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Nursing Homes & Extended Care in Comanche, TX.

Ranked based on inspection data.

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This is what the inspectors wrote down.

Every score on this page is built from federal CMS inspection results and state licensing records — the same findings a regulator sees. Not brochures, not tours, not what a facility says about itself.

3 licensed nursing homes in Comanche, TX
Updated October 21, 2026
3.7Concerns

WESTERN HILLS HEALTHCARE RESIDENCE

400 OLD SIDNEY RD, COMANCHE, TX 76442

Western Hills Healthcare Residence has a 2 out of 5 overall rating from Medicare, placing it among the lowest-scoring facilities. On the positive side, the facility uses antipsychotic medications for long-stay residents at a rate well below the national average, and pressure ulcers, or bedsores, are also under half the national rate, suggesting staff are actively repositioning residents.

2 doing well2 flaggedFull record ›
6.1Solid

LEGACY ESTATE LONG TERM CARE

10133 HWY 16 N, COMANCHE, TX 76442

Legacy Estate Long Term Care in Comanche has a bit of a split personality when you look at the numbers, boasting a solid 4-star CMS rating with generally good health inspection scores, which hints at decent care standards and a clean environment. You can press the call button at 2 AM and likely have someone show up, and the registered nurse coverage is pretty strong, meaning there's medical oversight available.

2 flaggedFull record ›
9.7Excellent

De Leon Nursing and Rehabilitation

809 East Navarro Avenue, DE LEON, TX 76444

DELEON NURSING AND REHABILITATION brings a 5.0-star CMS rating, strong inspection scores (5.0/5), high quality measure scores (5.0/5), and no federal fines on record. Worth asking: Falls with major injury rate is 8.3% — above the national median of about 3%.

2 doing wellFull record ›

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Common questions

How many licensed nursing homes are in Comanche, TX?
3 licensed nursing homes in Comanche, TX, drawn from federal CMS records and state licensing data.
How does Palmelle rank these nursing homes?
Each facility is ranked using a Clarity Score from 0 to 10, blending federal CMS inspection results and state licensing records. The same numbers regulators use.
What is the Palmelle Clarity Score?
A 0 to 10 transparency score built from federal CMS data and state licensing records. It reflects what inspectors found. Not opinions and not advertising.
Can Palmelle help our family pick the right one?
Yes. Help Me Choose is $199. We do the calling. You do the choosing. One named recommendation in 72 hours. Money back if we miss the 72-hour promise.

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