Nursing Homes · Comanche, TX
Legacy Estate Long Term Care
Cost data not yet available
SOURCE DATA JUL 2026
Nursing Homes · Medicare certified
Western Hills Healthcare Residence
400 Old Sidney Rd · Comanche, TX 76442 · 158 certified beds
License number not yet on file. We only publish license numbers we can source from an official registry.
NPI 1487061875. Look this up in the CMS NPPES registry (opens in a new tab)
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About Western Hills Healthcare Residence
Western Hills Healthcare Residence is a nursing home in Comanche, Texas. Its reported capacity is 158 beds. It is recorded as a nonprofit operator, part of Coryell County Memorial Hospital Authority. Federal records list it as Medicare certified. Our copy of the inspection record holds 29 citations, the newest dated 14 May 2025. Federal enforcement records add 2 fine or payment denial actions. Staffing reports put it at 3.56 nurse hours per resident per day. Every fact above comes from the public records listed in the sources section on this page. The newest source file we hold for this listing is dated July 2026.
Public record
CMS Care Compare · Source data August 2026
Certification
- Medicare-certified (CMS Certification Number on file)
Ratings
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-07-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
22
Not yet ratedSource: CMS Care Compare · Updated 2026Q1.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
Not yet ratedSource: CMS Care Compare · Updated 2025Q4.GOV
Staffing rating
Not publishedQuality-measure rating
Not publishedInspections on record
Not published
Cited deficiencies
Not published
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-06-01.GOV
Staffing rating
2.0Quality-measure rating
3.0Inspections on record
2
Cited deficiencies
22
2.0(CMS Care Compare)Source: CMS Care Compare · Updated 2026-08-01.GOV
Staffing rating
3.0Quality-measure rating
4.0Inspections on record
2
Cited deficiencies
23
Inspection history (29)
Records from February 2023 to May 2025.
May 14, 2025 · E
Citation F0605Federal surveyors cited this nursing home on 2025-05-14 under CMS tag F0605 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. The deficiency was recorded as corrected on 2025-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-14.GOVMay 14, 2025 · D
Citation F0552Federal surveyors cited this nursing home on 2025-05-14 under CMS tag F0552 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are fully informed and understand their health status, care and treatments. The deficiency was recorded as corrected on 2025-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-14.GOVMay 14, 2025 · F
Citation F0812Federal surveyors cited this nursing home on 2025-05-14 under CMS tag F0812 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. The deficiency was recorded as corrected on 2025-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-14.GOVMay 14, 2025 · D
Citation F0602Federal surveyors cited this nursing home on 2025-05-14 under CMS tag F0602 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Protect each resident from the wrongful use of the resident's belongings or money. The deficiency was recorded as corrected on 2025-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-14.GOVMay 14, 2025 · E
Citation F0849Federal surveyors cited this nursing home on 2025-05-14 under CMS tag F0849 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. The deficiency was recorded as corrected on 2025-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-14.GOVMay 14, 2025 · D
Citation F0689Federal surveyors cited this nursing home on 2025-05-14 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2025-05-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-05-14.GOVMarch 25, 2024 · E
Citation F0880Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0880 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0695Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0695 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe and appropriate respiratory care for a resident when needed. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · D
Citation F0770Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0770 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely, quality laboratory services/tests to meet the needs of residents. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0842Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0842 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0656Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0656 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0758Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0758 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l…. The deficiency was recorded as corrected on 2024-04-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0610Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0610 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Respond appropriately to all alleged violations. The deficiency was recorded as corrected on 2024-03-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · K
Citation F0760Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0760 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0803Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0803 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0655Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0655 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · K
Citation F0726Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0726 (CMS scope/severity K: pattern, immediate jeopardy) for Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · D
Citation F0761Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · K
Citation F0580Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0580 (CMS scope/severity K: pattern, immediate jeopardy) for Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. The deficiency was recorded as corrected on 2024-04-12. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · E
Citation F0712Federal surveyors cited this nursing home on 2024-03-25 under CMS tag F0712 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that the resident and his/her doctor meet face-to-face at all required visits. The deficiency was recorded as corrected on 2024-04-15. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOV
Penalties (2)
Total fines on file: $62,078
March 25, 2024 · Fine
Citation FINE-112585CMS recorded a civil money penalty of $62,078 against this nursing home on 2024-03-25 (Fine ID: 112585). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOVMarch 25, 2024 · Payment Denial
Citation PAYDEN-2024-04-24CMS recorded a Medicare/Medicaid payment denial for new admissions starting 2024-04-24, lasting 15 days (triggered by inspection on 2024-03-25). Source: CMS Care Compare Penalties (as of 2026-07-01).
