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HomeTexasWestern Hills Healthcare Residence

Western Hills Healthcare Residence

400 Old Sidney Rd, Comanche, TX 764423253562571WebsiteGoogle Maps
4.1on Google(9 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
2/5
Staffing
3/5
Quality
4/5
Beds
158
certified
1 fine(s) totaling $62,078

How Western Hills Healthcare Residence Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
2/5
TX average
2.8/5
Below state average
Staffing rating
3/5
TX average
1.9/5
Above state average
Nursing hours per resident
3.56 hrs/day
TX average
3.39 hrs/day
Above state average
RN hours per resident
0.29 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
52.1%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 2/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.29 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
16
deficiency citations
Inspected Mar 25, 2024
Most recent cycle
6
deficiency citations
Inspected May 14, 2025
The most recent cycle recorded 10 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Comanche County 65+
3,214
23.5% of county
County Population
13,651
Comanche County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
158
Avg Residents/Day
54.2
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
140.3
Infection Citations
0

Deficiency Citations (29)

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
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
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
F0552Potential for Harm

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

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
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
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
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
F0760Immediate Jeopardy

Ensure that residents are free from significant medication errors.

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
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
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
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
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
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
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
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
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
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
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
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 Aide2.22 hrs
National avg: 2.32 hrs
LPN1.05 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.69 hrs
Total Nursing3.56 hrs
National avg: 3.86 hrs
Weekend Total3.14 hrs
National avg: 0.00 hrs
Physical Therapist0.09 hrs
National avg: 0.07 hrs
Total Turnover
52.1%
RN Turnover
0.0%
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 (6)

NameRoleTypeOwnership %Since
BYROM, DAVIDCORPORATE DIRECTORIndividualN/AOct 1, 2014
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
TGR HEALTHCARE, LLCADP OF THE SNFOrganizationN/AApr 18, 2025
THOMAS, BRIANADP OF THE SNFIndividualN/AOct 1, 2019

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Western Hills Healthcare Residence and nearby alternatives.

All Texas facilities
Western Hills Healthcare Residence
Comanche, TXCurrent facility
CMS
2/5
Health
2/5
Staffing
3/5
Recorded fines: $62,078
Legacy Estate Long Term Care
Comanche, TX7.3 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Deleon Nursing and Rehabilitation
De Leon, TX15.7 mi
CMS
5/5
Health
5/5
Staffing
1/5
Recorded fines: None
Care Nursing & Rehabilitation
Brownwood, TX20.6 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Rising Star Nursing Center
Rising Star, TX24.2 mi
CMS
4/5
Health
4/5
Staffing
3/5
Recorded fines: None
Cross Country Healthcare Center
Brownwood, TX25.4 mi
CMS
3/5
Health
3/5
Staffing
3/5
Recorded fines: $22,084
Songbird Lodge
Brownwood, TX26.7 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $10,210
FacilityDistanceCMSHealthStaffingRecorded fines
Western Hills Healthcare Residence
Comanche, TX · Current facility
—2/52/53/5$62,078
Legacy Estate Long Term Care
Comanche, TX
7.3 mi4/54/53/5None recorded
Deleon Nursing and Rehabilitation
De Leon, TX
15.7 mi5/55/51/5None recorded
Care Nursing & Rehabilitation
Brownwood, TX
20.6 mi3/54/51/5None recorded
Rising Star Nursing Center
Rising Star, TX
24.2 mi4/54/53/5None recorded
Cross Country Healthcare Center
Brownwood, TX
25.4 mi3/53/53/5$22,084
Songbird Lodge
Brownwood, TX
26.7 mi2/53/51/5$10,210

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 3/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Western Hills Healthcare Residence cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Western Hills Healthcare Residence participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
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 current CMS dataset records 1 fine(s) totaling $62,078.
What are the staffing levels at Western Hills Healthcare Residence?▾
Western Hills Healthcare Residence provides 3.56 total nursing staff hours per resident per day, including 0.29 RN hours, 1.05 LPN hours, and 2.22 nurse aide hours. The total staff turnover rate is 52.1%.
How many beds does Western Hills Healthcare Residence have?▾
Western Hills Healthcare Residence has 158 certified beds with an average of 54.2 residents per day, resulting in approximately 34% 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. This page lists 6 nearby nursing homes in Texas, including 1 in Comanche. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Western Hills Healthcare Residence?▾
On Google Maps, Western Hills Healthcare Residence has a rating of 4.1 out of 5 based on 9 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Coryell County Memorial Hospital Authority

This chain operates 9 facilities. View all →