nursing home in Ralls, TX
Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357 · (806) 253-2596
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★4
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Ralls Nursing Home at a glance
Ralls Nursing Home is a 46-bed for-profit nursing home in Ralls, Texas (Crosby County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 2.3 hours of nursing care per day (0.3 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (September 16, 2025) found 10 health citations. The Texas average is 9.4.
Federal regulators fined it 5 times in the past three years, totaling $303,179.
Nursing staff turnover is 72.4% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Partnership
- Beds
- 46
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- September 16, 1994
- Resident/family council
- Resident
- County
- Crosby County
- CMS Certification Number
- 675407
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 1.9 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.31 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.31 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.29 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.98 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 72.4% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 57.1% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 175.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 5 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $303,179 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 6 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 46 | 113 | 107 | |
| Average residents per day | 34 | 76 | 86 | |
| Occupancy | 73.3% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.5% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.2% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 12.2% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 4.7% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 12.8% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 15.7% | 3% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 53.4% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 18.1% | 13.4% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 84.2% | 98% | 95.5% | Worse |
| Long-stay residents given a pneumonia vaccine (higher is better) | 79.5% | 96.6% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 16.7% | 88.9% | 82% | Worse |
Inspection citations
State inspectors cited this home for 29 health deficiencies and 7 fire safety deficiencies in the inspection records CMS currently publishes. 9 citations involved actual harm, including 8 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| January 14, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Past Non-Compliance |
| January 14, 2026 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Past Non-Compliance |
| January 14, 2026 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Past Non-Compliance |
| January 14, 2026 Complaint | Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0602 | E Potential harm, pattern | Corrected January 15, 2026 |
| November 26, 2025 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected November 27, 2025 |
| September 16, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected October 11, 2025 |
| September 16, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Deficient, Provider has no plan of correction |
| September 16, 2025 Standard | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Nursing and Physician Services Deficiencies · Tag F0727 | E Potential harm, pattern | Corrected October 11, 2025 |
| September 16, 2025 Standard | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · Tag F0565 | E Potential harm, pattern | Corrected October 11, 2025 |
| September 16, 2025 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected October 11, 2025 |
| September 16, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected October 11, 2025 |
| September 16, 2025 Standard | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected October 11, 2025 |
| July 18, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Past Non-Compliance |
| July 18, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | J Immediate jeopardy, isolated | Past Non-Compliance |
| July 18, 2025 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Past Non-Compliance |
| August 20, 2024 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | F Potential harm, widespread | Corrected October 16, 2024 |
| August 20, 2024 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Corrected September 18, 2024 |
| August 20, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected August 21, 2024 |
| August 20, 2024 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected August 21, 2024 |
| June 10, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | K Immediate jeopardy, pattern | Corrected July 23, 2024 |
| June 10, 2024 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | K Immediate jeopardy, pattern | Corrected July 23, 2024 |
| June 10, 2024 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | E Potential harm, pattern | Corrected July 23, 2024 |
| June 10, 2024 Complaint | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 | E Potential harm, pattern | Corrected July 23, 2024 |
| June 10, 2024 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | D Potential harm, isolated | Corrected July 23, 2024 |
