Nursing Homes in Keene, Texas
Keene has 1 Medicare-certified nursing home with 126 beds. The city average CMS rating is 3.0 stars, which is at Texas's state average of 2.8 stars. 0 facilities earn a B grade or better and are recommended for family consideration.
Compare 1 nursing home · data
Worth Considering
0
Facilities graded A or B that meet our quality standards
City Average
+0.21 vs state
Total Beds
126
across 1 facility
High Risk Facilities
0
0 under CMS review
0 with abuse citations
Nurse Availability
23 min
RN time per resident daily
Below CMS recommendation
Well Staffed
0
exceed staffing threshold
0% of facility
Zero Fines
passed all inspections
✓ Start your search here
Trend
0
improved vs last year
0 declined
Top Rated in Keene
Town Hall Estates Keene, Inc.
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Showing 1–1 of 1 facilities
All 1 Nursing Homes in Keene
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Fines · Deficiencies · Ownership Data · Quality Comparisons
About Nursing Home Care in Keene
### The Verdict When it comes to nursing home care in Keene, TX, families should be cautious. The standout is Town Hall Estates Keene, Inc., but unfortunately, it comes with significant concerns. Overall, the market in Keene is troubling, with no facilities fully meeting care standards and only one option available. Families seeking quality care for their loved ones may want to explore neighboring cities for better alternatives.
### Who to Consider Unfortunately, there are no nursing homes in Keene that are truly worth recommending. All facilities have notable concerns, and the lack of options makes it imperative to look elsewhere. Nearby cities like Burleson or Cleburne may provide better choices, so consider visiting there for a wider selection of facilities with more favorable ratings.
### Who to Avoid Families should skip Town Hall Estates Keene, Inc. due to its alarming history, which includes $76K in fines and a troubling Grade F rating. Such serious issues indicate a lack of quality care and oversight. As a practical tip, always visit any nursing home unannounced and observe the interactions between staff and residents to gauge the facility's environment and care standards.
Keene at a Glance
Good News
- • 1 community-run facility (non-profit)
Be Aware
- • Some facilities have less nurse time than recommended
What's Changing
- → 1 facility stayed the same
- ★ Overall: Keene is stable
Questions Keene Families Should Ask
Based on what we found in local inspection data
How many RN hours per resident do you provide daily?
CMS recommends 0.75 hrs; Keene avg is 0.39 hrs (23 min)
Have you received any fines in the past 3 years?
0 of 1 Keene facilities have zero fines
What were your most recent inspection findings?
Ask for specifics—0 local facilities have serious deficiencies
What is your staff-to-resident ratio on weekends?
Weekend staffing often differs from weekday levels
Finding Quality Nursing Home Care in Keene, Texas
Keene, Texas's Johnson County seat, has 1 Medicare-certified nursing homes with approximately 126 beds. Families have solid options to choose from.
Keene vs. Texas: Near State Average
Keene nursing homes perform near the state average on key quality metrics. The city's average CMS rating of 3.00 stars is close to Texas's statewide average of 2.79 stars.
0 of 1 facilities earn a B grade or better. Families should still research carefully, as quality varies by facility.
Understanding Our Trust Score System
The Trust Score is a 0-100 rating calculated from CMS's official nursing home database. The score combines five data categories:
- Health Inspection Results — Recent deficiencies, their severity, and patterns over time
- Staffing Levels — RN hours, total nursing hours, and weekend staffing
- Quality Measures — Clinical outcomes like falls, pressure ulcers, and rehospitalizations
- Penalties — Fines, payment denials, and enforcement actions
- Complaints — Substantiated complaints and their severity
In Keene, 0 facilities score a B grade or better, indicating they meet quality benchmarks across these categories. We recommend families prioritize these facilities and carefully research any facility rated C or below before visiting.
Staffing: A Significant Concern in Keene
Staffing levels are among the most important predictors of nursing home quality. Research consistently shows that facilities with more nursing staff—especially registered nurses—have better outcomes for residents.
Keene facilities average 0.39 RN hours per resident day, which falls below the CMS-recommended threshold of 0.75 hours. The typical Keene resident receives approximately 23 minutes of RN attention daily—compared to the 45 minutes experts recommend.
0 Keene facilities exceed CMS staffing recommendations. Families prioritizing staffing should look for facilities with the "Top Staffing" badge and ask specifically about RN hours during facility visits.
Ownership: Mix of For-Profit and Non-Profit
Keene has 1 non-profit nursing homes and 0 for-profit facilities. 0 of 1 facilities are chain-owned, with the remainder independently operated.
Research suggests non-profit facilities often have higher staffing levels and fewer deficiencies on average, though ownership type alone does not guarantee quality. Families should evaluate each facility individually using inspection data, staffing levels, and recent deficiency reports.
Nearby Alternatives Worth Considering
Families may also want to consider nearby Texas cities for additional options. The following Texas cities offer multiple nursing home options:
- Houston — 61 facilities
- San Antonio — 59 facilities
- Dallas — 35 facilities
- Fort Worth — 30 facilities
- Austin — 25 facilities
- El Paso — 21 facilities
Frequently Asked Questions
How many nursing homes are in Keene, Texas?
Keene has 1 Medicare-certified nursing home with a total of 126 beds. The city average CMS rating is 3.0 stars, which is above Texas's state average of 2.8 stars.
What are the best nursing homes in Keene?
Based on our Trust Score analysis of CMS inspection data, the top-rated nursing homes in Keene include:
- • Town Hall Estates Keene, Inc. — Grade F, 35/100 Trust Score
These facilities have strong inspection records and staffing levels.
Which Keene nursing homes should I avoid?
We flag 0 facilities in Keene as high-risk based on patterns of serious deficiencies, substantial fines, or placement on CMS's Special Focus Facility list. These facilities are marked with warning indicators in our listings above.
We recommend avoiding facilities with: Grade D or F, recent "Immediate Jeopardy" citations (indicating serious harm or risk to residents), or those on CMS's Special Focus Facility list.
The Bottom Line on Keene Nursing Homes
Keene offers typical nursing home options for the state. Focus your search on the 0 facilities graded A or B, particularly those with zero fines and strong staffing.