Comanche · 7.3 mi
Legacy Estate Long Term Care
4 of 5 · Medicare
View facility →Western Hills Healthcare Residence
⌖ Comanche, TX · Comanche County
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Medicare overall rating 2 of 5 stars
Certified beds158
Medicare / MedicaidMedicare & Medicaid
OwnershipFor-profit (limited liability company)
About Western Hills Healthcare Residence
Western Hills Healthcare Residence is a 158-bed for-profit nursing home in Comanche, TX. Medicare rates it 2 out of 5 stars overall (below average); the average in Texas is 2.7.
- Inspections: 7 problems at its last full inspection (May 2025), fewer than the Texas average of 9.4. None of its recent citations were for residents being harmed.
- Staffing: nurses and aides spend about 3 hr 34 min a day with each resident, about the same as the Texas average of 3 hr 23 min. About 52% of nursing staff left in the past year.
- Fines: $62,078 in federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
Key details
Facility nameWestern Hills Healthcare Residence
LocationComanche County, Texas
Phone(325) 356-2571
Address400 Old Sidney Rd, Comanche, TX 76442 · Comanche County
Medicare provider number455602
Ownership typeFor-profit (limited liability company)
Operating companyCoryell County Memorial Hospital Authority · 9 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceNovember 14, 1985 (40 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official Medicare 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 Medicare's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
2 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home. 1 care-quality measure is worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone since May 2025No citations for actual harm or immediate jeopardy since May 2025.Strength
- Health citations at last inspection7 (May 2025)Texas average: 9.4.Strength
About average
- Nurse staffing per resident3 hr 34 min a dayTexas average: 3 hr 23 minAbout average
- Nursing staff turnover52% a yearTexas average: 55%About average
Things to ask about
This home hasn’t responded to these yet. Represent this home? Respond →
- Fines and penalties1 fine totaling $62,078; 1 Medicare payment denialFederal penalties from the last three years, most recently in Mar 2024 (about 2 years ago). The national average is $30,972 per home.Ask about this
- Registered nurse time per resident18 min a dayTexas average: 26 minWorse than state average
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.
- Newly given antipsychotic drugs0.0%State average: 1.5%Better than average
Physical therapist time: about 6 minutes a day per resident, averaged across all residents, including long-term residents who get little or no therapy. That is more than the state average of 4 minutes. It is not one person’s therapy schedule; 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 injury5.0%State average: 3.3%Worse than average
- Pressure sores (bedsores)2.4%State average: 3.8%Better than average
- Given antipsychotic drugs6.2%State average: 9.6%Better than average
- Hospital stays per 1,000 resident days2.6State average: 2.2About average
Source: Medicare (CMS) quality measures, compared with the Texas average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Texas, Medicaid pays for 66% of resident days at a typical home.
- 45% Medicaid
- 6% Medicare
- 49% Private pay, insurance and other
Beds in use, on average36%Texas typical: 67%
Facility operating cost per resident day$236Texas typical: $270
Shares of resident days, from the home’s Medicare cost report for the year ending July 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, up from 1 star in January 2019. It has ranged from 1 to 4 stars and changed 10 times.
Overall rating2★
Health inspections2★
Staffing3★
Quality of care4★
Nurse hours per resident per day3.6
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 1 | 2 | 1 | 2 | 2.9 |
| Jan 2020 | 1 | 1 | 1 | 1 | 3.2 |
| Jan 2021 | 2 | 2 | 2 | 2 | 3.4 |
| Jan 2022 | 1 | 2 | 2 | 1 | 3.4 |
| Jan 2023 | 3 | 4 | 1 | 4 | 3.2 |
| Jan 2024 | 2 | 3 | 1 | 4 | 3.0 |
| Feb 2025 | 1 | 1 | 3 | 3 | 3.1 |
| Feb 2026 | 2 | 2 | 2 | 3 | 3.0 |
| Sep 2026 | 2 | 2 | 3 | 4 | 3.6 |
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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View facility →Family reviews
No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.