Nursing homes › Texas › Premier Health Care Center
460 W Main St, Ranger, TX 76470 · (254) 647-3111 · 50 certified beds
Save this provider to compare the same published fields across up to four providers of the same care type.
Open your comparisonCMS overall star rating: this provider 1/5; median among 1,165 providers with a published value in the same state and provider category: 3/5.
CareRecords calculates this unweighted median from the loaded source snapshot. Providers with missing values are excluded. It is a descriptive reference, not a new quality rating or recommendation. Individual reporting periods may differ; do not compare different rating systems.
How to compare records without mistaking missing data for good performance →
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Individual.
Total nurse staffing: 2.21 (Texas median: 3.27). RN hours: 0.22. Weekend total: 1.92. Nursing staff turnover: 59%.
In the downloaded CMS dataset: 25 deficiency citations, including 1 at immediate-jeopardy level. Below: up to 40 most recent citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-05-21 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-06-30 |
| 2026-05-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Health | corrected 2026-06-30 |
| 2026-05-21 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-06-30 |
| 2026-05-21 | Ensure medication error rates are not 5 percent or greater. | E | Health | corrected 2026-06-30 |
| 2026-05-21 | Provide and implement an infection prevention and control program. | E | Health | corrected 2026-06-30 |
| 2026-05-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Health | corrected 2026-06-30 |
| 2026-05-21 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2026-06-30 |
| 2026-05-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Health | corrected 2026-06-30 |
| 2026-05-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2026-06-30 |
| 2026-05-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2026-06-30 |
| 2026-05-21 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2026-06-30 |
| 2026-01-15 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | complaint | corrected 2026-01-16 |
| 2026-01-15 | Ensure 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. | E | complaint | corrected 2026-01-16 |
| 2026-01-15 | Keep all essential equipment working safely. | D | complaint | corrected 2026-01-16 |
| 2025-03-05 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2025-03-11 |
| 2025-03-05 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Health | corrected 2025-04-26 |
| 2025-03-05 | Provide and implement an infection prevention and control program. | E | Health | corrected 2025-04-27 |
| 2025-03-05 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-26 |
| 2025-03-05 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Health | corrected 2025-04-26 |
| 2025-03-05 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Health | corrected 2025-03-27 |
| 2025-03-05 | Provide safe and appropriate respiratory care for a resident when needed. | B | Health | corrected 2025-03-27 |
| 2024-02-22 | Ensure each resident receives an accurate assessment. | E | complaint | corrected 2024-03-15 |
| 2024-02-22 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | complaint | corrected 2024-03-22 |
| 2024-02-22 | Try 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. | E | complaint | corrected 2024-03-15 |
| 2024-02-22 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | complaint | corrected 2024-03-15 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-15 | Fine | $14,069 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| ALEXANDER, RAINEY | Direct Ownership Interest | Individual | NOT APPLICABLE | since 01/01/2022 |
| ALEXANDER, RAINEY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2022 |
| MARTINEZ IRIZARRY, AXEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/01/2025 |
How to cite this page: CareRecords, “Premier Health Care Center — compliance, penalty and ownership record” (CCN 676017), compiled from the CMS Provider Data Catalog, August 2026 release. https://carerecords.org/nursing-home/premier-health-care-center-ranger-tx/
Source: CMS Provider Data Catalog (August 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676017. Corrections: data@carerecords.org.