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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasWestern Hills Healthcare Residence

Western Hills Healthcare Residence

400 Old Sidney Rd, Comanche, TX 764423253562571
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
3/5
Beds
158
certified
1 fine(s) totaling $62,078

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 158 certified beds with an average of 59.7 residents per day (38% occupancy)

• Last health inspection found 6 deficiencies (inspected May 14, 2025)

• Has been fined a total of $62,078 across 1 fine(s)

• Total nursing staff: 2.96 hours per resident per day

• Staff turnover rate: 52.9% (high)

• Part of the Coryell County Memorial Hospital Authority chain (8 facilities)

Western Hills Healthcare Residence is a 2-star Medicare and Medicaid certified nursing home in Comanche, Texas with 158 certified beds. It has been operating since 1985. The facility scored below average compared to Texas facilities.

Beds
158
Avg Residents/Day
59.7
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Nov 14, 1985
Sprinklers
Yes
Council
Both
County
Comanche
Last Inspection
May 14, 2025
Deficiencies (Cycle 1)
6
Weighted Score
155.3
Infection Citations
0

Deficiency Citations (29)

F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: May 14, 2025Corrected: NoCycle: 1
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: May 14, 2025Corrected: NoCycle: 1
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 14, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: May 14, 2025Corrected: NoCycle: 1
F0849Potential for Harm

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.

Survey: May 14, 2025Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: May 14, 2025Corrected: NoCycle: 1
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0655Potential for Harm

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0712Potential for Harm

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0726Immediate Jeopardy

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.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0756Potential for Harm

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0758Potential for Harm

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.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0803Potential for Harm

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.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0842Potential for Harm

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 25, 2024Corrected: NoCycle: 2
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0791Potential for Harm

Provide or obtain dental services for each resident.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0801Potential for Harm

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.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Feb 8, 2023Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Feb 8, 2023Corrected: NoCycle: 3
Total Fines
$62,078
Number of Fines
1
Payment Denials
1
Total Penalties
2

Penalty History

FineMar 25, 2024
$62,078
Payment DenialMar 25, 2024
15 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.67 hrs
National avg: 2.35 hrs
LPN0.96 hrs
National avg: 0.86 hrs
RN0.33 hrs
National avg: 0.68 hrs
Total Nursing2.96 hrs
National avg: 3.89 hrs
Weekend Total2.57 hrs
National avg: 0.00 hrs
Physical Therapist0.08 hrs
National avg: 0.07 hrs
Total Turnover
52.9%
RN Turnover
62.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (4)

NameRoleTypeOwnership %Since
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2019
TGR HEALTHCARE, LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AOct 1, 2019
THOMAS, BRIANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AOct 1, 2019
BYROM, DAVIDCORPORATE DIRECTORIndividualN/AOct 1, 2014

Nearby Nursing Homes

All Texas facilities

Legacy Estate Long Term Care

Comanche, TX · 100 beds

Government
Health
Staffing
Quality
7.3 mi

Frequently Asked Questions

What is the CMS rating for Western Hills Healthcare Residence?▾
Western Hills Healthcare Residence has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
Has Western Hills Healthcare Residence had any health inspection violations?▾
Western Hills Healthcare Residence had 6 deficiency citations in its most recent health inspection (May 14, 2025). The facility has been fined a total of $62,078 across 1 fine(s).
What are the staffing levels at Western Hills Healthcare Residence?▾
Western Hills Healthcare Residence provides 2.96 total nursing staff hours per resident per day, including 0.33 RN hours, 0.96 LPN hours, and 1.67 nurse aide hours. The total staff turnover rate is 52.9%.
How many beds does Western Hills Healthcare Residence have?▾
Western Hills Healthcare Residence has 158 certified beds with an average of 59.7 residents per day, resulting in approximately 38% occupancy. The facility is For profit - Limited Liability company owned and is part of the Coryell County Memorial Hospital Authority chain.
Are there other nursing homes near Western Hills Healthcare Residence?▾
Yes, there are 1 other nursing home in Comanche, Texas with an average rating of 3/5. You can compare all facilities on the Comanche nursing homes page.

Part of Coryell County Memorial Hospital Authority

This chain operates 8 facilities. View all →