Western Hills Healthcare Residence: Staffing, Turnover, and Inspection Record
Western Hills Healthcare Residence is a 158-bed for-profit nursing home in Comanche, Texas, part of Coryell County Memorial Hospital Authority. In the CMS August 2026 release it reported 2.22 nurse aide hours per resident per day, 11% above the Texas average of 2.00, and 52.1% nursing staff turnover (Texas average 55.3%).
Western Hills Healthcare Residence
400 Old Sidney RdComanche, TX 76442
Comanche County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Western Hills Healthcare Residence, nurse aides logged 2.22 hours per resident per day, 11% above the Texas average. With about 54 residents a day, that works out to roughly 120 aide hours a day, or about 15 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 12% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.22 | 2.00 | 2.32 |
| Licensed practical nurses | 1.05 | 0.95 | 0.86 |
| Registered nurses | 0.29 | 0.43 | 0.69 |
| All nursing staff | 3.56 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.14 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.1% of nursing staff at Western Hills Healthcare Residence left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $62,078 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Mar 25, 2024 | Fine | $62,078 |
| Mar 25, 2024 | Payment Denial | 15 days from Apr 24, 2024 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Western Hills Healthcare Residence holds 2 of 5 overall; the Texas average is 2.6.
About Western Hills Healthcare Residence
- Ownership: For profit - Limited Liability company
- Chain: Coryell County Memorial Hospital Authority, 9 homes
- Legal name: Coryell County Memorial Hospital Authority
- Medicare and Medicaid certified since: Nov 14, 1985
- Councils: resident and family councils
- Area: rural
Nursing homes near Western Hills Healthcare Residence
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Legacy Estate Long Term Care Comanche | 7.3 | 100 | 2.18 | 3.79 | — | 4 | None |
| De Leon Nursing and Rehabilitation De Leon | 15.7 | 98 | 1.58 | 2.95 | — | 5 | None |
| Care Nursing & Rehabilitation Brownwood | 20.6 | 97 | 1.51 | 2.98 | — | 3 | None |
| Rising Star Nursing Center Rising Star | 24.2 | 60 | 2.46 | 3.78 | 48.6% | 4 | None |
| Lake Hills Healthcare Center Brownwood | 25.4 | 94 | 2.31 | 3.60 | 57.9% | 3 | $22,084 |
| Songbird Lodge Brownwood | 26.7 | 121 | 1.76 | 3.06 | 98.8% | 2 | $10,210 |
| Pecan Bayou Nursing and Rehabilitation Brownwood | 26.7 | 90 | 1.82 | 3.34 | 43.9% | 5 | $48,415 |
| Oak Ridge Manor Brownwood | 27.0 | 114 | 1.74 | 3.29 | 96.4% | 3 | $129,761 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.