federal regulators (CMS). Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.
Scope & Severity — current cycle
Civil money penalties on file
$16,085
CMS has $16,085 in civil money penalties on file against this facility.
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 2 · CMS state average: 2.7
Deficiency timeline — full federal history
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to organize and participate in resident/family groups in the facility.
Provide enough food/fluids to maintain a resident's health.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
PASARR screening for Mental disorders or Intellectual Disabilities
Ensure that residents are free from significant medication errors.
Reasonably accommodate the needs and preferences of each resident.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide and implement an infection prevention and control program.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Reasonably accommodate the needs and preferences of each resident.
Provide and implement an infection prevention and control program.
Ensure each resident receives an accurate assessment.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Observe each nurse aide's job performance and give regular training.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Keep residents' personal and medical records private and confidential.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Document what happened
Were you or a loved one harmed at Town Hall Estates Keene, Inc.?
Share a few details to put your inquiry on file. CareSentinel is an independent service that compiles the public CMS record and does not provide legal advice. As qualified attorneys join our network in your area, one may reach out — we can’t guarantee contact yet, so we encourage you to consult a qualified attorney promptly on your own as well. There is no cost, and your information is handled with care.
Strict time limits can apply to claims like these — consider consulting a qualified attorney promptly.