F

WESTERN HILLS HEALTHCARE RESIDENCE

400 OLD SIDNEY RD, COMANCHE, TX 76442
Score: 32 / 100

Western Hills Healthcare Residence has received an F grade based on CMS data, with a score of 32/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Comanche facility should carefully review its inspection history and quality metrics.

With 2.96 total nurse hours per resident per day, Western Hills Healthcare Residence falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.

Recent CMS inspections identified 29 deficiencies at Western Hills Healthcare Residence, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards..

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.96 3.8 Below Average
Registered Nurses (RN) 0.33 0.7 Below Average
Licensed Practical Nurses (LPN) 0.96 0.7 Above Average
Certified Nursing Assistants (CNA) 1.67 2.4 Below Average
Weekend Total Nursing 2.57 3.8 Below Average
Weekend RN Hours 0.23 0.7 Below Average

🔍 Inspection & Deficiency History

29
Total Deficiencies
May 13, 2025
Most Recent Inspection
🟠 26 Moderate 🔴 3 Serious
View recent deficiencies (5 shown)
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    May 13, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0605 Severity E
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    May 13, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0849 Severity E
    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice serv
    May 13, 2025 · Administration Deficiencies
  • Tag 0552 Severity D
    Ensure that residents are fully informed and understand their health status, care and treatments.
    May 13, 2025 · Resident Rights Deficiencies
  • Tag 0689 Severity D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    May 13, 2025 · Quality of Life and Care Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 3.2% 4.5% Better
Falls with major injury 6.7% 3.0% Worse
On antipsychotic medication 12.5% 14.5% Better
Urinary tract infections 2.3% 2.5% Average
ADL decline (daily activities) 15.6% 14.0% Worse
Excessive weight loss 5.2% 7.5% Better
New/worsened incontinence 28.0% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $62,078

How This Grade Was Calculated

This facility's grade of F is based on a score of 32 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -6 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Limited Liability company
Certified Beds
158
Provider Type
Medicare and Medicaid
Resident Council
No
Family Council
No
Sprinkler System
Yes
Last Inspection
May 13, 2025
Deficiencies (Cycle 1)
6