Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357 · CCN 675407
Abuse icon
Ratings
- Overall
- ★☆☆☆☆ 1
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★☆ 4
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Partnership
- Certified beds
- 46
- Avg residents/day
- 35.2
- Phone
- 8062532596
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 | 2025-09-16 | 13 | 9.1 | 9.5 | +3.9 worse |
| 2 | 2024-08-20 | 11 | 9.4 | 9.8 | +1.6 worse |
| 3 | 2023-07-18 | 10 | 8.1 | 9.3 | +1.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 8 |
| Nursing and physician services | 1 |
| Resident rights | 2 |
| Nutrition and dietary | 1 |
| Pharmacy service | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 2.51 | 46.2% |
| RN staffing (reported) | 0.29 | — |
| Total nurse staffing (adjusted) | 2.90 | — |
Fines & penalties
- Total fines
- $501,656
- Number of fines
- 5
- Number of penalties
- 6
- Payment denials
- 1
Inspection citations (34)9 immediate jeopardy1 actual harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2026-01-14 · Health
Immediate jeopardy
- EF0602Protect each resident from the wrongful use of the resident's belongings or money.2026-01-14 · Health · corrected 2026-01-15
Potential for more than minimal harm
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2026-01-14 · Health
Immediate jeopardy
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-14 · Health
Immediate jeopardy
- DF0760Ensure that residents are free from significant medication errors.2025-11-26 · Health · corrected 2025-11-27
Potential for more than minimal harm
- EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2025-09-16 · Health · corrected 2025-10-11
Potential for more than minimal harm
- EF0585Honor 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.2025-09-16 · Health · corrected 2025-10-11
Potential for more than minimal harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-09-16 · Health · corrected 2025-10-11
Potential for more than minimal harm
- EF0727Have 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.2025-09-16 · Health · corrected 2025-10-11
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.2025-09-16 · Health · corrected 2025-10-11
Potential for more than minimal harm
- JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-18 · Health
Immediate jeopardy
- JF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-07-18 · Health
Immediate jeopardy
- JF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-18 · Health
Immediate jeopardy
- DF0880Provide and implement an infection prevention and control program.2024-08-20 · Health · corrected 2024-08-21
Potential for more than minimal harm
- DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-08-20 · Health · corrected 2024-08-21
Potential for more than minimal harm
- DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-06-10 · Health · corrected 2024-07-23
Potential for more than minimal harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-10 · Health · corrected 2024-07-23
Immediate jeopardy
- KF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-06-10 · Health · corrected 2024-07-23
Immediate jeopardy
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-10 · Health · corrected 2024-07-23
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2024-06-10 · Health · corrected 2024-07-23
Potential for more than minimal harm
- EF0585Honor 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.2024-05-09 · Health · corrected 2024-06-06
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2024-05-09 · Health · corrected 2024-06-06
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.2024-05-09 · Health · corrected 2024-06-06
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-05-09 · Health · corrected 2024-06-06
Actual harm
- EF0552Ensure that residents are fully informed and understand their health status, care and treatments.2023-07-18 · Health · corrected 2023-07-19
Potential for more than minimal harm
- DF0558Reasonably accommodate the needs and preferences of each resident.2023-07-18 · Health · corrected 2023-07-24
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.2023-07-18 · Health · corrected 2023-07-27
Potential for more than minimal harm
- DF0679Provide activities to meet all resident's needs.2023-07-18 · Health · corrected 2023-07-19
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.2023-07-18 · Health · corrected 2023-08-02
Potential for more than minimal harm
- KF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-17 · Health · corrected 2023-04-19
Immediate jeopardy
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-04-17 · Health · corrected 2023-04-19
Potential for more than minimal harm
- EF0584Honor 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.2023-03-24 · Health · corrected 2023-04-17
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.2023-03-24 · Health · corrected 2023-04-17
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.2023-03-24 · Health · corrected 2023-04-17
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| RALLS NH OPERATIONS, LTD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2014-12-01 |
| SSS HOLDINGS LP | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-12-01 |
| CHEBIB, PAUL | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-12-01 |
| SPORE, SCOTT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2014-12-01 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | — | 2014-12-01 |
| BRITTON, CARL | Individual | LIMITED PARTNERSHIP INTEREST | — | 2023-12-01 |
| WOLCOTT, ROGER | Individual | LIMITED PARTNERSHIP INTEREST | — | 2023-12-01 |
| BUCHOK, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-13 |
| CHEBIB, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-30 |
| SPORE, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-12-13 |
| HOLCOMB, HOLLY | Individual | CORPORATE OFFICER | — | 2021-05-29 |
| STRATTON, EMILEE | Individual | CORPORATE OFFICER | — | 2018-03-18 |
| BUCHOK, ANDREW | Individual | W-2 MANAGING EMPLOYEE | — | 2023-08-22 |
| CHEBIB, PAUL | Individual | W-2 MANAGING EMPLOYEE | — | 2023-12-01 |
| HOLCOMB, HOLLY | Individual | W-2 MANAGING EMPLOYEE | — | 1996-04-15 |
Other facilities in Ralls
| 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.