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HomeTexasRalls Nursing Home

Ralls Nursing Home

1111 Avenue P, Ralls, TX 793578062532596Google Maps
2.6on Google(5 reviews)
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
1/5
Quality
4/5
Beds
46
certified
This facility has been flagged for abuse.
5 fine(s) totaling $303,179

How Ralls Nursing Home Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
1/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.31 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.31 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
72.4%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 1/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported nursing time is 2.31 hours per resident per day, below the state average of 3.39.
Reported RN time is 0.31 hours per resident per day, below the state average of 0.43.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
11
deficiency citations
Inspected Aug 20, 2024
Most recent cycle
13
deficiency citations
Inspected Sep 16, 2025
The most recent cycle recorded 2 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Crosby County 65+
949
18.4% of county
County Population
5,157
Crosby County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

Ralls Nursing Home is a 1-star Medicare and Medicaid certified nursing home in Ralls, Texas with 46 certified beds. It has been operating since 1994. Its overall CMS rating is 1 out of 5.

Beds
46
Avg Residents/Day
33.7
Ownership
For profit - Partnership
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Sep 16, 1994
Sprinklers
Yes
Council
Resident
County
Crosby
Last Inspection
Sep 16, 2025
Deficiencies (Cycle 1)
13
Weighted Score
205.5
Infection Citations
0

Deficiency Citations (29)

F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0609Immediate Jeopardy

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0602Potential for Harm

Protect each resident from the wrongful use of the resident's belongings or money.

Survey: Jan 14, 2026Corrected: NoCycle: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 26, 2025Corrected: NoCycle: 1
F0565Potential for Harm

Honor the resident's right to organize and participate in resident/family groups in the facility.

Survey: Sep 16, 2025Corrected: NoCycle: 1
F0585Potential for Harm

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.

Survey: Sep 16, 2025Corrected: NoCycle: 1
F0727Potential for Harm

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.

Survey: Sep 16, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 16, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Sep 16, 2025Corrected: NoCycle: 1
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jul 18, 2025Corrected: NoCycle: 1
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jul 18, 2025Corrected: NoCycle: 1
F0609Immediate Jeopardy

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jul 18, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Aug 20, 2024Corrected: NoCycle: 2
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Aug 20, 2024Corrected: NoCycle: 2
F0600Immediate Jeopardy

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 10, 2024Corrected: NoCycle: 3
F0607Immediate Jeopardy

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jun 10, 2024Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jun 10, 2024Corrected: NoCycle: 3
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 10, 2024Corrected: NoCycle: 3
F0580Potential for Harm

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jun 10, 2024Corrected: NoCycle: 3
F0689Actual Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: May 9, 2024Corrected: NoCycle: 3
F0585Potential for Harm

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.

Survey: May 9, 2024Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: May 9, 2024Corrected: NoCycle: 3
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: May 9, 2024Corrected: NoCycle: 3
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Jul 18, 2023Corrected: NoCycle: 3
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Jul 18, 2023Corrected: NoCycle: 3
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Jul 18, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 18, 2023Corrected: NoCycle: 3
F0679Potential for Harm

Provide activities to meet all resident's needs.

Survey: Jul 18, 2023Corrected: NoCycle: 3
Total Fines
$303,179
Number of Fines
5
Payment Denials
1
Total Penalties
6

Penalty History

FineJan 14, 2026
$8,281
FineJan 14, 2026
$12,740
FineJul 18, 2025
$16,543
FineMay 9, 2024
$62,438
FineJun 10, 2024
$203,177
Payment DenialJun 10, 2024
11 days denied

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.29 hrs
National avg: 2.32 hrs
LPN0.71 hrs
National avg: 0.86 hrs
RN0.31 hrs
National avg: 0.69 hrs
Total Nursing2.31 hrs
National avg: 3.86 hrs
Weekend Total1.98 hrs
National avg: 0.00 hrs
Physical Therapist0.03 hrs
National avg: 0.07 hrs
Total Turnover
72.4%
RN Turnover
57.1%
Administrators Left
2

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Partnership
Recent Change
No

Owners & Managers (24)

