Texas › Comanche County › Comanche
Western Hills Healthcare Residence
400 Old Sidney Rd, 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 158 beds, Western Hills Healthcare Residence serves Comanche in Comanche County, Texas and has taken Medicare and Medicaid residents since 1985.
CMS gives it 2 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 3 and quality measures 4.
Inspectors recorded 30 health deficiencies across the three most recent survey cycles (7, 16, 7 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 19.0 per 100 beds, about the same as the state median of 22.5.
CMS lists 2 penalties in the period covered: fines totalling $62K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 52.1%.
Compared with county, state and nation
| Measure | This facility | Comanche Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 30 | 14 | 25 | 28.7 |
| Citations per 100 beds | 19.0 | 14.3 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.6 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 52.1% | 52.1% | 52.1% | 45.8% |
| Fines listed | $62,078 | $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: 14 May 2025, 25 Mar 2024.
Severity mix: K ×3 D ×8 E ×15 F ×4
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 |
|---|---|---|---|---|---|
| 29 Jun 2026 | F0838 | Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | E | Complaint investigation | Deficient, Provider has no plan of correction |
| 14 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 15 May 2025 |
| 14 May 2025 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Standard survey | 15 May 2025 |
| 14 May 2025 | F0849 | 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. | E | Standard survey | 15 May 2025 |
| 14 May 2025 | F0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard survey | 15 May 2025 |
| 14 May 2025 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 15 May 2025 |
| 14 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 15 May 2025 |
| 25 Mar 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | Complaint investigation | 12 Apr 2024 |
| 25 Mar 2024 | F0726 | 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. | K | Complaint investigation | 12 Apr 2024 |
| 25 Mar 2024 | F0760 | Ensure that residents are free from significant medication errors. | K | Complaint investigation | 12 Apr 2024 |
| 25 Mar 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 26 Mar 2024 |
| 25 Mar 2024 | F0610 | Respond appropriately to all alleged violations. | E | Complaint investigation | 26 Mar 2024 |
| 25 Mar 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Complaint investigation | 17 Apr 2024 |
| 25 Mar 2024 | F0758 | 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 limited. | E | Complaint investigation | 17 Apr 2024 |
| 25 Mar 2024 | F0803 | 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. | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | 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. | D | Complaint investigation | 15 Apr 2024 |
| 25 Mar 2024 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint investigation | 15 Apr 2024 |
| 8 Feb 2023 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 9 Mar 2023 |
| 8 Feb 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 9 Mar 2023 |
| 8 Feb 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 9 Mar 2023 |
| 8 Feb 2023 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard survey | 9 Mar 2023 |
| 8 Feb 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 9 Mar 2023 |
| 8 Feb 2023 | 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. | D | Standard survey | 9 Mar 2023 |
| 8 Feb 2023 | F0791 | Provide or obtain dental services for each resident. | D | Standard survey | 9 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 25 Mar 2024 | Payment denial | — | 15 days |
| 25 Mar 2024 | Fine | $62,078 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 52.1%, RNs —; 1 administrator 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 | 15.3% | 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 | 0.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.0% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.7% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.4% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 6.3% | 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: for-profit, limited liability company. Legal business name: Coryell County Memorial Hospital Authority. Chain: Coryell County Memorial Hospital Authority (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Coryell County Memorial Hospital Authority | Operational/managerial control | NOT APPLICABLE | 10/01/2019 |
| Tgr Healthcare, LLC | Operational/managerial control | NOT APPLICABLE | 10/01/2019 |
| Tgr Healthcare, LLC | Adp of the snf | NOT APPLICABLE | 04/18/2025 |
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 |
| Legacy Estate Long Term Care | Comanche | 100 | 4 | 4 | 3 | 3 | 3.0 | — | 1 Jul 2025 |
All 3 facilities in Comanche County
Questions and answers
How many deficiencies has Western Hills Healthcare Residence been cited for?
30 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Western Hills Healthcare Residence been fined?
Yes. CMS lists fines totalling $62K in the period covered, plus 1 payment denial.
How does staffing at Western Hills Healthcare Residence compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Western Hills Healthcare Residence?
It is part of the Coryell County Memorial Hospital Authority chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Coryell County Memorial Hospital Authority and Tgr Healthcare, LLC. Individual owners and managers are not listed on this site.
When was Western Hills Healthcare Residence last inspected?
The most recent survey or investigation in the CMS record is dated 29 Jun 2026; the most recent standard health survey was 14 May 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.