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Nursing homes in Comanche County, Texas
Comanche County, Texas, has 3 Medicare-certified nursing homes with 356 certified beds.
33% of them are rated 1 or 2 stars overall, a smaller share than the state (48%). Inspectors recorded 47 health deficiencies over three cycles, 13.2 per 100 beds against 24.4 statewide.
Fines in the period covered total $62K across 1 fine.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Comanche County | Texas | US |
|---|---|---|---|
| Facilities | 3 | 1177 | 14690 |
| Rated 1–2 stars overall | 33% | 48% | 41% |
| Median overall rating | 4 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 13.2 | 24.4 | 26.8 |
| Median nurse hours per resident day | 3.6 | 3.3 | 3.7 |
| Fines listed | $62K | $54M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| De Leon Nursing and Rehabilitation | De Leon | 98 | 5 | 5 | 1 | 14 | 14.3 | — | 19 Nov 2025 |
| Legacy Estate Long Term Care | Comanche | 100 | 4 | 4 | 3 | 3 | 3.0 | — | 1 Jul 2025 |
| Western Hills Healthcare Residence | Comanche | 158 | 2 | 2 | 3 | 30 | 19.0 | $62K | 29 Jun 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 7 |
| F0880 | Provide and implement an infection prevention and control program. | 3 |
| F0761 | 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. | 3 |
| F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 3 |
| F0695 | Provide safe and appropriate respiratory care for a resident when needed. | 2 |
Ownership
| Type | Facilities |
|---|---|
| Government | 2 |
| For profit | 1 |
Chains present: Creative Solutions In Healthcare (1), Coryell County Memorial Hospital Authority (1).
Questions and answers
How many nursing homes are in Comanche County, Texas?
3 Medicare-certified nursing homes with 356 certified beds.
Which nursing homes in Comanche County have the highest CMS ratings?
De Leon Nursing and Rehabilitation (5 stars), Legacy Estate Long Term Care (4 stars), Western Hills Healthcare Residence (2 stars)
How do Comanche County nursing homes compare with Texas?
33% are rated 1–2 stars overall against 48% statewide; citations run at 13.2 per 100 beds against 24.4 statewide.