The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Nursing home report
LEGACY ESTATE LONG TERM CARE
COMANCHE, TX · Medicare-certified · 100 beds
In good standing
Government-run
Data as of July 1, 2026
4 of 5 overall
LEGACY ESTATE LONG TERM CARE in Comanche, TX has an overall rating of 4 out of 5 stars. Its health inspection rating is 4 stars, staffing is 3 stars, quality measures are 2 stars, reported nurse staffing is 3.79 hours per resident day versus the 4.1-hour federal benchmark, and it had $0 in fines in the last 24 months.
Facility ratings
Health inspections
Staffing
3.793 hrs/resident/day
Quality measures
Last inspection: July 1, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.793.
Staffing detail
- Registered nurses
- 0.74
- Licensed practical nurses
- 0.88
- Nurse aides
- 2.18
- Weekend nursing
- 3.25
Hours per resident per day.
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
6.2%4.3%Improving
Residents with a fall causing major injury
4.4%3.1%Improving
Residents with pressure ulcers (bedsores)
5.7%4%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%0%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
36.8%25.9%Improving
Residents whose ability to walk got worse
30.7%19.6%Improving
Long-stay residents on antianxiety or sleep medication
41%24.1%Improving
Short-stay residents newly given an antipsychotic
0%0%No change
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
36%20.1%Improving
Residents with depressive symptoms
4.9%18.6%Worsening
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the seasonal flu vaccine
—82.4%—
Short-stay residents given the pneumonia vaccine
69%75.4%Improving
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited July 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - Hospital district
- Occupancy
- 76.2 residents on an average day (76% of 100 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 2 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.