NameRoleTypeOwnership %Since
RALLS NH OPERATIONS, LTD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2014
SPORE, SCOTT5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2014
SSS HOLDINGS LPDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2023
BRITTON, CARLDIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2023
CHEBIB, PAULDIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2023
WOLCOTT, ROGERDIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2023
CHILDRESS COUNTY HOSPITAL DISTRICT5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2014
BUCHOK, ANDREWW-2 MANAGING EMPLOYEEIndividualN/AAug 22, 2023
CHEBIB, PAULW-2 MANAGING EMPLOYEEIndividualN/ADec 1, 2023
HOLCOMB, HOLLYW-2 MANAGING EMPLOYEEIndividualN/AApr 15, 1996
HOLCOMB, HOLLYCORPORATE OFFICERIndividualN/AMay 29, 2021
STRATTON, EMILEECORPORATE OFFICERIndividualN/AMar 18, 2018
BUCHOK, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 13, 2025
CHEBIB, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 30, 2024
SPORE, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 13, 2024
BRITTON, CARLLIMITED PARTNERSHIP INTERESTIndividualN/ADec 1, 2023
WOLCOTT, ROGERLIMITED PARTNERSHIP INTERESTIndividualN/ADec 1, 2023
CHILDRESS COUNTY HOSPITAL DISTRICTADP OF THE SNFOrganizationN/AJan 23, 2025
RALLS NH OPERATIONS, LTDADP OF THE SNFOrganizationN/AJan 23, 2025
BUCHOK, ANDREWADP OF THE SNFIndividualN/AJan 23, 2025
CHEBIB, PAULADP OF THE SNFIndividualN/AJan 23, 2025
HOLCOMB, HOLLYADP OF THE SNFIndividualN/AJan 23, 2025
SPORE, SCOTTADP OF THE SNFIndividualN/AJan 23, 2025
STRATTON, EMILEEADP OF THE SNFIndividualN/AJan 23, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Ralls Nursing Home and nearby alternatives.

All Texas facilities
Ralls Nursing Home
Ralls, TXCurrent facilityAbuse flag
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $303,179
Crosbyton Nursing and Rehabilitation Center
Crosbyton, TX7.6 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
Slaton Care Center
Slaton, TX23.9 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: $23,491
Windmill Village Rehabilitation & Care Center
Lubbock, TX26.6 mi
CMS
3/5
Health
3/5
Staffing
1/5
Recorded fines: None
Avir at Heritage Oaks
Lubbock, TX30.2 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: None
The Mildred & Shirley L. Garrison Geriatric Educat
Lubbock, TX31.1 miAbuse flag
CMS
2/5
Health
1/5
Staffing
1/5
Recorded fines: $37,020
Southern Specialty Rehab & Nursing
Lubbock, TX31.3 mi
CMS
1/5
Health
1/5
Staffing
1/5
Recorded fines: $36,652
FacilityDistanceCMSHealthStaffingRecorded fines
Ralls Nursing Home
Ralls, TX · Current facility
—1/51/51/5$303,179
Crosbyton Nursing and Rehabilitation Center
Crosbyton, TX
7.6 mi2/53/51/5None recorded
Slaton Care Center
Slaton, TX
23.9 mi4/54/51/5$23,491
Windmill Village Rehabilitation & Care Center
Lubbock, TX
26.6 mi3/53/51/5None recorded
Avir at Heritage Oaks
Lubbock, TX
30.2 mi2/53/51/5None recorded
The Mildred & Shirley L. Garrison Geriatric Educat
Lubbock, TX
31.1 mi2/51/51/5$37,020
Southern Specialty Rehab & Nursing
Lubbock, TX
31.3 mi1/51/51/5$36,652

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Ralls Nursing Home?▾
Ralls Nursing Home has an overall CMS rating of 1 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 4/5. This facility is rated below average.
How much does Ralls Nursing Home cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Ralls Nursing Home participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Ralls Nursing Home had any health inspection violations?▾
Ralls Nursing Home had 13 deficiency citations in its most recent health inspection (Sep 16, 2025). The current CMS dataset records 5 fine(s) totaling $303,179.
What are the staffing levels at Ralls Nursing Home?▾
Ralls Nursing Home provides 2.31 total nursing staff hours per resident per day, including 0.31 RN hours, 0.71 LPN hours, and 1.29 nurse aide hours. The total staff turnover rate is 72.4%.
How many beds does Ralls Nursing Home have?▾
Ralls Nursing Home has 46 certified beds with an average of 33.7 residents per day, resulting in approximately 73% occupancy. The facility is For profit - Partnership owned.
Are there other nursing homes near Ralls Nursing Home?▾
Yes. This page lists 6 nearby nursing homes in Texas. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Ralls Nursing Home?▾
On Google Maps, Ralls Nursing Home has a rating of 2.6 out of 5 based on 5 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 1/5.