PlainNursing
CMS Nursing Home Compare · August 2026

Legacy Estate Long Term Care

10133 Hwy 16 N, Comanche, TX 76442

Legacy Estate Long Term Care, a 100-bed government - hospital district nursing facility in Comanche, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #323 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 2548794970

Build a private shortlist as you compare, saved on this device, no account needed.

Subscribe to CMS updates for this home (RSS) for inspection findings and Care Compare snapshot refreshes, no email.

4 / 5
Above average · CMS overall · nat'l 3.0
#323 of 1,165
In-state rank among rated TX homes
3.79
About average · nurse hrs/day · nat'l 3.86
3
Inspection findings

The verdict

Legacy Estate Long Term Care, a 100-bed government - hospital district nursing facility in Comanche, TX, holds a 4-star CMS overall rating - well above the 3.0-star national average, ranking #323 of 1,165 rated homes in TX on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. No recent finding reached the actual-harm level.

4 / 5
CMS overall · national 3.0
#323 of 1,165
In-state rank among rated TX homes
3.79
Nurse hrs/resident-day · national 3.86
3
Inspection findings on file

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 1,177 TX nursing homes split by ownership sector

This facility is recorded as Government - Hospital district. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

3/5

Facility Information

Provider Number
745054
Ownership
Government - Hospital district
Provider Type
Medicare and Medicaid
Beds
100
Residents
76
In Hospital
No
County
Comanche
Last Inspection
Jul 1, 2025

Staffing Data

How the 3.79 total nursing hours per resident-day are staffed:

RN Hours
0.74 (nat'l avg: 0.69)
LPN Hours
0.88
CNA Hours
2.18
Total Nursing Hours
3.79 (nat'l avg: 3.86)
PT Hours
0.08

What the CMS Record Reveals About Legacy Estate Long Term Care

According to CMS Nursing Home Compare, Legacy Estate Long Term Care ranks #323 of 1,165 rated nursing homes in TX on overall stars (tie-broken by health+staffing+quality, then fewer fines). Legacy Estate Long Term Care operates 100 certified beds in Comanche, TX with approximately 76 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars (health inspection 4★ · staffing 3★ · quality 2★).

The inspection file contains 3 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. This provider's enforcement record shows no fines or payment denials to date. Per resident day, this facility reports 3.79 total nursing hours (national average 3.86) and 0.74 RN hours.

Classified as "Government - Hospital district" ownership and operating as a "Medicare and Medicaid" provider, Legacy Estate Long Term Care falls into a category where comparative context matters.

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (3 most recent)

D - Isolated - Minimal harm Jul 1, 2025 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 1, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Aug 6, 2025

F - Widespread - Minimal harm Jul 1, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Aug 6, 2025

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 26.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.5% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.7% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 33.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.4% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 3.8% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 1.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 1.7% No
Percentage of long-stay residents who have depressive symptoms Long Stay 11.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 20.3% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 76.2% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 82.4% No

Penalty History

No penalties on record.

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Legacy Estate Long Term Care, both outside TX so the neighborhoods are not the same-state geography list below.

What the CMS records show for Legacy Estate Long Term Care

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The TX registry aggregates state averages and the highest-rated homes in this cohort. View TX registry
  • Peer homes near 100 beds show how CMS stars vary at a similar scale in TX. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Legacy Estate Long Term Care?
Legacy Estate Long Term Care has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (3★), and quality measures (2★).
Where does Legacy Estate Long Term Care rank among nursing homes in TX?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Legacy Estate Long Term Care ranks 323rd among 1,165 rated nursing homes in TX (#323 of 1,165). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Legacy Estate Long Term Care?
Legacy Estate Long Term Care reports 3.79 total nursing hours per resident day (national average: 3.86). RN hours are 0.74 per resident day (national average: 0.69).
How many beds does Legacy Estate Long Term Care have?
Legacy Estate Long Term Care has 100 certified beds with approximately 76 residents. The facility is located at 10133 Hwy 16 N, Comanche, TX 76442.
Does Legacy Estate Long Term Care have any deficiencies on record?
Yes, Legacy Estate Long Term Care has 3 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has Legacy Estate Long Term Care received any fines or penalties?
No, Legacy Estate Long Term Care has no fines or penalties on record.
Who owns Legacy Estate Long Term Care?
Legacy Estate Long Term Care is classified as "Government - Hospital district" ownership. The facility type is "Medicare and Medicaid".
When was Legacy Estate Long Term Care last inspected?
The most recent health inspection for Legacy Estate Long Term Care was on Jul 1, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Legacy Estate Long Term Care?
Legacy Estate Long Term Care is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

Found this useful? Share Legacy Estate Long Term Care's record.