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Nursing HomeMedicaid Investigative

Western Hills Healthcare Residence

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

400 Old Sidney Rd, Comanche, TX 76442159 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.1/5

based on 9 Google reviews

5
4
3
2
1
Western Hills Healthcare Residence Nursing Home in Comanche, TX — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Low staffing rating (2/5 stars)
  • High staff turnover (53%)
  • High RN turnover (62%)

Below average in Texas · Critically understaffed (RN) · $62,078 in fines

Source: Medicare data

What this means for your family

This facility offers a wonderful therapy department and has a history of compassionate care for long-term residents. However, you must be vigilant about staff responsiveness, as recent reports indicate serious issues with call lights being ignored due to staff distraction.

Google Reviews

Google Reviews

9 reviews on Google
Families may find comfort in the compassionate care provided to long-term residents and the high quality of the therapy department. However, there are serious allegations regarding staff responsiveness and neglect, specifically involving personnel being distracted by cell phones and failing to respond to call lights.

Quality Themes

Tap a score for details
FoodN/AStaff4.0CleanN/AActivitiesN/AMedsN/AMemoryN/AComms5.0Value1.0

Strengths

  • Compassionate and caring staff
  • Excellent therapy department
  • Comfortable environment

Concerns

  • Staff unresponsiveness to call buttons
  • Staff distracted by cell phones

Rating Trends

Tap a year to see what changed

2345.02018(2)5.02021(1)5.02022(1)5.02023(2)1.02024(2)3.72025(3)

Distribution · 11 analyzed

5
8
4
0
3
0
2
0
1
3

How They Respond to Reviews

33%response rate
Good

The owner provides personalized responses that often reference specific relationships or details mentioned in the review. They use an enthusiastic, warm tone with frequent use of exclamation points.

Questions for Your Tour

  • 1I noticed you are very active in responding to feedback from families; how does the administration use resident and family input to improve care here?
  • 2With the therapy department being such a highlight for many, how would you describe the personalized approach to rehabilitation for a new resident?
  • 3How do you ensure that staff members are able to respond promptly to call buttons, especially during busy shifts?
  • 4What steps are being taken to ensure staff are fully focused on resident needs and minimizing distractions during care?
  • 5Could you tell me more about the specific staffing levels and training programs currently in place to support the nursing team?
  • 6How does the facility handle medical emergencies or sudden changes in a resident's health during the night?

Personalized based on this facility's data


Key Review Excerpts

They took excellent care of my mother and now they are caring for my dad. A very compassionate and caring group of people!

Long-term resident's family · 2025★★★★★

Had to send my own family members down there to get him in bed. after constantly pushing the help button. No one responded. All nurses and cna personnel were playing on their cell phones and would not respond to call.

Family of a recent resident · 2024☆☆☆☆

The staff have been so kind and helpful every time I have reached out with questions or for assistance. They do an amazing job!

Family member · 2023★★★★★
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.28hrs
37%
Registered nurses for medical care
Total Nursing
3.28hrs
80%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
50%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

5

measures

Mixed Results

2

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility11.9%
Better than Avg
Here
11.9%
US
19.5%
TX
18.4%
Comanche
26.5%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility27.0%
Worse than Avg
Here
27.0%
US
19.4%
TX
14.2%
Comanche
17.3%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
TX
2.5%
Comanche
6.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Comanche
91.9%
💉

Residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
95.5%
TX
98.0%
Comanche
95.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility11.8%
Mixed vs Avgs
Here
11.8%
US
15.4%
TX
9.4%
Comanche
16.1%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Comanche
81.9%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Comanche
81.3%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
TX
1.5%
Comanche
1.9%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

6deficiencies
2penalties
Near state avg (9.1)
17 complaint-triggered
$62,078 in fines

This facility has faced significant issues with families filing 17 complaint-triggered deficiencies over the three-year period, raising serious concerns about care quality. The most recurring problems involve medication management, nutrition and dietary services, and fire safety systems. While all deficiencies show correction dates, the pattern of repeated issues across multiple surveys in areas like heating systems and fire safety barriers suggests ongoing operational challenges that warrant careful consideration.

May 14, 2025Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0605Potential for harm · PatternCorrected

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.

0849Potential for harm · PatternCorrected

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.

0321Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0372Potential for harm · PatternCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0552Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Ensure that residents are fully informed and understand their health status, care and treatments.

0689Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

May 14, 2025Complaint
1
0602Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from the wrongful use of the resident's belongings or money.

Mar 25, 2024Complaint
16
0580Immediate jeopardy · PatternCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

0726Immediate jeopardy · PatternCorrected

Nursing and Physician Services Deficiencies

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.

0760Immediate jeopardy · PatternCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0610Potential for harm · PatternCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0655Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0712Potential for harm · PatternCorrected

Nursing and Physician Services Deficiencies

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

0756Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0803Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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.

0842Potential for harm · PatternCorrected

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0770Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

Mar 25, 2024Routine
8
0041Potential for harm · WidespreadCorrected

Emergency Preparedness Deficiencies

Implement emergency and standby power systems.

0321Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0344Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have an alternate power supply for its alarm system.

0345Potential for harm · WidespreadCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0521Potential for harm · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

0712Potential for harm · WidespreadCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0914Potential for harm · WidespreadCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Feb 8, 2023Routine
8
0801Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0656Potential for harm · PatternCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0802Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0761Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

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.

0791Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide or obtain dental services for each resident.

0521Minimal · WidespreadCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Federal Penalties

Fine

Mar 25, 2024

$62,078

Payment Denial

Mar 25, 2024

15-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Coryell County Memorial Hospital Authority

Organization Type

for profit

Management Company

COMANCHE SKILLED CARE, LLC

Administrator

MRS. MARTHA MCCUE

Chain Affiliation

Chain Name

Coryell County Memorial Hospital Authority

Chain Size

9 facilities nationwide

Chain avg rating: 2.5/5 · Rank 4 of 8

Ownership & Management

Key personnel

Byrom, DavidOfficer / DirectorCoryell County Memorial Hospital AuthorityManagerTgr Healthcare, LLCManagerThomas, BrianManagerTgr Healthcare, LLCAdp of the Snf
Source: Medicare provider data

Contact

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Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 2 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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