Government - Hospital district · 100 certified beds · CMS number 745054
Legacy Estate Long Term Care, Comanche, TX
CMS records 3 health deficiencies at Legacy Estate Long Term Care in Comanche, Texas in its last 2 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jul 1, 2025. The highest severity cited is F (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 3deficiencies, 3 cycles (TX median 25)
- 3in the latest cycle (TX median 8)
- Fhighest severity · Potential for harm
- $0fines, last 3 years
- 4CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Legacy Estate Long Term Care as of Sep 1, 2026, grouped by inspection cycle (2 cycles); each is a requirement inspectors found not met, and Legacy Estate Long Term Care may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (3 deficiencies)
Standard inspection Jul 1, 2025. CMS counts 3 health deficiencies and 2 fire safety deficiencies in this cycle.
Jul 1, 2025 · Standard + complaint inspection
3 deficiencies, highest F
F851 · Reporting staffing data to CMS
Requirement cited (CMS): Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 6, 2025
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Aug 6, 2025
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 6, 2025
Previous cycle: 0 deficiencies (standard inspection May 24, 2024)
Standard inspection May 24, 2024. CMS counts 0 health deficiencies and 0 fire safety deficiencies in this cycle.
No health deficiencies in this cycle.
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.79 h (above the Texas median of 3.27 h)
- RN hours per resident per day
- 0.74 h (above the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 3.25 h
- Nursing staff turnover
- not reported
- Administrators who left
- not reported
- CMS overall rating
- 4 of 5
- Health inspection rating
- 4 of 5
- Staffing rating
- 3 of 5
- Quality measure rating
- 2 of 5
CMS figures for Legacy Estate Long Term Care, copied as published; Texas medians are ours.
Facility details
- Address
- 10133 Hwy 16 N, Comanche, TX 76442
- Phone
- (254) 879-4970
- County
- Comanche
- Accepts
- Medicare and Medicaid
- Ownership
- Government - Hospital district
- Chain (CMS)
- Not part of a chain in CMS data
- Certified beds
- 100
- Average residents per day
- 76.2
- In Medicare/Medicaid since
- May 24, 2024
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
Other nursing homes in Comanche
- Western Hills Healthcare Residence
Comanche · 30 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.