Western Hills Healthcare Residence

400 Old Sidney Rd, Comanche, TX 76442

Phone: 3253562571

CMS ratings and facility information

Western Hills Healthcare Residence is a Medicare-certified nursing facility in Comanche, Comanche County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating2 of 5
Staffing rating3 of 5
Quality measures rating4 of 5
Certified beds158
OwnershipFor profit - Limited Liability company
CMS certification number455602

Staffing

Total nurse hours per resident day3.56
RN hours per resident day0.29
Nurse aide hours per resident day2.22
Total nursing staff turnover percent52.1

Resident outcome measures

MeasureValueUnitPeriod
Hospitalizations2.57events_per_1000_resident_days20250101-20251231
Emergency-department visits2.61events_per_1000_resident_days20250101-20251231
Falls with major injury5.02percent2025Q2-2026Q1
Pressure ulcers2.4percent2025Q2-2026Q1
Urinary tract infections0.93percent2025Q2-2026Q1
Antipsychotic medication use6.25percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2025-05-140812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2025-05-140605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.E
2025-05-140849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.E
2025-05-140552Ensure that residents are fully informed and understand their health status, care and treatments.D
2025-05-140602Protect each resident from the wrongful use of the resident's belongings or money.D
2025-05-140689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-03-250580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.K
2024-03-250726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.K
2024-03-250760Ensure that residents are free from significant medication errors.K
2024-03-250812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-03-250610Respond appropriately to all alleged violations.E
2024-03-250655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedE
2024-03-250656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-03-250695Provide safe and appropriate respiratory care for a resident when needed.E
2024-03-250712Ensure that the resident and his/her doctor meet face-to-face at all required visits.E
2024-03-250756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.E
2024-03-250758Implement 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.E
2024-03-250803Ensure 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.E
2024-03-250842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.E
2024-03-250880Provide and implement an infection prevention and control program.E
2024-03-250761Ensure 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.D
2024-03-250770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2023-02-080801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.F
2023-02-080812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2023-02-080656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2023-02-080802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.E
2023-02-080755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2023-02-080761Ensure 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.D
2023-02-080791Provide or obtain dental services for each resident.D

Penalties

DateTypeAmount
2024-03-25Fine,078
2024-03-25Payment Denial

Ownership records

NameTypeRole
BYROM, DAVIDIndividualCORPORATE DIRECTOR
CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL
TGR HEALTHCARE, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL
THOMAS, BRIANIndividualOPERATIONAL/MANAGERIAL CONTROL
TGR HEALTHCARE, LLCOrganizationADP OF THE SNF
THOMAS, BRIANIndividualADP OF THE SNF

Compare nursing homes in Comanche County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.