Above average — CMS composite of the measures below.
A standard survey is most likely before around October 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Legacy Estate Long Term Care during CMS and state inspections, most recent first.
Surveyors found that kitchen staff did not consistently label or date food items in refrigerators, freezers, and dry storage, including products like lemonade, coconut flakes, and prepared foods. Staff interviews confirmed that labeling and dating were required by policy, but these procedures were not always followed, leading to improperly stored food throughout the kitchen.
The facility did not submit required direct care staffing data to CMS for a full quarter, as identified through review of staffing reports and administrator interview. The administrator cited oversight and lack of a specific reporting policy as reasons for the missed submission.
A deficiency was cited when a resident's care plan did not address all identified needs and lacked measurable timetables and specific actions, resulting in incomplete planning and documentation.
Failure to Properly Label and Date Food Items in Kitchen Storage
Penalty
Summary
Surveyors observed multiple instances where food items in the facility's kitchen were not properly labeled or dated, as required by professional standards and the facility's own policies. During inspections of various refrigerators, freezers, and dry storage areas, items such as lemonade, coconut flakes, graham cracker crumbs, peanut granules, vanilla wafers, cornmeal, beef base, dinner rolls, beef taco filling, taquitos, vegetables, shredded lettuce, and carrot sticks were found without appropriate labels or use-by dates. Some items were stored in unmarked containers or bags, and a large storage bin of cornmeal was found on the floor without a label or date. Staff interviews confirmed that the expectation was for all food products to be labeled with the date received and, when opened, with an open date, but this was not consistently done. Staff members acknowledged that labeling and dating food was their responsibility and that all dietary staff were trained on these procedures upon hire. The Dietary Manager and Administrator both stated that food products should be labeled and dated according to policy, and that failure to do so could result in foodborne illness if outdated food was served. The Administrator reported conducting random checks of food products but admitted that some items may have been overlooked. Review of the facility's food storage policy confirmed the requirement for all food containers to be legibly and accurately labeled and dated, with specific procedures for storage, rotation, and use of food items.
Failure to Submit Required Staffing Data to CMS
Penalty
Summary
The facility failed to electronically submit complete and accurate direct care staffing information to CMS for Fiscal Year Quarter 2 2025 (January 1 - March 31), as required by federal guidelines. The deficiency was identified through review of the facility's Staffing Data Report, which showed that the facility did not submit the required data for the specified quarter. The submission must include information for agency and contract staff, based on payroll and other verifiable and auditable data, in a uniform format according to CMS specifications. During an interview, the administrator acknowledged the oversight, attributing it to the demands of opening a new building and missing the reporting window when the links for data submission were available. The administrator confirmed that it was her responsibility to ensure the staffing data was reported and stated that the facility did not have a specific policy for reporting staffing data, instead following CMS guidelines. No policy or procedure was in place to ensure timely submission, and the failure was not attributed to any technical or resident-related issue.
Incomplete Care Plan Development and Implementation
Penalty
Summary
A deficiency was identified due to the failure to develop and implement a complete care plan that addresses all of a resident's needs. The care plan lacked measurable timetables and specific actions, resulting in incomplete documentation and planning for the resident's care requirements. This omission was observed during the review of resident records, where it was noted that the care plan did not comprehensively cover the resident's needs as required.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 15 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Comanche
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Western Hills Healthcare Residence | 7.3 mi | ★★★★★ | 0 | 0 |
| Deleon Nursing And Rehabilitation | 8.5 mi | ★★★★★ | 5 | 0 |
| Stephenville Nursing And Rehabilitation | 24.4 mi | ★★★★★ | 6 | 0 |
| Rising Star Nursing Center | 24.4 mi | ★★★★★ | 4 | 0 |
| Avir At Stephenville | 25.2 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.