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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-05-14 | 6 | 9.1 | 9.5 | -3.1 better |
| 2 | 2024-03-25 | 16 | 9.4 | 9.8 | +6.6 worse |
| 3 | 2023-02-08 | 7 | 8.1 | 9.3 | -1.1 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 2 |
| Quality of life and care | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 1 |
| Administration | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.96 | 52.9% |
| RN staffing (reported) | 0.33 | 62.5% |
| 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0610Respond appropriately to all alleged violations.2024-03-25 · Health · corrected 2024-03-26
Potential for more than minimal harm
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- KF0760Ensure that residents are free from significant medication errors.2024-03-25 · Health · corrected 2024-04-12
Immediate jeopardy
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-03-25 · Health · corrected 2024-04-15
Potential for more than minimal harm
- 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
- 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
- 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
- DF0791Provide or obtain dental services for each resident.2023-02-08 · Health · corrected 2023-03-09
Potential for more than minimal harm
- 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
- 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
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| TGR HEALTHCARE, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| THOMAS, BRIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-10-01 |
| BYROM, DAVID | Individual | CORPORATE DIRECTOR | — | 2014-10-01 |
Other facilities in COMANCHE
| Name | Overall | Beds |
|---|---|---|
| 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.