Nursing home / skilled nursing
Legacy Estate Long Term Care
Nursing home / skilled nursing in Comanche, Texas
| Provider details | |
|---|---|
| Address | 10133 HWY 16 N |
| City | Comanche |
| State | Texas |
| ZIP code | 76442 |
| County | Comanche |
| Phone | 254-879-4970 |
| Website | https://legacyestateltc.com/ |
| CMS certification number (CCN) | 745054 |
| Ownership | Government - County |
| Certified beds | 100 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | May 24, 2024 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, long-term care, respite care, memory care, palliative care |
Legacy Estate Long Term Care is in 10133 HWY 16 N, Comanche, TX 76442. Phone: 254-879-4970. Ownership: Government - County. CMS rates it 3 out of 5 stars overall (health inspection 4, staffing 1, quality measures 3).
Legacy Estate in Comanche offers short-term post-acute skilled nursing stays as well as long-term care, with 24/7 nursing care. The community also provides respite care for family caregivers, a memory care program for residents with Alzheimer's disease or other memory impairment, and palliative care for residents with serious illnesses. Room options include private, deluxe, and companion suites, each with a full private bath. CMS inspection and staffing detail: total weighted health survey score 30.000; 0 federal fines totaling $0.00.
More about this provider
| Legacy Estate in Comanche offers short-term post-acute skilled nursing stays and long-term care, with 24/7 nursing care. Its living options page also lists respite, memory care, and palliative care programs. | |
| Services and programs | Short-term post-acute/skilled nursing stays and long-term care, with 24/7 expert nursing care and rehabilitation services. Programs named on the site include long-term care with help for daily activities such as bathing, dressing, and medication management, respite care, a memory care program in a secure and nurturing environment for residents with Alzheimer's disease or other memory impairment, and a palliative care program with pain management, emotional support, and holistic care. Room options are Private Suites, Deluxe Suites, and Companion Suites, each with a full private bath. Site features include activities and programs such as arts and crafts and fitness classes, meals tailored to dietary needs, and landscaped outdoor areas. |
| Who it serves | Seniors in the community and surrounding areas; residents with Alzheimer's disease or other forms of memory impairment; residents with serious illnesses receiving palliative care; and family caregivers needing temporary relief through respite care. |
| Visiting and contact details | Address shown on the site: 10133 TX-16, Comanche, TX 76442. Phone shown on the site: 254-879-4970. The contact page invites visitors to schedule a personal tour of Legacy Estate using its online scheduling tool or to call 254-879-4970. |
| Website | https://legacyestateltc.com/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 3 of 5 |
| Health inspection rating | 4 of 5 |
| Staffing rating | 1 of 5 |
| Quality measure rating | 3 of 5 |
| Long-stay quality rating | 4 of 5 |
| Short-stay quality rating | 1 of 5 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 28 |
| Total Weighted Health Survey Score | 30.000 |
| Rating Cycle 2/3 Total Health Score | 36 |
| Rating Cycle 1 Health Deficiency Score | 28 |
| Rating Cycle 2/3 Health Deficiency Score | 36 |
| Rating Cycle 1 Standard Survey Health Date | 2026-08-25 |
| Rating Cycle 1 Total Number of Health Deficiencies | 5 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 3 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 5 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 0 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 3 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Total Amount of Fines in Dollars | 0.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Legal Business Name | COMANCHE COUNTY CONSOLIDATED HOSPITAL DISTRICT |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | Resident |
| Average Number of Residents per Day | 81.6 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Comanche County
- Western Hills Healthcare Residence — Comanche
- De Leon Nursing And Rehabilitation — De Leon
Common questions about Legacy Estate Long Term Care
Where is Legacy Estate Long Term Care located?
Legacy Estate Long Term Care is at 10133 HWY 16 N, Comanche, Texas 76442.
What care and services does Legacy Estate Long Term Care offer?
Legacy Estate Long Term Care offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, long-term care, respite care, memory care, palliative care.
Is Legacy Estate Long Term Care Medicare-certified?
Yes. Legacy Estate Long Term Care is certified for both Medicare and Medicaid.
What is Legacy Estate Long Term Care's quality rating?
CMS gives Legacy Estate Long Term Care an overall star rating of 3 out of 5.
How do I contact Legacy Estate Long Term Care?
Call Legacy Estate Long Term Care at 254-879-4970.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.