Nursing Home in Comanche, TX · CMS Data August 2026

Legacy Estate Long Term Care

How Does Legacy Estate Long Term Care Rate?

Legacy Estate Long Term Care is a 100-bed government-owned nursing home in Comanche, TX. CMS rates it 4 out of 5 stars overall (August 2026), with 4 for health inspections, 3 for staffing and 2 for quality measures. Residents got an average of 3.8 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on July 1, 2025, cited 3 health deficiencies.

CMS overall rating: 4 of 5
Nursing per resident per day: 3.8 hours
Deficiencies at last inspection: 3
Certified beds: 100

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

10133 Hwy 16 N
Comanche, TX 76442

4 of 5 CMS overall · Above average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for Legacy Estate Long Term Care
Rating	Stars	CMS label
Overall rating	4 of 5	Above average
Health inspections	4 of 5	Above average
Staffing	3 of 5	Average
Quality measures	2 of 5	Below average
Quality for long-stay residents	3 of 5	Average
Quality for short-stay residents	1 of 5	Much below average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at Legacy Estate Long Term Care and the national median
Measure	This home	National median
Total nursing hours per resident per day	3.8 hours	3.7 hours
Registered nurse hours per resident per day	0.7 hours	0.6 hours
Nurse aide hours per resident per day	2.2 hours	2.2 hours
Total nursing hours per resident on weekends	3.3 hours	3.3 hours

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for Legacy Estate Long Term Care
Last standard health inspection	July 1, 2025
Health deficiencies cited at that inspection	3
Deficiencies from complaint inspections (same rating cycle)	3
Fines in the past 3 years	None
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at Legacy Estate Long Term Care who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for Legacy Estate Long Term Care
Residents who	This home	National median	Compared
Received an antipsychotic medication	3.8%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	28%	18%	Higher than the national median
Had a fall with major injury	2.7%	2.8%	Lower than the national median
Have pressure ulcers	3.4%	4.2%	Lower than the national median
Lost too much weight	1.7%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	11%	3.6%	Higher than the national median
Needed more help with daily activities over time	26%	13%	Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about Legacy Estate Long Term Care
Certified beds	100
Average residents per day	76
Ownership	Government - Hospital district
Legal business name	COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT
Certified for	Medicare and Medicaid
First certified	May 2024
Councils	Resident council

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.