Nursing homes › Texas › Western Hills Healthcare Residence
400 Old Sidney Rd, Comanche, TX 76442 · 3253562571 · 158 certified beds
Per CMS filings, this facility is affiliated with Coryell County Memorial Hospital Authority, a group operating 9 facilities in 1 states. Group record: average rating 2.8/5, 1 abuse citation icons, 0 facilities on the Special Focus list, $370,029 in federal fines. This facility rates below its group average (2.8/5).
Total nurse staffing: 3.56 (Texas median: 3.27). RN hours: 0.29. Weekend total: 3.14. Nursing staff turnover: 52%.
All-time on record: 29 deficiency citations, including 3 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2025-05-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-05-15 |
| 2025-05-14 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | Health | corrected 2025-05-15 |
| 2025-05-14 | Arrange 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 | Health | corrected 2025-05-15 |
| 2025-05-14 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-05-15 |
| 2025-05-14 | Protect each resident from the wrongful use of the resident's belongings or money. | D | complaint | corrected 2025-05-15 |
| 2025-05-14 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2025-05-15 |
| 2024-03-25 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | K | complaint | corrected 2024-04-12 |
| 2024-03-25 | Ensure 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 | complaint | corrected 2024-04-12 |
| 2024-03-25 | Ensure that residents are free from significant medication errors. | K | complaint | corrected 2024-04-12 |
| 2024-03-25 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | complaint | corrected 2024-03-26 |
| 2024-03-25 | Respond appropriately to all alleged violations. | E | complaint | corrected 2024-03-26 |
| 2024-03-25 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | complaint | corrected 2024-04-15 |
| 2024-03-25 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-04-15 |
| 2024-03-25 | Provide safe and appropriate respiratory care for a resident when needed. | E | complaint | corrected 2024-04-15 |
| 2024-03-25 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | complaint | corrected 2024-04-15 |
| 2024-03-25 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | complaint | corrected 2024-04-17 |
| 2024-03-25 | Implement 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 | complaint | corrected 2024-04-17 |
| 2024-03-25 | Ensure 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 | complaint | corrected 2024-04-15 |
| 2024-03-25 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | complaint | corrected 2024-04-15 |
| 2024-03-25 | Provide and implement an infection prevention and control program. | E | complaint | corrected 2024-04-15 |
| 2024-03-25 | Ensure 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 | complaint | corrected 2024-04-15 |
| 2024-03-25 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | complaint | corrected 2024-04-15 |
| 2023-02-08 | Employ 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 | Health | corrected 2023-03-09 |
| 2023-02-08 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-03-09 |
| 2023-02-08 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2023-03-09 |
| 2023-02-08 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2023-03-09 |
| 2023-02-08 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Health | corrected 2023-03-09 |
| 2023-02-08 | Ensure 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 | Health | corrected 2023-03-09 |
| 2023-02-08 | Provide or obtain dental services for each resident. | D | Health | corrected 2023-03-09 |
| Date | Type | Amount |
|---|---|---|
| 2024-03-25 | Fine | $62,078 |
| 2024-03-25 | Payment Denial | 15 days payment denial |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| BYROM, DAVID | Corporate Director | Individual | NOT APPLICABLE | since 10/01/2014 |
| CORYELL COUNTY MEMORIAL HOSPITAL AUTHORITY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2019 |
| TGR HEALTHCARE, LLC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 10/01/2019 |
| THOMAS, BRIAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 10/01/2019 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 455602. Corrections: data@carerecords.org.