F53

Ralls Nursing Home

Grade F 53/100 composite score

For profit - PartnershipAbuse Citation

CMS Star Ratings

Overall
1/5
Health Insp.
1/5
Quality
4/5
Staffing
1/5
RN Staffing
Not rated

Certified Beds

46

Ownership

For profit - Partnership

Total Fines

$476,176

Last Survey

N/A

1111 Avenue P, Ralls, TX 79357
8062532596

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.33h
LPN
0.86h
CNA
1.71h
Total
2.90h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

RALLS NH OPERATIONS, LTD

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2014

SSS HOLDINGS LP

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2023

CHEBIB, PAUL

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2023

SPORE, SCOTT

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Dec 2014

CHILDRESS COUNTY HOSPITAL DISTRICT

Organization5% OR GREATER INDIRECT OWNERSHIP INTERESTSince Dec 2014

BRITTON, CARL

IndividualLIMITED PARTNERSHIP INTERESTSince Dec 2023

WOLCOTT, ROGER

IndividualLIMITED PARTNERSHIP INTERESTSince Dec 2023

BUCHOK, ANDREW

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2025

CHEBIB, PAUL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

SPORE, SCOTT

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Dec 2024

HOLCOMB, HOLLY

IndividualCORPORATE OFFICERSince May 2021

STRATTON, EMILEE

IndividualCORPORATE OFFICERSince Mar 2018

BUCHOK, ANDREW

IndividualW-2 MANAGING EMPLOYEESince Aug 2023

CHEBIB, PAUL

IndividualW-2 MANAGING EMPLOYEESince Dec 2023

HOLCOMB, HOLLY

IndividualW-2 MANAGING EMPLOYEESince Apr 1996

Penalties & Fines (4)

$476,176total fines
DateTypeDescriptionAmount
Jun 10, 2024Fine$203,177
Jun 10, 2024Payment Denial
May 9, 2024Fine$62,438
Mar 24, 2023Fine$210,561

Health Inspection Deficiencies (28)

November 26, 2025Health1 deficiency
0760DMinimal harm, Isolated

Ensure that residents are free from significant medication errors.

Pharmacy Service Deficiencies

Corrected Nov 27, 2025
July 18, 2025Health3 deficiencies3 severe
0600JImmediate jeopardy, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0607JImmediate jeopardy, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

0609JImmediate jeopardy, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

August 20, 2024Health2 deficiencies
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 21, 2024
0921DMinimal harm, Isolated

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

Environmental Deficiencies

Corrected Aug 21, 2024
June 10, 2024Health5 deficiencies2 severe
0580DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected Jul 23, 2024
0600KImmediate jeopardy, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 23, 2024
0607KImmediate jeopardy, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 23, 2024
0609EMinimal harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 23, 2024
0610EMinimal harm, Pattern

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 23, 2024
May 9, 2024Health4 deficiencies1 severe
0585EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Jun 6, 2024
0607EMinimal harm, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 6, 2024
0657DMinimal harm, Isolated

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

Corrected Jun 6, 2024
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 6, 2024
July 18, 2023Health5 deficiencies
0552EMinimal harm, Pattern

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

Resident Rights Deficiencies

Corrected Jul 19, 2023
0558DMinimal harm, Isolated

Reasonably accommodate the needs and preferences of each resident.

Resident Rights Deficiencies

Corrected Jul 24, 2023
0656DMinimal harm, Isolated

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

Corrected Jul 27, 2023
0679DMinimal harm, Isolated

Provide activities to meet all resident's needs.

Quality of Life and Care Deficiencies

Corrected Jul 19, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Aug 2, 2023
April 17, 2023Health2 deficiencies1 severe
0600KImmediate jeopardy, Pattern

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 19, 2023
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 19, 2023
March 24, 2023Health3 deficiencies
0584EMinimal harm, Pattern

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.

Resident Rights Deficiencies

Corrected Apr 17, 2023
0656EMinimal harm, Pattern

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

Corrected Apr 17, 2023
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Apr 17, 2023
May 24, 2022Health3 deficiencies
0655DMinimal harm, Isolated

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

Corrected Jun 23, 2022
0656DMinimal harm, Isolated

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

Corrected Jun 2, 2022
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jun 15, 2022

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Frequently Asked Questions

What is the CareGrader rating for Ralls Nursing Home?

Ralls Nursing Home in Ralls, Texas has a CareGrader grade of F (Poor), with a composite score of 53 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Ralls Nursing Home?

Ralls Nursing Home has an overall CMS star rating of 1 out of 5, a health inspection rating of 1/5, and a staffing rating of 1/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Ralls Nursing Home have?

Ralls Nursing Home has 28 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has Ralls Nursing Home been fined?

Yes. Ralls Nursing Home has $476,176 in total fines from CMS enforcement actions across 4 penalties.

How many beds does Ralls Nursing Home have?

Ralls Nursing Home has 46 certified beds with approximately 35 current residents (76% occupancy). The facility is located at 1111 Avenue P, Ralls, Texas 79357. It is a for profit - partnership facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.