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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasRalls Nursing Home

Ralls Nursing Home

1111 Avenue P, Ralls, TX 793578062532596
1/5Much Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
4/5
Beds
46
certified
This facility has been flagged for abuse.
5 fine(s) totaling $501,656

Key Findings

• CMS rates this facility 1/5 stars (below average)

• Has 46 certified beds with an average of 35.2 residents per day (77% occupancy)

• Last health inspection found 9 deficiencies (inspected Sep 16, 2025)

• Has been fined a total of $501,656 across 5 fine(s)

• Total nursing staff: 2.51 hours per resident per day

• Staff turnover rate: 46.2%

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. The facility scored below average compared to Texas facilities.

Beds
46
Avg Residents/Day
35.2
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)
9
Weighted Score
192.8
Infection Citations
0

Deficiency Citations (30)

F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Nov 26, 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
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
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
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
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: 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: 2
F0607Immediate Jeopardy

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

Survey: Jun 10, 2024Corrected: NoCycle: 2
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: 2
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Jun 10, 2024Corrected: NoCycle: 2
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: 2
F0607Potential for Harm

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

Survey: May 9, 2024Corrected: NoCycle: 2
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: 2
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: 2
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: Apr 17, 2023Corrected: NoCycle: 3
F0609Potential for Harm

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

Survey: Apr 17, 2023Corrected: NoCycle: 3
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Mar 24, 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: Mar 24, 2023Corrected: NoCycle: 3
F0761Potential for Harm

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Survey: Mar 24, 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
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
Total Fines
$501,656
Number of Fines
5
Payment Denials
1
Total Penalties
6

Penalty History

FineJan 14, 2026
$12,740
FineJan 14, 2026
$12,740
FineMay 9, 2024
$62,438
FineJun 10, 2024
$203,177
FineMar 24, 2023
$210,561
Payment DenialJun 10, 2024
11 days denied

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

Nurse Aide1.48 hrs
National avg: 2.35 hrs
LPN0.75 hrs
National avg: 0.86 hrs
RN0.29 hrs
National avg: 0.68 hrs
Total Nursing2.51 hrs
National avg: 3.89 hrs
Weekend Total2.21 hrs
National avg: 0.00 hrs
Physical Therapist0.04 hrs
National avg: 0.07 hrs
Total Turnover
46.2%
RN Turnover
0.0%
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 (15)

NameRoleTypeOwnership %Since
RALLS NH OPERATIONS, LTD5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2014
SSS HOLDINGS LP5% OR GREATER DIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2023
CHEBIB, PAUL5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2023
SPORE, SCOTT5% OR GREATER DIRECT OWNERSHIP INTERESTIndividualN/ADec 1, 2014
CHILDRESS COUNTY HOSPITAL DISTRICT5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationN/ADec 1, 2014
BRITTON, CARLLIMITED PARTNERSHIP INTERESTIndividualN/ADec 1, 2023
WOLCOTT, ROGERLIMITED PARTNERSHIP INTERESTIndividualN/ADec 1, 2023
BUCHOK, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualN/AJan 13, 2025
CHEBIB, PAULOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 30, 2024
SPORE, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualN/ADec 13, 2024
HOLCOMB, HOLLYCORPORATE OFFICERIndividualN/AMay 29, 2021
STRATTON, EMILEECORPORATE OFFICERIndividualN/AMar 18, 2018
BUCHOK, ANDREWW-2 MANAGING EMPLOYEEIndividualN/AAug 22, 2023
CHEBIB, PAULW-2 MANAGING EMPLOYEEIndividualN/ADec 1, 2023
HOLCOMB, HOLLYW-2 MANAGING EMPLOYEEIndividualN/AApr 15, 1996

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.
Has Ralls Nursing Home had any health inspection violations?▾
Ralls Nursing Home had 9 deficiency citations in its most recent health inspection (Sep 16, 2025). The facility has been fined a total of $501,656 across 5 fine(s).
What are the staffing levels at Ralls Nursing Home?▾
Ralls Nursing Home provides 2.51 total nursing staff hours per resident per day, including 0.29 RN hours, 0.75 LPN hours, and 1.48 nurse aide hours. The total staff turnover rate is 46.2%.
How many beds does Ralls Nursing Home have?▾
Ralls Nursing Home has 46 certified beds with an average of 35.2 residents per day, resulting in approximately 77% occupancy. The facility is For profit - Partnership owned.