Legacy Estate Long Term Care
10133 Hwy 16 N, Comanche, TX 76442 · Comanche County · 100 certified beds · avg 76 residents/day · certified since May 24, 2024
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (3)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 1, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Jul 1, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint |
| Jul 1, 2025 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2025 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.66 | 3.46 | 3.95 | top 6% in Texas; top 19% in the U.S. |
| Registered Nurse hours | 0.90 | 0.44 | 0.69 | top 4% in Texas; top 20% in the U.S. |
| Weekend total nurse staffing | 3.99 | 3.04 | 3.50 | top 7% in Texas; top 23% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.60 | 0.34 | 0.48 | top 8% in Texas; top 23% in the U.S. |
| Total nursing staff turnover (%) | 0.0 | 55.3 | 45.8 | — |
| RN turnover (%) | 0.0 | 54.6 | 42.9 | — |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.79, RN 0.74, weekend 3.25. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Donham, Guyle | Individual | ADP of the SNF | NOT APPLICABLE | 11/21/2024 |
| Stark, Elizabeth | Individual | W-2 Managing Employee | NOT APPLICABLE | 04/01/2024 |
| Stark, Elizabeth | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do your actual daily staffing levels compare to what's reported on Medicare's Care Compare website?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Western Hills Healthcare Residence | 7.3 mi | Comanche, TX | ★★☆☆☆ | 2/5 | |
| De Leon Nursing and Rehabilitation | 8.5 mi | De Leon, TX | ★★★★★ | 5/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 745054.