• 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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Protect each resident from the wrongful use of the resident's belongings or money.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Respond appropriately to all alleged violations.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide safe and appropriate respiratory care for a resident when needed.
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
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.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Ensure that residents are free from significant medication errors.
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.
Provide timely, quality laboratory services/tests to meet the needs of residents.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide and implement an infection prevention and control program.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Provide or obtain dental services for each resident.
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.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2019 |
| TGR HEALTHCARE, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Oct 1, 2019 |
| THOMAS, BRIAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Oct 1, 2019 |
| BYROM, DAVID | CORPORATE DIRECTOR | Individual | N/A | Oct 1, 2014 |
This chain operates 8 facilities. View all →