Premier Health Care Center
460 W Main St, Ranger, TX 76470 · CCN 676017
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★☆☆☆☆ 1
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Individual
- Certified beds
- 50
- Avg residents/day
- 41.8
- Phone
- 2546473111
Inspection history vs Texas & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-03-05 | 10 | 9.1 | 9.5 | +0.9 worse |
| 2 | 2024-02-22 | 4 | 9.4 | 9.8 | -5.4 better |
| 3 | 2023-01-11 | 9 | 8.1 | 9.3 | +0.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Quality of life and care | 3 |
| Resident assessment and care planning | 3 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
| Environmental | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.70 | 61.9% |
| RN staffing (reported) | 0.20 | — |
| Total nurse staffing (adjusted) | 3.08 | — |
Fines & penalties
- Total fines
- $21,645
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Inspection citations (23)1 immediate jeopardy
- JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2026-01-15 · Health · corrected 2026-01-16
Immediate jeopardy
- EF0728Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.2026-01-15 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0908Keep all essential equipment working safely.2026-01-15 · Health · corrected 2026-01-16
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-03-05 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-03-05 · Health · corrected 2025-04-26
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2025-03-05 · Health · corrected 2025-03-27
Potential for more than minimal harm
- BF0695Provide safe and appropriate respiratory care for a resident when needed.2025-03-05 · Health · corrected 2025-03-27
Potential for minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-03-05 · Health · corrected 2025-03-11
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-05 · Health · corrected 2025-04-26
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-03-05 · Health · corrected 2025-04-27
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-02-22 · Health · corrected 2024-03-22
Potential for more than minimal harm
- EF0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-02-22 · Health · corrected 2024-03-15
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2023-01-11 · Health · corrected 2023-02-10
Potential for minimal harm
- EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0761Ensure 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.2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
- EF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
- FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-01-11 · Health · corrected 2023-02-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2023-01-11 · Health · corrected 2023-02-10
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| ALEXANDER, RAINEY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-01-01 |
| ALEXANDER, RAINEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-01-01 |
| MARTINEZ IRIZARRY, AXEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-01 |
Other facilities in Ranger
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.