Western Hills Healthcare Residence
400 Old Sidney Rd, Comanche, TX 76442 · (325) 356-2571
For profit - Limited Liability company · 158 certified beds
Western Hills Healthcare Residence has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in May 2025, found 6 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $62,078 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 3 out of 5 stars · Average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on May 14, 2025 found 6 citations. What an inspection citation means
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.May 14, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.May 14, 2025 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.May 14, 2025 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are fully informed and understand their health status, care and treatments.May 14, 2025 · F0552 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from the wrongful use of the resident's belongings or money.May 14, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.May 14, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 18 citations.
- Conduct 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 and weekends) and emergencies.June 29, 2026 · F0838 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Protect each resident from the wrongful use of the resident's belongings or money.May 14, 2025 · F0602 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.March 25, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Respond appropriately to all alleged violations.March 25, 2024 · F0610 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedMarch 25, 2024 · F0655 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.March 25, 2024 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide safe and appropriate respiratory care for a resident when needed.March 25, 2024 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that the resident and his/her doctor meet face-to-face at all required visits.March 25, 2024 · F0712 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 25, 2024 · F0726 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.March 25, 2024 · F0756 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.March 25, 2024 · F0758 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that residents are free from significant medication errors.March 25, 2024 · F0760 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Some
- 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.March 25, 2024 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide timely, quality laboratory services/tests to meet the needs of residents.March 25, 2024 · F0770 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- 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.March 25, 2024 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 25, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.March 25, 2024 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.March 25, 2024 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $62,078March 25, 2024
- Medicare payment denial for 15 daysStarting April 24, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.56 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.29 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 1.05 | 0.95 | 0.86 |
| Nurse aides | 2.22 | 2.01 | 2.32 |
| Total nursing staff turnover | 52.1% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Limited Liability company |
| Certified beds | 158 |
| Average residents per day | 54.2 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Legacy Estate Long Term Care Comanche · ★★★★★ 4 out of 5 stars
- De Leon Nursing and Rehabilitation De Leon · ★★★★★ 5 out of 5 stars
- Villa Haven Health and Rehabilitation Center Breckenridge · ★★★★★ 5 out of 5 stars
- Bridgeport Medical Lodge Bridgeport · ★★★★★ 1 out of 5 stars
- Avir at Cisco Cisco · ★★★★★ 5 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Western Hills Healthcare Residence on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.