nursing home in Ranger, TX
Premier Health Care Center
460 W Main St, Ranger, TX 76470 · (254) 647-3111
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★1
- Quality measures★★★★★2
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Premier Health Care Center at a glance
Premier Health Care Center is a 50-bed for-profit nursing home in Ranger, Texas (Eastland 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 2.2 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (May 21, 2026) found 14 health citations. The Texas average is 9.4.
Federal regulators fined it 1 time in the past three years, totaling $14,069.
Nursing staff turnover is 59.1% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Individual
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- December 31, 2003
- Resident/family council
- Resident
- County
- Eastland County
- CMS Certification Number
- 676017
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) | 2 / 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) | 2 / 5 | 3.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 4 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.21 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.22 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.24 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.92 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 59.1% | 55.3% | 45.8% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 14 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 135.3 | 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) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $14,069 | $44,141 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 113 | 107 | |
| Average residents per day | 47 | 76 | 86 | |
| Occupancy | 94.6% | 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) | 7.6% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.9% | 9.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3.9% | 0.8% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 5.3% | 0.3% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 25.8% | 15.8% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 19.3% | 14% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.2% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 2% | 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) | 22.2% | 18% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 10.8% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 1.5% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 25 health deficiencies and 10 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 21, 2026 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 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 June 30, 2026 |
| May 21, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 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 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 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 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | E Potential harm, pattern | Corrected June 30, 2026 |
| May 21, 2026 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 21, 2026 Standard | 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 30, 2026 |
| May 21, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 21, 2026 Standard | Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · Tag F0757 | D Potential harm, isolated | Corrected June 30, 2026 |
| May 21, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected June 30, 2026 |
| January 15, 2026 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 | J Immediate jeopardy, isolated | Corrected January 16, 2026 |
| January 15, 2026 Complaint | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Tag F0728 | E Potential harm, pattern | Corrected January 16, 2026 |
| January 15, 2026 Complaint | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | D Potential harm, isolated | Corrected January 16, 2026 |
| March 5, 2025 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected April 10, 2025 |
| March 5, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected April 9, 2025 |
| March 5, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected April 8, 2025 |
| March 5, 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 | Corrected April 9, 2025 |
| March 5, 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 | F Potential harm, widespread | Corrected March 11, 2025 |
| March 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected April 27, 2025 |
| March 5, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected April 26, 2025 |
| March 5, 2025 Standard | 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 April 26, 2025 |
| March 5, 2025 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 April 26, 2025 |
| March 5, 2025 Standard | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · Tag F0690 | D Potential harm, isolated | Corrected March 27, 2025 |
| March 5, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | B No harm, pattern | Corrected March 27, 2025 |
| February 22, 2024 Fire safety | Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Smoke Deficiencies · Tag K0343 | D Potential harm, isolated | Corrected March 31, 2024 |
| February 22, 2024 Fire safety | Have restrictions on the use of flammable curtains. Miscellaneous Deficiencies · Tag K0751 | D Potential harm, isolated | Corrected March 15, 2024 |
| February 22, 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 March 15, 2024 |
| February 22, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected March 15, 2024 |
| February 22, 2024 Complaint | 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 | E Potential harm, pattern | Corrected March 22, 2024 |
| February 22, 2024 Complaint | 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 March 15, 2024 |
| February 22, 2024 Complaint | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected March 15, 2024 |
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 1 federal penalty in the past three years, including $14,069 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| January 15, 2026 | Fine | $14,069 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| ALEXANDER, RAINEY Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| MARTINEZ IRIZARRY, AXEL Individual | adp of the snf | NOT APPLICABLE | 01/01/2025 |
| STROH, CLARENCE Individual | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| STROH PROPERTIES LP Organization | adp of the snf | NOT APPLICABLE | 01/01/2022 |
| ALEXANDER, RAINEY Individual | direct ownership interest | NOT APPLICABLE | 01/01/2022 |
| ALEXANDER, RAINEY Individual | operational/managerial control | NOT APPLICABLE | 01/01/2022 |
| MARTINEZ IRIZARRY, AXEL Individual | operational/managerial control | NOT APPLICABLE | 01/01/2025 |
Other nursing homes near Premier Health Care Center
Avir at Woodlands
125 Inspiration Blvd, Eastland, TX 76448 · 10.8 mi
For-profit · 76 beds · Part of Avir Health Group
★★★★★1Much below averageAvir at Cisco
1404 Front St, Cisco, TX 76437 · 19.1 mi
For-profit · 80 beds · Part of Avir Health Group
★★★★★5Much above averageVilla Haven Health and Rehabilitation Center
300 S Jackson St, Breckenridge, TX 76424 · 22.6 mi
Government · 92 beds · Part of Fundamental Healthcare
★★★★★5Much above averageDe Leon Nursing and Rehabilitation
809 East Navarro Avenue, De Leon, TX 76444 · 26.3 mi
Government · 98 beds · Part of Creative Solutions in Healthcare
★★★★★5Much above average- ★★★★★4Above average
Avir at Stephenville
1670 Lingleville Rd, Stephenville, TX 76401 · 31.7 mi
For-profit · 102 beds · Part of Avir Health Group
★★★★★1Much below average
Frequently asked questions
What is Premier Health Care Center's rating?
Premier Health Care Center 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 Premier Health Care Center receive?
Its most recent standard health inspection found 14 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Premier Health Care Center 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 Premier Health Care Center?
It is for profit - individual. The ownership section on this page lists the owners and managers reported to CMS.
Where is Premier Health Care Center and how do I contact it?
Premier Health Care Center is at 460 W Main St, Ranger, TX 76470. Phone: (254) 647-3111.
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.