Western Hills Healthcare Residence
400 OLD SIDNEY RD, Comanche, TX 76442
Comanche, Texas · CMS verdict
CMS rates Western Hills Healthcare Residence at 2 of 5 stars overall - below-average on the federal scale, and below the Texas average of 2.8.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Western Hills Healthcare Residence in Comanche, Texas holds a CMS overall rating of 2 of 5 stars and a PlainElderCare Quality & Compliance Index of 34 of 100 (grade F). The 158-bed facility operates where a semi-private nursing-home room in Texas runs a median of $5,627 per month. Figures are from CMS Nursing Home Compare.
Quality & Compliance Index (lower star tercile)
This facility's 2/5 CMS overall rating sits in the lower U.S. star tercile (≤2/5). A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 2 of 5 stars. How this is calculated.
How the 34 is built
Each segment is a dimension's weighted points toward the score, summing to 34.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Western Hills Healthcare Residence's lower-tercile CMS stars
Quality ratings
Western Hills Healthcare Residence holds a CMS overall quality rating of 2 out of 5 stars, based on the most recent Care Compare release (data as of April 2026). CMS breaks this into three sub-ratings: health inspection (2/5), staffing (2/5), and quality measures (3/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Comanche, Texas, this facility operates 158 certified beds with an average daily census of roughly 60 residents - an occupancy rate of about 38%. The facility is classified under for profit - limited liability company ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 38% occupancy, this facility is running well below its certified bed capacity, worth asking why directly.
Same-ownership peers
Within Texas, Western Hills Healthcare Residence is one of 313 for profit - limited liability company nursing homes CMS rates. Its 2-star overall rating sits below the for profit - limited liability company-segment average of 2.5 stars, ahead of roughly 32% of same-ownership peers in the state. Peer comparisons within the same ownership type are more apples-to-apples than a state-wide average, since for-profit, non-profit, and government operators tend to differ systematically in staffing and reinvestment.
Inspection record
On the regulatory side, federal and state surveyors have documented multiple deficiencies at this facility (29 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. This is a high deficiency count relative to most facilities; requesting the full survey report directly is the only way to see whether these are concentrated in one area or spread across the facility's operations.
Where these figures come from
Figures above come from CMS Nursing Home Compare (Care Compare, data as of April 2026) with state cost medians from the CareScout 2025 Cost of Care Survey. See our methodology for vintage.
How Western Hills Healthcare Residence's lower-tercile stars compare to Texas
CMS five-star sub-ratings (0–5) for this facility against the Texas facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = Texas state average. Higher is better on all four CMS measures.
Where Western Hills Healthcare Residence ranks in Texas
Among the 1,167 CMS-rated nursing homes in Texas, Western Hills Healthcare Residence’s 2-star overall rating is higher than 23% of them. The bars show how all Texas homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
262 Texas homes share this 2-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 158 |
| Residents | 60 |
| Ownership | For profit - Limited Liability company |
| County | Comanche |
| Penalties | 1 |
| Deficiencies | 29 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Western Hills Healthcare Residence? ▾
2 out of 5 stars is Western Hills Healthcare Residence's current CMS overall rating, built from a health inspection rating of 2/5, a staffing rating of 2/5, and a quality measures rating of 3/5.
How much does a nursing home cost per month in Texas? ▾
In Texas, a semi-private nursing home room runs a median $5,627/month ($67,525/year) per the CareScout 2025 survey; private rooms average $7,604/month.
What services does Western Hills Healthcare Residence offer? ▾
Western Hills Healthcare Residence operates as a skilled nursing facility (158 beds with approximately 60 current residents) under for profit - limited liability company ownership. CMS inspections have recorded 29 deficiencies and 1 penalties there.
Does Western Hills Healthcare Residence have any deficiencies or penalties? ▾
Western Hills Healthcare Residence has multiple deficiencies (29 total) and 1 penalties recorded by CMS. A count this high is above what most facilities post; ask the facility directly for its plan of correction on the largest findings.
What are the alternatives to a nursing home in Texas? ▾
In Texas, alternatives include assisted living ($5,666/mo), home health aides ($5,720/mo), and adult day care ($1,950/mo).
Keep reading
Also see the Texas elder-care overview and highest-rated states. Provider ID: 455602.
Read our methodology - how this data is sourced, computed, and verified.