View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-03-25.GOV
Staffing
Latest: 3.56 nurse staffing hours per resident per day (2026Q1)
Staffing trend (5 periods)
- 2025Q43.28 hrs/resident/day
- 2026-06-013.28 hrs/resident/day
- 2026-07-013.56 hrs/resident/day
- 2026-08-013.56 hrs/resident/day
- 2026Q13.56 hrs/resident/day
Most recent period is higher than 2025Q4 (+0.28 hrs/resident/day). Figures are CMS-reported nurse staffing hours, not our estimate.
Ownership
Non profit
CMS Care Compare chain: Coryell County Memorial Hospital Authority
Chain ID 163 · 9 facilities in chain (CMS)
- Chain average overall rating: 2.8
- Chain average health inspection rating: 2.9
- Chain average staffing rating: 2.1
- Chain average quality measure rating: 3.4
Chain averages are CMS-published figures for facilities sharing this Chain ID (formerly Affiliated Entity). They are not ElderCareCosts scores.
A separate ownership filing names a different organization for this listing. We are not publishing that name while the two government records disagree.
Recent changes to this listing
Watch this facility: new record changes publish to an RSS feed any feed reader can follow. No signup.
Each line is a difference between two readings of a government file. It says what the source reported, not what the provider did.
Sep 1, 2026Ownership changed
The source now records ownership as "Non profit".
Reported by CMS nursing homes (ownership)
Jul 23, 2026First appeared in our data
This listing first appeared in the government file we read. That is usually when it entered the file, not the day it opened.
Reported by CMS nursing homes (provider info)
Ratings, inspections, and penalties are public records, reproduced in plain English without edits to their substance. View source records · What these measures mean.
Typical cost
Genworth CareScout Cost of Care Survey · 2025
This provider doesn't publish a specific price to us. Below is the typical TX range for the care type(s) it offers. Use it as context, not a quote.
Nursing Homes
Median · TX$5,627/moSee full TX cost breakdownSource: Genworth CareScout Cost of Care Survey · Updated 2025
Nearby alternatives
Other licensed providers in Comanche, with their own public records.
A comparison puts both public records in one view and marks any measure the two are not held to alike, so a blank never reads as a bad score.
Deciding between options? Nursing Homes Guide: Skilled Nursing & Long-Term Care
Check availability and pricing at Western Hills Healthcare Residence
Request info and we'll pass it directly to Western Hills Healthcare Residence, or call them at 3253562571 if you'd rather talk now.
Trust & methodology
Where this information came from
Each block below is one file we read, the date on that file, and the fields on this page that came from it. The date is when the source published or we retrieved it, not the day we last looked at this listing.
- CMS nursing homes (ownership)as of July 2026
- Ownership type, Parent organization
- CMS enrollmentas of July 2026
- NPI
- CMS nursing homes (payroll-based journal staffing)as of June 2026
- Staffing hours per resident day
- CMS nursing homes (provider info)as of June 2026
- Chain identifier, Chain name, City, CMS Special Focus status, County, Licensed capacity, Map location, Medicare certification number, Name, Phone number, State, Street address, ZIP code
Read how we handle every file on the data sources page.