Legacy Estate Long Term Care is certified as a Medicare and Medicaid facility and has been approved to provide these services since 2024-05-24. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (254) 879-4970 or your local Medicaid office to verify current eligibility.

Legacy Estate Long Term Care holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (4★), Staffing (5★), and Quality of Resident Care (1★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 60.2/100, placing it #11999 of 14703 facilities nationally and #957 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Legacy Estate Long Term Care receives a reported average of 4 hours 8 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 43 minutes; Licensed Practical Nurse (LPN) — 1 hour 4 minutes; Nurse Aide — 2 hours 22 minutes. On weekends, total nurse staffing is 3 hours 45 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.

Legacy Estate Long Term Care has received zero fines across all five years of available data (2022–2026), reflecting a strong regulatory compliance record. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 0 fine(s) totaling $0, and 0 Medicare payment denial(s). Total penalties: 0. The Total Weighted Health Survey Score is 27.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Legacy Estate Long Term Care ranks 11999th out of 14,703 facilities (composite score: 60.2/100), placing it in the bottom 25% nationwide. Within TX, it ranks 957th out of 1,177 nursing homes. In Comanche, it ranks 2nd out of 2 facilities. Among facilities sharing its ZIP code, it ranks 2nd of 2. For 2026 staffing: total nurse hours rank #3,988 nationally and RN hours rank #4,679 nationally (#87 in TX). Our composite quality score of 60.2/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Comanche, visit: https://nursinghomesnearme.org/texas/comanche/