Western Hills Healthcare Residence
400 OLD SIDNEY RD, Comanche, TX, 76442
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Coryell County Memorial Hospital Authority
- Certified beds
- 158 · avg 60 residents/day
- Total nursing staff turnover
- 52.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 62.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $62,078 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 148478
- Service type
- Medicare/medicaid
- Licensed capacity
- 159 beds
- Bed type breakdown
- 1 licensed-only · 72 Medicare-only · 86 Medicaid/Medicare
- Current license effective
- October 1, 2023
- Current license expires
- October 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Coryell County Memorial Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Comanche Skilled Care, Llc
- Administrator
- Mrs. Martha Mccue
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Coryell County Memorial Hospital Authority chain — 8 facilities. Chain-wide average overall rating 2.5 / 5.
Disclosed owners (6 on record)
- Tgr Healthcare, Llc
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- (unnamed Owner)
Adp of The Snf · since 2025
- Brian k Thomas
Operational/managerial Control · since 2019
- Coryell County Memorial Hospital Authority
Operational/managerial Control · since 2019
- David Byrom
Corporate Director · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- D0602·May 14, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- E0849·May 14, 2025
Administration Deficiencies
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.
- F0812·May 14, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0689·May 14, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0605·May 14, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
- D0552·May 14, 2025
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
- E0880·Mar 25, 2024Complaint
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Mar 25, 2024Complaint
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal penalties
By year
- 20241 fine · $62K · 1 payment denial
Most recent events
- Mar 25, 2024Payment denial · 15 days · starting Apr 24, 2024
- Mar 25, 2024Fine · $62K
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: May 14, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Western Hills Healthcare Residence is a 159-bed nursing home in Comanche, Texas, licensed since 1971 and managed by Comanche Skilled Care, LLC under a hospital district authority. CMS rates it 2 stars overall, with 2-star scores on both health inspections and staffing. One fine totaling $62,078 has been issued. The facility is operating at roughly 38% of its licensed beds — well below typical occupancy for a nursing home of this size.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Western Hills 2 stars on staffing — a tier shared by about 32% of Texas nursing homes. Each resident receives approximately 178 minutes of nursing care per day, roughly 63 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — less mobile or more medically complex on average — so those 178 minutes stretch thinner than the raw number suggests.
The facility recorded one administrator change in the past year. A single transition doesn't halt operations, but leadership continuity affects how consistently care policies are applied day to day.
CMS issued one fine totaling $62,078. About 30% of Texas nursing homes had zero fines in the same period; this fine is roughly three times the state median fine of $20,699.
The facility is operating at approximately 38% of its 158 certified beds — about 60 residents in a building licensed for 159. Low occupancy at a facility that also carries low staffing and quality ratings is a pattern families should factor into their questions about staffing consistency and financial stability.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
CMS reports 178 total nursing minutes per resident per day — ask specifically how many nurses and aides are on duty overnight and on weekends, when staffing typically drops.
Details behind the $62,000 fine
CMS issued one fine here totaling $62,078 — ask what deficiency triggered it and what changes were made in response.
Administrator transition and current leadership
One administrator left in the past year — ask who is currently in charge, how long they have been in the role, and whether another transition is anticipated.
Why occupancy is this low
The facility is running at roughly 38% of licensed capacity — ask whether that reflects a planned reduction, difficulty attracting referrals, or a recent operational change.
Nursing staff turnover and continuity
Total nursing staff turnover was 52.9% over the past year — ask how many of the current nursing staff have been here longer than 12 months.
Relationship between hospital authority and LLC management
The facility is licensed under a hospital district authority but managed by Comanche Skilled Care, LLC — ask who makes day-to-day staffing and budget decisions and how disputes between the two are resolved.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.