Keightley was on three NCAA Championship teams with the Wildcats. He wore one championship ring on each hand and kept the third ring in his pocket.
In 1997, the university retired a jersey in honor of Keightley. He and broadcaster Cawood Ledford are the only two people who did not play for or coach the Wildcats that have received such an honor. For the 2009 season, the jersey was given the number #48 to reflect his 48 years of service
In 2002, the university presented the first Bill Keightley Award. The award is given to "the individual who understands and exemplifies the pride, respect and the positive attributes associated with being a part of the Kentucky basketball program."
On October 11, 2008 during Midnight Madness, Keightley was honored at the home bench of the Wildcats where his seat was. His daughter Karen and his fellow equipment manager assistants pulled off a piece of the basketball court as a memorial to remember him by. During that season, the "K" on the front of the player's jerseys was done in black as a tribute.
Several oral history interviews with Keightley were conducted by the Louie B. Nunn Center for Oral History at the University of Kentucky Libraries between 2005 and 2007 and can be accessed online:
In the 2013–14 season, Kentucky's men's basketball team scheduled a series of home games called the Keightley Classic in Keightley's honor.
Family
Keightley was married to Hazel Keightley. The couple had one daughter, Karen, who formerly worked at the university's veterinary science center, and is now employed with the athletic department. Keightley was an avid fan of the Cincinnati Reds.
Death
Keightley died on March 31, 2008 after suffering a fall from a bus on his way to the season opening Cincinnati Reds baseball game versus the Arizona Diamondbacks. The cause of death was internal bleeding caused by a previously undiagnosed tumor on his spine. His memorial service was attended by many prominent basketball coaches, including Billy Gillispie, Rick Pitino, Billy Donovan, Rick Stansbury, and John Pelphrey. Many other former Kentucky basketball players attended as well, including former Louisville Cardinal player Ellis Myles. The Wildcats did not hire a new equipment manager for the 2009 season and in fact left his chair on the bench empty for the season. As an additional tribute, the first "K" in "KENTUCKY" on the players jerseys for the 2009 season was black outlined.