Starfile

Starfile / Texas

WESTERN HILLS HEALTHCARE RESIDENCE

400 OLD SIDNEY RD, COMANCHE, TX 76442 · CCN 455602

Ratings

Overall
★★☆☆☆ 2
Health inspection
★★☆☆☆ 2
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Limited Liability company
Certified beds
158
Avg residents/day
59.7
Phone
3253562571

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-05-1469.19.5-3.1 better
22024-03-25169.49.8+6.6 worse
32023-02-0878.19.3-1.1 better

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care1
Resident rights1
Nutrition and dietary1
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.9652.9%
RN staffing (reported)0.3362.5%
Total nurse staffing (adjusted)3.49

Fines & penalties

Total fines
$62,078
Number of fines
1
Number of penalties
2
Payment denials
1

Chain

Chain
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY
Facilities in chain
8
Chain avg overall
2.50 / 5

Inspection citations (29)3 immediate jeopardy

  1. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-14 · Health · corrected 2025-05-15

    Potential for more than minimal harm

  2. DF0602Protect each resident from the wrongful use of the resident's belongings or money.2025-05-14 · Health · corrected 2025-05-15

    Potential for more than minimal harm

  3. EF0605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.2025-05-14 · Health · corrected 2025-05-15

    Potential for more than minimal harm

  4. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-14 · Health · corrected 2025-05-15

    Potential for more than minimal harm

  5. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-14 · Health · corrected 2025-05-15

    Potential for more than minimal harm

  6. EF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-05-14 · Health · corrected 2025-05-15

    Potential for more than minimal harm

  7. KF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-03-25 · Health · corrected 2024-04-12

    Immediate jeopardy

  8. EF0610Respond appropriately to all alleged violations.2024-03-25 · Health · corrected 2024-03-26

    Potential for more than minimal harm

  9. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  10. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  11. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  12. EF0712Ensure that the resident and his/her doctor meet face-to-face at all required visits.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  13. KF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-03-25 · Health · corrected 2024-04-12

    Immediate jeopardy

  14. EF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-03-25 · Health · corrected 2024-04-17

    Potential for more than minimal harm

  15. EF0758Implement 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.2024-03-25 · Health · corrected 2024-04-17

    Potential for more than minimal harm

  16. KF0760Ensure that residents are free from significant medication errors.2024-03-25 · Health · corrected 2024-04-12

    Immediate jeopardy

  17. DF0761Ensure 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.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  18. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  19. EF0803Ensure 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.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  20. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-25 · Health · corrected 2024-03-26

    Potential for more than minimal harm

  21. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2024-03-25 · Health · corrected 2024-04-15

    Potential for more than minimal harm

  23. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  24. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  25. DF0761Ensure 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.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  26. DF0791Provide or obtain dental services for each resident.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  27. FF0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  28. EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

  29. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-02-08 · Health · corrected 2023-03-09

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-10-01
TGR HEALTHCARE, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-10-01
THOMAS, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL2019-10-01
BYROM, DAVIDIndividualCORPORATE DIRECTOR2014-10-01

Other facilities in COMANCHE

NameOverallBeds
LEGACY ESTATE LONG TERM CARE★★★★☆100

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.