Western Hills Healthcare Residence
400 Old Sidney Rd · Comanche, TX · 76442 · 3253562571
158 certified beds For profit - Limited Liability company Chain: Coryell County Memorial Hospital Authority
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
3 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.28 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.28 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.28 | 0.55–0.75 |
| Weekend hours / resident-day | 3.04 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | 1 · $62,078 |
Inspection citations (29 in the current record)
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Potential for harm · D May 14, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 15, 2025 · Resident Rights
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Potential for harm · E May 14, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 14, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 15, 2025 · Quality of Life and Care
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Potential for harm · F May 14, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 15, 2025 · Nutrition and Dietary
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Potential for harm · E May 14, 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.
Corrected May 15, 2025 · Administration
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Potential for harm · D May 14, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K March 25, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected April 12, 2024 · Resident Rights
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Immediate jeopardy · K March 25, 2024 · found via complaint
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.
Corrected April 12, 2024 · Nursing and Physician Services
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Immediate jeopardy · K March 25, 2024 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected April 12, 2024 · Pharmacy Service
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Potential for harm · E March 25, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected March 26, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E March 25, 2024 · found via complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 25, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 25, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 15, 2024 · Quality of Life and Care
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Potential for harm · E March 25, 2024 · found via complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected April 15, 2024 · Nursing and Physician Services
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Potential for harm · E March 25, 2024 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 17, 2024 · Pharmacy Service
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Potential for harm · E March 25, 2024 · found via complaint
Implement 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.
Corrected April 17, 2024 · Pharmacy Service
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Potential for harm · D March 25, 2024 · found via complaint
Ensure 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.
Corrected April 15, 2024 · Pharmacy Service
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Potential for harm · D March 25, 2024 · found via complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 15, 2024 · Administration
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Potential for harm · E March 25, 2024 · found via complaint
Ensure 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.
Corrected April 15, 2024 · Nutrition and Dietary
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Potential for harm · F March 25, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 26, 2024 · Nutrition and Dietary
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Potential for harm · E March 25, 2024 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E March 25, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 15, 2024 · Infection Control
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Potential for harm · E February 8, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 9, 2023 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 9, 2023 · Pharmacy Service
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Potential for harm · D February 8, 2023
Ensure 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.
Corrected March 9, 2023 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 25, 2024 | Fine | $62,078 |
| March 25, 2024 | Payment Denial | 15 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 455602 · certified since November 14, 1985. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.