nursing home in Comanche, TX
Legacy Estate Long Term Care
10133 Hwy 16 N, Comanche, TX 76442 · (254) 879-4970
CMS overall star rating
- Health inspections★★★★★4
- Staffing★★★★★3
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Legacy Estate Long Term Care at a glance
Legacy Estate Long Term Care is a 100-bed government nursing home in Comanche, Texas (Comanche County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the Texas average of 2.7.
Residents receive about 3.8 hours of nursing care per day (0.7 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (July 1, 2025) found 3 health citations. The Texas average is 9.4.
It has not received a federal fine in the past three years.
Facility details
- Type
- Nursing home
- Ownership
- Government - Hospital District
- Beds
- 100
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 24, 2024
- Resident/family council
- Resident
- County
- Comanche County
- CMS Certification Number
- 745054
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 4 / 5 | 2.8 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 1.9 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 3 / 5 | 4 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.2 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.79 hrs | 3.39 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.74 hrs | 0.43 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.18 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.25 hrs | 2.98 hrs | 3.42 hrs | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 3 | 9 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 27 | 102 | 80.6 | Better |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 100 | 113 | 107 | |
| Average residents per day | 76 | 76 | 86 | |
| Occupancy | 76.2% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.7% | 3.3% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.4% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.8% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 26.5% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 33.2% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 1.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 11.4% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 28.2% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.3% | 13.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 97.3% | 96.6% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 1% | 1.5% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 82.4% | 88% | 79.8% | Average |
| Short-stay residents given a pneumonia vaccine (higher is better) | 76.2% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 3 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 1, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected September 8, 2025 |
| July 1, 2025 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | E Potential harm, pattern | Corrected September 8, 2025 |
| July 1, 2025 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 6, 2025 |
| July 1, 2025 Complaint | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. Administration Deficiencies · Tag F0851 | F Potential harm, widespread | Corrected August 6, 2025 |
| July 1, 2025 Complaint | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected August 6, 2025 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| DONHAM, GUYLE Individual | adp of the snf | NOT APPLICABLE | 11/21/2024 |
| STARK, ELIZABETH Individual | corporate officer | NOT APPLICABLE | 04/01/2024 |
| STARK, ELIZABETH Individual | w-2 managing employee | NOT APPLICABLE | 04/01/2024 |
Other nursing homes near Legacy Estate Long Term Care
Western Hills Healthcare Residence
400 Old Sidney Rd, Comanche, TX 76442 · 7.3 mi
For-profit · 158 beds · Part of Coryell County Memorial Hospital Authority
★★★★★2Below averageDe Leon Nursing and Rehabilitation
809 East Navarro Avenue, De Leon, TX 76444 · 8.5 mi
Government · 98 beds · Part of Creative Solutions in Healthcare
★★★★★5Much above averageStephenville Nursing and Rehabilitation
2311 West Washington Street, Stephenville, TX 76401 · 24.4 mi
For-profit · 46 beds
★★★★★5Much above average- ★★★★★4Above average
Avir at Stephenville
1670 Lingleville Rd, Stephenville, TX 76401 · 25.2 mi
For-profit · 102 beds · Part of Avir Health Group
★★★★★1Much below averageLone Star Rehabilitation & Wellness Center
2601 Senator Robert J Glasgow Loop, Stephenville, TX 76401 · 25.5 mi
For-profit · 122 beds
★★★★★4Above average
Frequently asked questions
What is Legacy Estate Long Term Care's rating?
Legacy Estate Long Term Care has 4 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Legacy Estate Long Term Care receive?
Its most recent standard health inspection found 3 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Legacy Estate Long Term Care accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Legacy Estate Long Term Care?
It is government - hospital district. The ownership section on this page lists the owners and managers reported to CMS.
Where is Legacy Estate Long Term Care and how do I contact it?
Legacy Estate Long Term Care is at 10133 Hwy 16 N, Comanche, TX 76442. Phone: (254) 879-4970.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.