Nursing HomeInspections

Western Hills Healthcare Residence

Nursing home in Comanche, TX

Medicare & Medicaid certified2★ overall (CMS)

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Public-record details

Address
400 Old Sidney Rd, Comanche, TX 76442
Phone
(325) 356-2571
Listed under
For-profit
Medicare CCN
455602
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
2 of 5
Staffing rating
2 of 5
Quality measures rating
4 of 5
Certified beds
158
Average residents per day
58
Ownership
For-profit, limited Liability company
Legal business name
Coryell County Memorial Hospital Authority
Chain
Coryell County Memorial Hospital Authority (9 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Nov 14, 1985
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 455602. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-11-07.

Inspection record

Most recent standard health inspection: Jul 22, 2026. CMS lists 26 health citations for this facility across its last three standard inspection cycles and complaint inspections (Mar 25, 2024 to Jul 22, 2026): 18 from complaint inspections, 3 at the “actual harm” level or higher, including 3 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 22, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 22, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 22, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jun 29, 2026Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights…
Administration · complaint inspection		E
Potential for more than minimal harm, pattern
May 14, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights		D
Potential for more than minimal harm, isolated
May 14, 2025Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation · complaint inspection		D
Potential for more than minimal harm, isolated
May 14, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
May 14, 2025Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation		E
Potential for more than minimal harm, pattern
May 14, 2025Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		E
Potential for more than minimal harm, pattern
May 14, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		F
Potential for more than minimal harm, widespread
Mar 25, 2024Ensure 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…
Pharmacy Service · complaint inspection		D
Potential for more than minimal harm, isolated
Mar 25, 2024Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 26. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Oct 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $62,078 and 1 denial of Medicare payment for new admissions in the last three years.

Mar 25, 2024Fine: $62,078
Mar 25, 2024Payment denial for 15 days from Apr 24, 2024

Source: CMS Penalties file, processed Oct 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.31 hours
Registered nurse (RN) time per resident per day
0.22 hours
Nurse aide time per resident per day
2.02 hours
Total nurse staffing on weekends
3.01 hours
Nursing staff turnover (yearly)
46%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Comanche

Legacy Estate Long Term Care10133 Hwy 16 N · Comanche, TX 76442 · (254) 879-4970 · Government-owned8 health citations in 3 inspection cycles · last standard inspection Aug 25, 2026 · no CMS fines in 3 yrsMedicare & Medicaid certified3★ overall (CMS)

All 2 in Comanche →

Public record, not an endorsement. This listing was compiled from public records as of 2026-11-07 and may be incomplete or out of date. Nursing Home Inspections does not vet, employ, recommend or guarantee nursing homes; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Nursing Home Inspections is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error