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Nursing homeFAID #12122

Western Hills Healthcare Residence

400 OLD SIDNEY RD, COMANCHE, TX, 76442
(325) 356-2571
www.westernhillshc.com
158 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections3/5 staffing4/5 quality measuresSource: CMS Care Compare

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Photo via Google · Western Hills Healthcare Residence

Public record summary

What we can show you for free.
Bed capacity
158
CMS facility ID
455602
Care type
Nursing home
County
Comanche
Facility name
Western Hills Healthcare Residence
Street address
400 OLD SIDNEY RD
City / state / ZIP
Comanche, TX 76442
Phone
(325) 356-2571
Website
www.westernhillshc.com

About this facility — Western Hills Healthcare Residence

Western Hills Healthcare Residence is a Medicare/Medicaid-certified skilled nursing facility in Comanche, Texas. It is licensed for 158 beds — above the median for skilled nursing facilities in Texas (120 beds).

It is one of 3 senior care facilities in Comanche and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Western Hills Healthcare Residence 42 times across 9 inspections in the last three years, including 6 food-safety citations, and CMS has imposed $62,078 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Parent company
Coryell County Memorial Hospital Authority
Ownership type
For profit - Limited Liability company

Registered owners & officers

Byrom, David
Director — since 2014
Coryell County Memorial Hospital Authority
Operational control — since 2019
Tgr Healthcare, Llc
Operational control · Additional disclosable party — since 2019
Thomas, Brian
Operational control · Additional disclosable party — since 2019

Regulatory standing

Federal court records
1 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1985-11-14
CMS overall rating
2 of 5 stars
Health deficiencies
7 at the last standard inspection
Federal fines
$62,078 total
Last standard inspection
2025-05-14
Nurse staffing
3.6 hours per resident per day

Cost & payer profile (FY2024 cost report)

Average billed charges
$257 per day (≈ $7,810/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
57% Medicaid · 5% Medicare · 38% private/other
Occupancy
38% (fiscal year 2024)
Vs. state median
7% below the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds
158
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-29Health inspectionComplaint-triggered1 citation
F-0838
E · No harm foundFrom a complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
2025-05-14Health inspectionComplaint-triggered6 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-05-15
F-0602
D · No harm foundFrom a complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-05-15
F-0605
E · No harm found
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-05-15
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-15
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-05-15
F-0849
E · No harm found
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.
Corrected 2025-05-15
5 earlier / fire-safety inspections (35 citations)
2024-03-25Health inspectionComplaint-triggered16 citations
F-0580
K · Immediate jeopardyFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-04-12
F-0610
E · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2024-03-26
F-0655
E · No harm foundFrom a complaint
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-04-15
F-0656
E · No harm foundFrom a complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-04-15
F-0695
E · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-04-15
F-0712
E · No harm foundFrom a complaint
Ensure that the resident and his/her doctor meet face-to-face at all required visits.
Corrected 2024-04-15
F-0726
K · Immediate jeopardyFrom a complaint
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.
Corrected 2024-04-12
F-0756
E · No harm foundFrom a complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected 2024-04-17
F-0758
E · No harm foundFrom a complaint
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.
Corrected 2024-04-17
F-0760
K · Immediate jeopardyFrom a complaint
Ensure that residents are free from significant medication errors.
Corrected 2024-04-12
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2024-04-15
F-0770
D · No harm foundFrom a complaint
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2024-04-15
F-0803
E · No harm foundFood safetyFrom a complaint
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.
Corrected 2024-04-15
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-26
F-0842
E · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-04-15
F-0880
E · No harm foundFrom a complaint
Provide and implement an infection prevention and control program.
Corrected 2024-04-15
2023-02-08Health inspection7 citations
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-03-09
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-03-09
F-0761
D · No harm found
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.
Corrected 2023-03-09
F-0791
D · No harm found
Provide or obtain dental services for each resident.
Corrected 2023-03-09
F-0801
F · No harm foundFood safety
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.
Corrected 2023-03-09
F-0802
E · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2023-03-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-03-09
2025-05-14Fire-safety inspection3 citations
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-06-15
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-15
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-06-15
2024-03-25Fire-safety inspection8 citations
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-04-15
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-05-09
K-0344
F · No harm found
Have an alternate power supply for its alarm system.
Corrected 2024-05-09
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-09
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-05-09
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2024-05-09
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-09
K-0914
F · No harm found
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2024-05-09
2023-02-08Fire-safety inspection1 citation
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2023-03-09

Federal penalties

2024-03-25Fine$62,078
2024-03-25Medicare payment denial — 15 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 455602.

Visitor reviews

What people say on Google.
3.810 ratings on Google
★Danny Lewis · 2024-08-01 · via Google

“My father in law has been there less than a month. Payed good money for their services. Had to send my own family members down there to get him in bed.after constantly pushing the help button. No one responded. All nurses and cna personnel were playing on their cell phones and would not respond to call. Maybe the administrator needs to seek employment elsewhere. Will definitely contact the …”

★★★★★Ruby Slider · 2025-08-20 · via Google

“They took excellent care of my mother and now they are caring for my dad. A very compassionate and caring group of people!”

★★★★★Christeen Wilson · 2023-02-17 · via Google

“The staff have been so kind and helpful every time I have reached out with questions or for assistance. They do an amazing job!”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 42 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
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Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered