Town Hall Estates Keene, Inc. has received an F grade based on CMS data, with a score of 31/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Keene facility should carefully review its inspection history and quality metrics.
With 3.09 total nurse hours per resident per day, Town Hall Estates Keene, Inc. falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 26 deficiencies at Town Hall Estates Keene, Inc.. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.09 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.42 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.71 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.96 | 2.4 | Below Average |
| Weekend Total Nursing | 2.75 | 3.8 | Below Average |
| Weekend RN Hours | 0.37 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0565 Severity EHonor the resident's right to organize and participate in resident/family groups in the facility.Jul 30, 2025 · Resident Rights Deficiencies
- Tag 0692 Severity EProvide enough food/fluids to maintain a resident's health.Jul 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 30, 2025 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jul 30, 2025 · Resident Rights Deficiencies
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesJul 30, 2025 · Resident Assessment and Care Planning Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 3.9% | 4.5% | Better |
| Falls with major injury | 6.6% | 3.0% | Worse |
| On antipsychotic medication | 15.5% | 14.5% | Average |
| Urinary tract infections | 1.1% | 2.5% | Better |
| ADL decline (daily activities) | 25.7% | 14.0% | Worse |
| Excessive weight loss | 6.5% | 7.5% | Better |
| New/worsened incontinence | 22.6% | 45.0% | Better |
⚠️ Penalties & Fines
4 penalties recorded by CMS
Total fines: $78,402
How This Grade Was Calculated
This facility's grade of F is based on a score of 31 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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