Nursing home
Legacy Estate Long Term Care
10133 Hwy 16 N, Comanche, TX 76442 · Map
Government - Hospital district · 100 certified beds
Legacy Estate Long Term Care is a Medicare-certified nursing home in Comanche, Texas. CMS rates it 4 out of 5 stars overall (5/5 for staffing, 4/5 for health inspections). Nurse staffing is 4.14 hours per resident per day, above the Texas average of 3.40. Its most recent inspection on Jul 1, 2025 cited 3 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Legacy Estate Long Term Care compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.14 | 3.40 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.72 | 0.44 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.36 | 2.01 | 2.34 | above avg |
| Nursing staff turnover | —% | 51.5% | 46.4% | — |
| Deficiencies cited, last inspection | 3.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the July 1, 2025 inspection was corrected by August 6, 2025
What inspectors found at Legacy Estate Long Term Care
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Jul 1, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jul 1, 2025 · Full report (PDF) - Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies · Jul 1, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 10133 Hwy 16 N
Comanche, TX 76442 - CMS certification #
- 745054
- Ownership
- Government - Hospital district
- Certified beds
- 100
- Avg residents/day
- 61.9
- Provider type
- Medicare and Medicaid
- First certified
- 2024-05-24
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Legacy Estate Long Term Care using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Comanche County Medical Center, Comanche. 0.5 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- Western Hills Healthcare Residence, Comanche. 7.3 miles away, straight line.
- Nearest home health agency office
- Stephen'S Health Care, Inc., Stephenville. 26.2 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's Pharmacy. 7.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 76442 as rural (rural area).
- Hospice
- 10 Medicare hospices tell CMS they serve ZIP code 76442.
Community Care Services Hospice, office in Dublin, 14.3 miles away, straight line - Nearest geriatric medicine practice
- Concord Medical Group Of Texas PLLC, Eastland. 31.7 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has identified no high-risk (1% annual chance) flood area in this community. (FEMA flood map)
- Wildfire risk to homes
- In Comanche County, TX, risk to homes is greater than 68% of communities in Texas and 87% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: hurricane relatively low, inland flooding relatively high, wildfire relatively high, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Legacy Estate Long Term Care a good nursing home?
CMS gives Legacy Estate Long Term Care an overall rating of 4 out of 5 stars, including 5/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Legacy Estate Long Term Care staffed?
Legacy Estate Long Term Care reports 4.14 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Legacy Estate Long Term Care had inspection problems?
Its most recent CMS inspection cited 3 deficiencies.
How many beds does Legacy Estate Long Term Care have?
Legacy Estate Long Term Care is certified for 100 beds.