Home›Texas›Comanche County›WESTERN HILLS HEALTHCARE RESIDENCE
D
Poor

WESTERN HILLS HEALTHCARE RESIDENCE

400 OLD SIDNEY RD · COMANCHE, TX 76442

3253562571 · For profit - Limited Liability company

158 beds59.7 residents75 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
D
Poor
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

WESTERN HILLS HEALTHCARE RESIDENCE receives an overall staffing grade of D (Poor). With 2.959 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.3289 HPRD, below the recommended 0.75. It is 0.94 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.47% compared to weekdays. The facility has low agency staff usage (0.55% of hours), suggesting a mostly permanent workforce.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.959 HPRD — needs 0.52 more hours per resident per day.
⚠️RN staffing (0.3289 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0.55%) — mostly permanent, familiar staff
Total Nurse HPRD
2.959hrs/resident/day▼ 0.94
CMS benchmark: 3.48
RN HPRD
0.3289hrs/resident/day▼ 0.35
Recommended: 0.75
Weekend Drop-off
17.47%
3.1126 weekday → 2.569 weekend
Agency Staff
0.55%
0.44% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.2071hrs/resident/day
Direct care aides
LPN HPRD
0.9599hrs/resident/day
Licensed practical nurses
Consistency
0.3225std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Comanche County Average-0.35 HPRD
3.31
02.96 HPRD
vs. Texas State Average-0.44 HPRD
3.40
02.96 HPRD
vs. National Average-0.94 HPRD
3.90
02.96 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
WESTERN HILLS HEALTHCARE RESIDENCE ★
COMANCHE · This facility
—
D
2.9590.3289★★☆☆☆
LONE STAR REHABILITATION & WELLNESS CENTER
STEPHENVILLE
31.1 mi
C
3.08650.6297★★★★☆
AVIR AT STEPHENVILLE
STEPHENVILLE
32 mi
F
2.42610.4204★★☆☆☆
GRANBURY REHAB & NURSING
GRANBURY
59.2 mi
C
3.10460.6276★★★★☆
Granbury Care Center
Granbury
60.7 mi
F
2.96780.2377★☆☆☆☆
Lampasas Nursing and Rehabilitation Center
Lampasas
62.6 mi
C
3.0310.5197★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
29
Total Deficiencies
$62,078
Fines Assessed
May 14, 2025Health
6 deficiencies cited
▼
Mar 25, 2024Health
16 deficiencies cited· Includes actual harm
▼
Feb 8, 2023Health
7 deficiencies cited
▼

Penalty History

Mar 25, 2024Fine
$62,078
Mar 25, 2024Payment Denial
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.