CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from the wrongful use of the resident's belongings or money.
Honor the resident's right to organize and participate in resident/family groups in the facility.
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.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that residents are fully informed and understand their health status, care and treatments.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| RALLS NH OPERATIONS, LTD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2014 |
| SPORE, SCOTT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2014 |
| SSS HOLDINGS LP | DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2023 |
| BRITTON, CARL | DIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| CHEBIB, PAUL | DIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| WOLCOTT, ROGER | DIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2014 |
| BUCHOK, ANDREW | W-2 MANAGING EMPLOYEE | Individual | N/A | Aug 22, 2023 |
| CHEBIB, PAUL | W-2 MANAGING EMPLOYEE | Individual | N/A | Dec 1, 2023 |
| HOLCOMB, HOLLY | W-2 MANAGING EMPLOYEE | Individual | N/A | Apr 15, 1996 |
| HOLCOMB, HOLLY | CORPORATE OFFICER | Individual | N/A | May 29, 2021 |
| STRATTON, EMILEE | CORPORATE OFFICER | Individual | N/A | Mar 18, 2018 |
| BUCHOK, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Jan 13, 2025 |
| CHEBIB, PAUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 30, 2024 |
| SPORE, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Dec 13, 2024 |
| BRITTON, CARL | LIMITED PARTNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| WOLCOTT, ROGER | LIMITED PARTNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | ADP OF THE SNF | Organization | N/A | Jan 23, 2025 |
| RALLS NH OPERATIONS, LTD | ADP OF THE SNF | Organization | N/A | Jan 23, 2025 |
| BUCHOK, ANDREW | ADP OF THE SNF | Individual | N/A | Jan 23, 2025 |
| CHEBIB, PAUL | ADP OF THE SNF | Individual | N/A | Jan 23, 2025 |
| HOLCOMB, HOLLY | ADP OF THE SNF | Individual | N/A | Jan 23, 2025 |
| SPORE, SCOTT | ADP OF THE SNF | Individual | N/A | Jan 23, 2025 |
| STRATTON, EMILEE | ADP OF THE SNF | Individual | N/A | Jan 23, 2025 |
Compare CMS ratings and recorded fines for Ralls Nursing Home and nearby alternatives.
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.