Comanche, TX · less than 1 mile away
Legacy Estate Long Term Care
⌖ Comanche, TX · Comanche County
No photos yet
Medicare overall rating 4 of 5 stars
Certified beds100
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (hospital district)
About Legacy Estate Long Term Care
Legacy Estate Long Term Care is a 100-bed government-run nursing home in Comanche, TX. Medicare rates it 4 out of 5 stars overall (above average); the average in Texas is 2.7. At its last full inspection (Jul 2025), inspectors found 3 problems, fewer than the Texas average of 9.4. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 3 hr 48 min a day with each resident, more than the Texas average of 3 hr 23 min. It has had no federal fines in the last three years. Its quality ratings are stronger for long-term care than for short-term rehab.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameLegacy Estate Long Term Care
LocationComanche County, Texas
Phone(254) 879-4970
Address10133 Hwy 16 N, Comanche, TX 76442 · Comanche County
CMS provider number745054
Ownership typeGovernment (hospital district)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 24, 2024 (2 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 strengths and nothing that stands out as a concern in Medicare's inspection, fine and staffing records for this home.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jul 2025.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Jul 2025)Texas average: 9.4. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident3 hr 48 min a dayTexas average: 3 hr 23 minStrength
- Registered nurse time per resident44 min a dayTexas average: 26 minStrength
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Texas average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital27.8%State average: 25.7%About average
- Needed an emergency room visit11.6%State average: 12.3%About average
- Newly given antipsychotic drugs1.0%State average: 1.5%Better than average
Physical therapist time: about 5 minutes per resident a day. That is about the same as the state average of 4 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury2.7%State average: 3.3%About average
- Pressure sores (bedsores)3.4%State average: 3.8%About average
- Given antipsychotic drugs3.8%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.2State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 4 stars now, up from 2 stars in October 2025. It has ranged from 2 to 4 stars and changed 3 times.
Overall rating4★
Health inspections4★
Staffing3★
Quality of care2★
Nurse hours per resident per day3.8
20252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Oct 2025 | 2 | 4 | 1 | 1 | – |
| Feb 2026 | 4 | 4 | 5 | 1 | 4.1 |
| Sep 2026 | 4 | 4 | 3 | 2 | 3.8 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.