Nursing homes › Texas › Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357 · 8062532596 · 46 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: For profit - Partnership.
Total nurse staffing: 2.31 (Texas median: 3.27). RN hours: 0.31. Weekend total: 1.98. Nursing staff turnover: 72%.
All-time on record: 29 deficiency citations, including 8 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-01-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | Past Non-Compliance |
| 2026-01-14 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | complaint | Past Non-Compliance |
| 2026-01-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | complaint | Past Non-Compliance |
| 2026-01-14 | Protect each resident from the wrongful use of the resident's belongings or money. | E | complaint | corrected 2026-01-15 |
| 2025-11-26 | Ensure that residents are free from significant medication errors. | D | complaint | corrected 2025-11-27 |
| 2025-09-16 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Health | corrected 2025-10-11 |
| 2025-09-16 | Honor 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. | E | Health | corrected 2025-10-11 |
| 2025-09-16 | Have 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. | E | Health | corrected 2025-10-11 |
| 2025-09-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2025-10-11 |
| 2025-09-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-10-11 |
| 2025-07-18 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | complaint | Past Non-Compliance |
| 2025-07-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | complaint | Past Non-Compliance |
| 2025-07-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | complaint | Past Non-Compliance |
| 2024-08-20 | Provide and implement an infection prevention and control program. | D | Health | corrected 2024-08-21 |
| 2024-08-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Health | corrected 2024-08-21 |
| 2024-06-10 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | complaint | corrected 2024-07-23 |
| 2024-06-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | complaint | corrected 2024-07-23 |
| 2024-06-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | complaint | corrected 2024-07-23 |
| 2024-06-10 | Respond appropriately to all alleged violations. | E | complaint | corrected 2024-07-23 |
| 2024-06-10 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | complaint | corrected 2024-07-23 |
| 2024-05-09 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | complaint | corrected 2024-06-06 |
| 2024-05-09 | Honor 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. | E | complaint | corrected 2024-06-06 |
| 2024-05-09 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | complaint | corrected 2024-06-06 |
| 2024-05-09 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | complaint | corrected 2024-06-06 |
| 2023-07-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Health | corrected 2023-08-02 |
| 2023-07-18 | Ensure that residents are fully informed and understand their health status, care and treatments. | E | Health | corrected 2023-07-19 |
| 2023-07-18 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2023-07-24 |
| 2023-07-18 | 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 2023-07-27 |
| 2023-07-18 | Provide activities to meet all resident's needs. | D | Health | corrected 2023-07-19 |
| Date | Type | Amount |
|---|---|---|
| 2026-01-14 | Fine | $8,281 |
| 2026-01-14 | Fine | $12,740 |
| 2025-07-18 | Fine | $16,543 |
| 2024-06-10 | Fine | $203,177 |
| 2024-06-10 | Payment Denial | 11 days payment denial |
| 2024-05-09 | Fine | $62,438 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| RALLS NH OPERATIONS, LTD | 5% Or Greater Direct Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/01/2014 |
| SPORE, SCOTT | 5% Or Greater Direct Ownership Interest | Individual | NO PERCENTAGE PROVIDED | since 12/01/2014 |
| SSS HOLDINGS LP | Direct Ownership Interest | Organization | NOT APPLICABLE | since 12/01/2023 |
| BRITTON, CARL | Direct Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2023 |
| CHEBIB, PAUL | Direct Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2023 |
| WOLCOTT, ROGER | Direct Ownership Interest | Individual | NOT APPLICABLE | since 12/01/2023 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | 5% Or Greater Indirect Ownership Interest | Organization | NO PERCENTAGE PROVIDED | since 12/01/2014 |
| HOLCOMB, HOLLY | Corporate Officer | Individual | NOT APPLICABLE | since 05/29/2021 |
| STRATTON, EMILEE | Corporate Officer | Individual | NOT APPLICABLE | since 03/18/2018 |
| BUCHOK, ANDREW | Operational/Managerial Control | Individual | NOT APPLICABLE | since 01/13/2025 |
| CHEBIB, PAUL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/30/2024 |
| SPORE, SCOTT | Operational/Managerial Control | Individual | NOT APPLICABLE | since 12/13/2024 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675407. Corrections: data@carerecords.org.