Western Hills Healthcare Residence
400 Old Sidney Rd, Comanche, TX 76442 · Comanche County
For-profit · 158 certified beds · 34% occupancy · (325) 356-2571
Western Hills Healthcare Residence reviews: what the government record shows
The U.S. government (CMS) rates Western Hills Healthcare Residence 2 out of 5 stars overall, below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 3 immediate-jeopardy findings in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 2 of 5 stars
- Nurse staffing
- 3.56 hrs/resident/day (+9% vs TX median)
- Antipsychotic drug use
- 6.3% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 5% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $62,078
- Inspection findings
- 30 cited, 3 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Strengths
- ✓Nurse staffing of 3.56 hrs/resident/day is at or above the Texas median of 3.27.
Concerns
- !CMS rates it just 2 of 5 stars overall.
- !Cited for 3 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $62,078 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·Can we see the most recent inspection report and the plan of correction?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Western Hills Healthcare Residence
Is Western Hills Healthcare Residence a good nursing home?
Western Hills Healthcare Residence in Comanche, Texas holds a 2 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Western Hills Healthcare Residence staffed?
Western Hills Healthcare Residence reports 3.56 nurse hours per resident per day, at or above the Texas median of 3.27 hours per resident per day.
Has Western Hills Healthcare Residence been fined or flagged for abuse?
Western Hills Healthcare Residence has paid approximately $62,078 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
3.56 nurse hours per resident per day. 9% above the Texas median of 3.27.
Nursing staff turnover: 52.1%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0812 · May 14, 2025Corrected May 15, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0838 · Jun 29, 2026Complaint
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.
Administration Deficiencies
- Potential for harmTag F0605 · May 14, 2025Corrected May 15, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0849 · May 14, 2025Corrected May 15, 2025
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.
Administration Deficiencies
- Potential for harmTag F0552 · May 14, 2025Corrected May 15, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
- Potential for harmTag F0602 · May 14, 2025ComplaintCorrected May 15, 2025
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0689 · May 14, 2025Corrected May 15, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Immediate jeopardyTag F0580 · Mar 25, 2024ComplaintCorrected Apr 12, 2024
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies
- Immediate jeopardyTag F0726 · Mar 25, 2024ComplaintCorrected Apr 12, 2024
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.
Nursing and Physician Services Deficiencies
- Immediate jeopardyTag F0760 · Mar 25, 2024ComplaintCorrected Apr 12, 2024
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
Showing the 10 most recent and serious of 30 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - limited liability company). It is part of the Coryell County Memorial Hospital Authority chain, which operates 9 facilities, with a chain-average CMS rating of 2.8 stars.