| May 9, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected June 6, 2024 |
| May 9, 2024 Complaint | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | E Potential harm, pattern | Corrected June 6, 2024 |
| May 9, 2024 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected June 6, 2024 |
| May 9, 2024 Complaint | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Tag F0657 | D Potential harm, isolated | Corrected June 6, 2024 |
| July 18, 2023 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected August 17, 2023 |
| July 18, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected August 17, 2023 |
| July 18, 2023 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | C No harm, widespread | Waiver has been granted |
| July 18, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 2, 2023 |
| July 18, 2023 Standard | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Tag F0552 | E Potential harm, pattern | Corrected July 19, 2023 |
| July 18, 2023 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | D Potential harm, isolated | Corrected July 19, 2023 |
| July 18, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected July 27, 2023 |
| July 18, 2023 Standard | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · Tag F0558 | D Potential harm, isolated | Corrected July 24, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 6 federal penalties in the past three years, including $303,179 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 14, 2026 | Fine | $12,740 |
| January 14, 2026 | Fine | $8,281 |
| July 18, 2025 | Fine | $16,543 |
| June 10, 2024 | Payment Denial | 11 days from July 12, 2024 |
| June 10, 2024 | Fine | $203,177 |
| May 9, 2024 | Fine | $62,438 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| RALLS NH OPERATIONS, LTD Organization | 5% or greater direct ownership interest | — | 12/01/2014 |
| SPORE, SCOTT Individual | 5% or greater direct ownership interest | — | 12/01/2014 |
| CHILDRESS COUNTY HOSPITAL DISTRICT Organization | 5% or greater indirect ownership interest | — | 12/01/2014 |
| BUCHOK, ANDREW Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| CHEBIB, PAUL Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| CHILDRESS COUNTY HOSPITAL DISTRICT Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| HOLCOMB, HOLLY Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| RALLS NH OPERATIONS, LTD Organization | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| SPORE, SCOTT Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| STRATTON, EMILEE Individual | adp of the snf | NOT APPLICABLE | 01/23/2025 |
| HOLCOMB, HOLLY Individual | corporate officer | NOT APPLICABLE | 05/29/2021 |
| STRATTON, EMILEE Individual | corporate officer | NOT APPLICABLE | 03/18/2018 |
| BRITTON, CARL Individual | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| CHEBIB, PAUL Individual | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| SSS HOLDINGS LP Organization | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| WOLCOTT, ROGER Individual | direct ownership interest | NOT APPLICABLE | 12/01/2023 |
| BRITTON, CARL Individual | limited partnership interest | NOT APPLICABLE | 12/01/2023 |
| WOLCOTT, ROGER Individual | limited partnership interest | NOT APPLICABLE | 12/01/2023 |
| BUCHOK, ANDREW Individual | operational/managerial control | NOT APPLICABLE | 01/13/2025 |
| CHEBIB, PAUL Individual | operational/managerial control | NOT APPLICABLE | 12/30/2024 |
| SPORE, SCOTT Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| BUCHOK, ANDREW Individual | w-2 managing employee | NOT APPLICABLE | 08/22/2023 |
| CHEBIB, PAUL Individual | w-2 managing employee | NOT APPLICABLE | 12/01/2023 |
| HOLCOMB, HOLLY Individual | w-2 managing employee | NOT APPLICABLE | 04/15/1996 |
Other nursing homes near Ralls Nursing Home
Crosbyton Nursing and Rehabilitation Center
222 N. Farmer, Crosbyton, TX 79322 · 7.6 mi
For-profit · 53 beds · Part of Skyblue Healthcare
★★★★★3AverageSlaton Care Center
630 S 19th, Slaton, TX 79364 · 23.9 mi
For-profit · 120 beds · Part of Creative Solutions in Healthcare
★★★★★4Above averageWindmill Village Rehabilitation & Care Center
507 Martin Luther King Blvd, Lubbock, TX 79403 · 26.6 mi
Government · 120 beds · Part of Priority Management
- New owner (last 12 months)
★★★★★4Above averageAvir at Heritage Oaks
5301 University Ave, Lubbock, TX 79413 · 30.2 mi
For-profit · 159 beds · Part of Avir Health Group
★★★★★1Much below averageThe Mildred & Shirley L. Garrison Geriatric Educat
3710 4th St, Lubbock, TX 79415 · 31.1 mi
Government · 120 beds · Part of The Ensign Group
★★★★★2Below averageSouthern Specialty Rehab & Nursing
4320 West 19th Street, Lubbock, TX 79407 · 31.3 mi
For-profit · 144 beds · Part of Creative Solutions in Healthcare
★★★★★1Much below average
Frequently asked questions
What is Ralls Nursing Home's rating?
Ralls Nursing Home has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Ralls Nursing Home receive?
Its most recent standard health inspection found 10 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Ralls Nursing Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Ralls Nursing Home?
It is for profit - partnership. The ownership section on this page lists the owners and managers reported to CMS.
Where is Ralls Nursing Home and how do I contact it?
Ralls Nursing Home is at 1111 Avenue P, Ralls, TX 79357. Phone: (806) 253-2596.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.