Texas › Comanche County › Comanche
Legacy Estate Long Term Care
10133 Hwy 16 N, Comanche, TX 76442
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 100 beds, Legacy Estate Long Term Care serves Comanche in Comanche County, Texas and has taken Medicare and Medicaid residents since 2024.
CMS gives it 4 of 5 stars overall, above the Texas median of 3; the health inspection rating is 4, staffing 3 and quality measures 2.
Inspectors recorded 3 health deficiencies across the three most recent survey cycles (3, 0, 0 by cycle, most recent first), none at the actual-harm level. That is 3.0 per 100 beds, fewer than the state median of 22.5.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.7 RN), close to the Texas median of 3.3.
Compared with county, state and nation
| Measure | This facility | Comanche Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 3 | 14 | 25 | 28.7 |
| Citations per 100 beds | 3.0 | 14.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.7 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | — | 52.1% | 52.1% | 45.8% |
| Fines listed | $0 | $0 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Jul 2025, 24 May 2024.
Severity mix: D ×1 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 1 Jul 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 6 Aug 2025 |
| 1 Jul 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint investigation | 6 Aug 2025 |
| 1 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 6 Aug 2025 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff —, RNs —; — administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.5% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 33.2% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.8% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, hospital district. Legal business name: Comanche County Consolidated Hospital District.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Comanche County
| 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 |
| Western Hills Healthcare Residence | Comanche | 158 | 2 | 2 | 3 | 30 | 19.0 | $62K | 29 Jun 2026 |
All 3 facilities in Comanche County
Questions and answers
How many deficiencies has Legacy Estate Long Term Care been cited for?
3 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Legacy Estate Long Term Care been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Legacy Estate Long Term Care compare?
Reported total nurse staffing is 3.8 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Legacy Estate Long Term Care?
Ownership type is government, hospital district. Individual owners and managers are not listed on this site.
When was Legacy Estate Long Term Care last inspected?
The most recent survey or investigation in the CMS record is dated 1 Jul 2025; the most recent standard health survey was 1 Jul 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.