Legacy Estate Long Term Care

Nursing Home · Comanche, TX

CMS overall rating 4/5 Government - Hospital district

CMS certification number745054

Contact & location

10133 Hwy 16 N
Comanche, TX 76442
Comanche County
Phone
(254) 879-4970
ZIP code
76442 – all care providers

Open in Google Maps

Facility details

Certified beds
100
Residents per day
76.2 (76% occupied)
Ownership
Government - Hospital district
Legal name
Comanche County Consolidated Hospital District
Medicare certified since
May 24, 2024
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 4/5
State avg 2.6
Health inspections★★★★★ 4/5
State avg 2.8
Staffing★★★★★ 3/5
State avg 1.9
Quality measures★★★★★ 2/5
State avg 3.7
Long-stay quality★★★★★ 3/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.79 (state 3.39 · U.S. 3.86)
Registered nurses (RN)
0.74 (state 0.43 · U.S. 0.69)
Licensed practical nurses
0.88 (state 0.95 · U.S. 0.86)
Nurse aides
2.18 (state 2.00 · U.S. 2.32)
Weekend total
3.25 (state 2.98 · U.S. 3.42)
Nursing staff turnover
—
RN turnover
—

Inspections

Last standard inspection
July 1, 2025
Health deficiencies (last cycle)
3.0 (state 9.3 · U.S. 9.3)
From complaints
3
Citations on record (3 years)
3 health · 2 fire safety
DateCitationSeverityStatus
2025-07-01 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-06
2025-07-01 Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
F0851 · Administration Deficiencies · complaint inspection
F
No actual harm, potential for more than minimal harm
Corrected 2025-08-06
2025-07-01 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection
D
No actual harm, potential for more than minimal harm
Corrected 2025-08-06

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
Donham, Guyle (individual)Administrator · NOT APPLICABLE
Stark, Elizabeth (individual)Corporate Officer · NOT APPLICABLE
Stark, Elizabeth (individual)W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Legacy Estate Long Term Care?

Legacy Estate Long Term Care has a 4-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.

How many beds does Legacy Estate Long Term Care have?

It has 100 certified beds and cares for about 76 residents per day.

Has Legacy Estate Long Term Care been fined?

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Legacy Estate Long Term Care?

(254) 879-4970. The facility is located at 10133 Hwy 16 N, Comanche, TX 76442.

Other nursing homes in Comanche

Compare all nursing homes in Comanche, TX →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.