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Nursing homesTexas › Premier Health Care Center

Premier Health Care Center

460 W Main St, Ranger, TX 76470 · 2546473111 · 50 certified beds

Overall★☆☆☆☆ 1/5
Health inspections★★☆☆☆ 2/5
Staffing★☆☆☆☆ 1/5
Quality measures★★☆☆☆ 2/5

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Individual.

Staffing (hours per resident per day)

Total nurse staffing: 2.21 (Texas median: 3.27). RN hours: 0.22. Weekend total: 1.92. Nursing staff turnover: 59%.

Inspection deficiencies

All-time on record: 23 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-01-15Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Jcomplaintcorrected 2026-01-16
2026-01-15Ensure 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. Ecomplaintcorrected 2026-01-16
2026-01-15Keep all essential equipment working safely. Dcomplaintcorrected 2026-01-16
2025-03-05Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2025-03-11
2025-03-05Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. EHealthcorrected 2025-04-26
2025-03-05Provide and implement an infection prevention and control program. EHealthcorrected 2025-04-27
2025-03-05Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. DHealthcorrected 2025-04-26
2025-03-05Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2025-04-26
2025-03-05Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2025-03-27
2025-03-05Provide safe and appropriate respiratory care for a resident when needed. BHealthcorrected 2025-03-27
2024-02-22Ensure each resident receives an accurate assessment. Ecomplaintcorrected 2024-03-15
2024-02-22Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Ecomplaintcorrected 2024-03-22
2024-02-22Try 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. Ecomplaintcorrected 2024-03-15
2024-02-22Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Ecomplaintcorrected 2024-03-15
2023-01-11Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. FHealthcorrected 2023-02-16
2023-01-11Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. EHealthcorrected 2023-02-10
2023-01-11Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. EHealthcorrected 2023-02-10
2023-01-11Implement 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. EHealthcorrected 2023-02-10
2023-01-11Ensure 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. EHealthcorrected 2023-02-10
2023-01-11Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. EHealthcorrected 2023-02-10
2023-01-11Provide and implement an infection prevention and control program. EHealthcorrected 2023-02-10
2023-01-11Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted DHealthcorrected 2023-02-10
2023-01-11Post nurse staffing information every day. CHealthcorrected 2023-02-10

Federal penalties

DateTypeAmount
2026-01-15Fine$14,069

Ownership & control records (CMS filings)

NameRoleType%Since
ALEXANDER, RAINEYDirect Ownership InterestIndividualNOT APPLICABLEsince 01/01/2022
ALEXANDER, RAINEYOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2022
MARTINEZ IRIZARRY, AXELOperational/Managerial ControlIndividualNOT APPLICABLEsince 01/01/2025

Compare nearby (Eastland County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 676017. Corrections: data@carerecords.org.