Nursing homes › Texas › Premier Health Care Center
460 W Main St, Ranger, TX 76470 · 2546473111 · 50 certified beds
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%.
All-time on record: 23 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 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 |
| 2023-01-11 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-02-16 |
| 2023-01-11 | 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 2023-02-10 |
| 2023-01-11 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Health | corrected 2023-02-10 |
| 2023-01-11 | Implement 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. | E | Health | corrected 2023-02-10 |
| 2023-01-11 | 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. | E | Health | corrected 2023-02-10 |
| 2023-01-11 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Health | corrected 2023-02-10 |
| 2023-01-11 | Provide and implement an infection prevention and control program. | E | Health | corrected 2023-02-10 |
| 2023-01-11 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Health | corrected 2023-02-10 |
| 2023-01-11 | Post nurse staffing information every day. | C | Health | corrected 2023-02-10 |
| 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 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676017. Corrections: data@carerecords.org.