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Western Hills Healthcare Residence

400 Old Sidney Rd, Comanche, TX 764423253562571Ownership: For profit - Limited Liability companyCertified beds: 158Avg. daily residents: 54Chain: Coryell County Memorial Hospital Authority (9 facilities)County: Comanche

The complete public record on Western Hills Healthcare Residence, a Medicare & Medicaid–certified nursing home in Comanche, Texas, from the CMS Care Compare database (August 2026 release). Every figure below is published by federal regulators; ClearPath adds the state comparisons and the plain-English reading.

CMS Star Ratings

Overall rating
★★☆☆☆
CMS’s composite of the three ratings below. Texas average: 2.6 stars.
Health inspection
★★☆☆☆
Based on the last three years of on-site inspections and complaint investigations — the rating CMS weights most heavily.
Staffing
★★★☆☆
Nurse and aide hours per resident per day, adjusted for how much care residents need, plus staff turnover.
Quality measures
★★★★☆
Clinical outcomes CMS tracks, such as falls with injury, pressure ulcers and hospital readmissions.
Western Hills Healthcare Residence holds a 2-star overall rating, in the bottom two tiers CMS assigns. Federal regulators have fined this facility $62,078 in the last three years. None of this tells you whether a bed is open, whether your insurance is in network, or whether the facility will accept a given level of care — confirm those three directly with the facility before you commit.

Staffing

3.56 total nurse staff hours per resident per day
above the state average (3.39)
0.29 RN hours per resident per day
below the state average (0.43)
3.14 weekend nurse staff hours per resident per day
52.1% total nursing staff turnover
below the state average (55.3)
Not reported RN turnover
1 administrator left in the reporting period

Hours are per resident per day, from payroll-based journal data facilities submit to CMS. Turnover is the share of nursing staff who left over the past year.

Inspections & Penalties

May 14, 2025 most recent standard health inspection
7 health deficiencies cited in the most recent inspection cycle
below the state average (9.3)
16 health deficiencies in the two prior cycles combined
$62,078 in federal fines across 1 penalty (last 3 years)
above the state average ($45,542)
1 payment denial
CMS withholding Medicare/Medicaid payment for new admissions until problems were fixed

Recent Inspection Citations

30 citations on record across recent inspections, 3 at the actual-harm or immediate-jeopardy level. Showing the most recent inspection. Severity uses CMS’s A–L scope-and-severity scale; G and above means residents were actually harmed.

InspectionTagWhat was citedSeverity
June 29, 20260838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both… ComplaintE · Potential for more than minimal harm
May 14, 20250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with…F · Potential for more than minimal harm
May 14, 20250605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E · Potential for more than minimal harm
May 14, 20250849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision…E · Potential for more than minimal harm
May 14, 20250552Ensure that residents are fully informed and understand their health status, care and treatments.D · Potential for more than minimal harm
May 14, 20250602Protect each resident from the wrongful use of the resident's belongings or money. ComplaintD · Potential for more than minimal harm
May 14, 20250689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D · Potential for more than minimal harm
March 25, 20240580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the… ComplaintK · Immediate jeopardy
March 25, 20240726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's… ComplaintK · Immediate jeopardy
March 25, 20240760Ensure that residents are free from significant medication errors. ComplaintK · Immediate jeopardy

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Source: CMS Care Compare (data.cms.gov), August 2026 monthly release. Figures are as published by CMS and change monthly; ClearPath refreshes automatically. ClearPath Senior Guide is an independent information service, accepts no referral fees or placement incentives from any facility, and does not recommend facilities. Verify current details with the facility.