healthcarefacts

Nursing home in Comanche, Texas

Legacy Estate Long Term Care

Medicare and Medicaid

10133 HWY 16 N, Comanche, TX 76442
(254) 879-4970

CMS star ratings

CMS gives this nursing home an overall star rating of 4 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.

Overall rating

  • This nursing home4
  • Texas average2.7 (1,165 rated)
  • U.S. average3.0 (14,565 rated)

Health inspections

  • This nursing home4
  • Texas average2.8 (1,165 rated)
  • U.S. average2.8 (14,565 rated)

Staffing

  • This nursing home3
  • Texas average1.9 (1,163 rated)
  • U.S. average2.9 (14,494 rated)

Quality measures

  • This nursing home2
  • Texas average3.7 (1,162 rated)
  • U.S. average3.6 (14,495 rated)

Health inspections

Most recent standard health inspection (rating cycle 1): Jul 1, 2025. CMS counts 3 health deficiencies in rating cycle 1.

  • This nursing home3
  • Texas average9.4 (1,171 with data)
  • U.S. average9.2 (14,652 with data)

Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.

Deficiencies since Sep 30, 2023

Inspectors cited 3 health deficiencies on 1 inspection date since Sep 30, 2023. By level of harm: 3 potential for harm.

  • 0 Immediate jeopardy to resident health or safety
  • 0 Actual harm
  • 3 No actual harm, potential for more than minimal harm
  • 0 No actual harm, potential for minimal harm
Health deficiencies since Sep 30, 2023, newest first
DateTagDeficiencyScope and severityInspection typeStatus
Jul 1, 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary DeficienciesF Potential for harm, widespreadStandard, ComplaintDeficient, Provider has date of correction Aug 6, 2025
Jul 1, 2025F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.Administration DeficienciesF Potential for harm, widespreadStandard, ComplaintDeficient, Provider has date of correction Aug 6, 2025
Jul 1, 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning DeficienciesD Potential for harm, isolatedStandard, ComplaintDeficient, Provider has date of correction Aug 6, 2025

Staffing

Total nurse staffing

Reported hours per resident per day.

  • This nursing home3.79 hours
  • Texas average3.39 hours (1,148 with data)
  • U.S. average3.86 hours (14,351 with data)

Registered nurse staffing

Reported hours per resident per day.

  • This nursing home0.74 hours
  • Texas average0.43 hours (1,148 with data)
  • U.S. average0.69 hours (14,351 with data)

Nursing staff turnover

Share of nursing staff who left during the year, as reported to CMS.[26]

  • This nursing homeNot available
  • Texas average55.3% (1,051 with data)
  • U.S. average45.8% (13,538 with data)

Penalties

CMS lists 0 penalties for this nursing home: 0 fines totaling $0, and 0 payment denials. CMS counts penalties from the last 3 years.

Facility details

Certified beds100
Average residents per day76.2
OwnershipGovernment - Hospital district
Provider typeMedicare and Medicaid
Inside a hospitalNo
Continuing care retirement communityNo
Resident and family councilResident
Automatic sprinklers in all required areasYes
ChainNot part of a chain in the CMS file
Legal business nameCOMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT
First approved for Medicare and MedicaidMay 24, 2024
CountyComanche
CMS certification number745054

Also in Comanche

Other nursing homes in Comanche
Nursing homeCMS overall ratingHealth inspection ratingCertified bedsOwnership
Western Hills Healthcare Residence158For profit - Limited Liability company
Hospitals in Comanche
HospitalCMS overall ratingTypeEmergency services
Comanche County Medical CenterCritical Access HospitalsYes

All 2 nursing homes and 1 hospital in Comanche

CMS footnotes on this page

[26]
This facility did not submit staffing data or submitted staffing data that is considered to be invalid for the purpose of calculating turnover. This measure will receive the minimum points for calculating the overall staffing score and rating.