Comanche, TX · Comanche County
★★★★☆CMS 4/5100 bedsGovernmentMedicaid
- Nurse hours
- 3.79 /day
- Staff turnover
- n/a
- Serious cites
- 0
Legacy Estate Long Term Care runs 100 certified beds in Comanche, owned by a hospital district rather than a for-profit chain. Its last inspection was July 2025, and the record shows three deficiencies with none at the harm level and nothing abuse-related, which is a fairly clean sheet. Nurse staffing sits at 3.79 hours per resident day, just under the national average of 3.86, and weekends drop roughly 14% below its own weekday coverage, worth asking about if your family member needs help most on Saturdays and Sundays. Quality measures come in lower than the inspection and staffing ratings suggest.
Comanche, TX · Comanche County
★★☆☆☆CMS 2/5158 bedsFor-profitMedicaid
- Nurse hours
- 3.56 /day
- Staff turnover
- 52%
- Serious cites
- 0
Western Hills runs leaner on nursing hours than the typical American nursing home, about 3.56 per resident day against a national average near 3.86, and weekends get thinner still, roughly 12% below its own weekday coverage. Staff turnover sits at 52.1%, well above the 45.8% norm, which matters because new faces cycling through a 158-bed building rarely know residents' routines. The inspection record is the harder read: 29 deficiencies, including three at harm or jeopardy level and three tied to abuse, plus a $62,078 fine. Ownership is a for-profit LLC, and the last full inspection came in May 2025. Quality measures score well, but quality scores are self-reported.
De Leon, TX · Comanche County
★★★★★CMS 5/598 bedsGovernmentMedicaid
- Nurse hours
- 2.95 /day
- Staff turnover
- n/a
- Serious cites
- 0
Deleon Nursing and Rehabilitation is run by a hospital district, and its inspection record is genuinely strong, a 5/5 on health inspections with 14 deficiencies on file, none of them causing harm or involving abuse, and the most recent visit was in November 2025. The catch is on the floor: total nurse staffing sits at 2.95 hours per resident per day against a national average of 3.86, roughly a quarter less, and weekends run about 10% thinner than weekdays. Quality measures also score 5/5. So the picture is a home that documents care well and inspects cleanly, but asks families to weigh that against fewer nursing hours than most places provide.