CCN 455602 · Comanche County, Texas
Western Hills Healthcare Residence
400 Old Sidney Rd, Comanche, TX 76442
Western Hills Healthcare Residence is a 158-bed for-profit nursing home in Comanche, Texas, first certified for Medicare or Medicaid in 1985. CMS rates it 2 out of 5 stars overall in its September 2026 data, and it averaged 54.2 residents a day, about 34% of its certified beds. HUD's healthcare database shows 2 FHA-insured Section 232 loans for a project matching this facility, most recently $3 million in October 2022 (223(a)(7) refinance of a 223(f) loan), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 158
- Average residents per day
- 54.2 (34.3% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Coryell County Memorial Hospital Authority
- Certified since
- Nov 14, 1985
- Chain or affiliated group
- Coryell County Memorial Hospital Authority (9 facilities, chain average 2.8 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Texas median | US median |
|---|---|---|---|
| Overall rating | 2 of 5 | State spread: 322 at 1, 244 at 2, 247 at 3, 211 at 4, 141 at 5 | |
| Health inspections | 2 of 5 | ||
| Quality measures | 4 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.56 | 3.27 | 3.68 |
| RN hours per resident per day | 0.29 | 0.38 | 0.58 |
| Weekend nurse hours per resident per day | 3.14 | ||
| Nursing staff turnover | 52.1% | 52.1% | 44.9% |
| Occupancy (residents / beds) | 34.3% | 68.6% | 85.7% |
| Fines reported by CMS | 1 totaling $62,078 | ||
| Health deficiencies, latest standard survey | 7 (May 14, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Western Hills Healthcare Residence meets that part today: 2 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Coryell County Memorial Hospital AuthorityOrganization | Operational / Managerial Control | n/a | 10/01/2019 |
| Tgr Healthcare, LLCOrganization | Operational / Managerial Control | n/a | 10/01/2019 |
| Thomas, BrianIndividual | Operational / Managerial Control | n/a | 10/01/2019 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Oct 26, 2022 | 223(a)(7) refinance of a 223(f) loanHUD project name: Western Hills Healthcare Residence, 158 beds. Lender at endorsement: Greystone Funding Company LLC | $2,987,700 | Ended Aug 12, 2026Prepayment | 11322312 |
| Dec 29, 2016 | 223(f) refinance or purchaseHUD project name: Western Hills Healthcare Residence LTD, 158 beds. Lender at endorsement: Housing & Healthcare Finc | $2,987,700 | Ended Oct 27, 2022Prepayment | 11322198 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.