• 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.
Ensure that residents are free from significant medication errors.
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.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
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.
Respond appropriately to all alleged violations.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide and implement an infection prevention and control program.
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.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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.
Ensure that residents are fully informed and understand their health status, care and treatments.
Reasonably accommodate the needs and preferences of each resident.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide activities to meet all resident's needs.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 |
| SSS HOLDINGS LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2023 |
| CHEBIB, PAUL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| SPORE, SCOTT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | N/A | Dec 1, 2014 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | N/A | Dec 1, 2014 |
| BRITTON, CARL | LIMITED PARTNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| WOLCOTT, ROGER | LIMITED PARTNERSHIP INTEREST | Individual | N/A | Dec 1, 2023 |
| 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 |
| HOLCOMB, HOLLY | CORPORATE OFFICER | Individual | N/A | May 29, 2021 |
| STRATTON, EMILEE | CORPORATE OFFICER | Individual | N/A | Mar 18, 2018 |
| 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 |