Ralls Nursing Home, Ralls, Texas
- 29
- Citations from health inspectionsTexas average: 28 a home
- 9
- Residents harmed or put in dangerTexas average: 2.3 a home
- $303,179
- Fines from the federal governmentTexas average: $44,141 a home
- 1 out of 5
- Overall rating in starsTexas average: 2.7
The figures come from Medicare Care Compare files released October 8, 2026 by CMS, the federal Medicare agency. The citations span each home's three most recent inspection cycles plus their complaint visits, going back to March 2017 at the earliest; the fines span about three years, beginning September 2023. Browse the CMS files
Eight inspection visits produced 29 citations. Residents were in immediate danger in eight findings. Residents were found hurt in one case. Federal fines came to $303,179 (five fines). Once, Medicare stopped paying for new admissions.
The CMS abuse icon is shown for this home. Care Compare adds it after a citation for abuse or neglect. Either a resident was harmed recently, or harm could have resulted over two inspections in a row.
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- The home's overall star rating
- 1 out of 5
- Rating for health inspections
- 1 out of 5
- Rating for staffing
- 1 out of 5
- Rating for quality of care
- 4 out of 5
- Nurse time for each resident
- 2.31 hours each dayThe Texas average is 3.39 hours
- Time from registered nurses
- 0.31 hours each dayThe Texas average is 0.43 hours
- Nursing staff who left during one year
- 72.4%against the Texas average of 55.3%
- Beds that are certified
- 46
- Ownership
- Partnership (for profit)
- Chain
- This home is not part of a chain
- Street address
- 1111 Avenue P, Ralls, Texas 79357
- County
- Crosby
Each inspection's citations
Every citation marks a federal rule inspectors found broken, along with its seriousness and the number of residents affected.
Four citations dated Jan. 14, 2026
- F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, one or a few residents, found on a complaint visit.
- F602 Protect Residents' Money and Belongings From Misuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
One citation dated Nov. 26, 2025
- F760 Significant Medication Errors: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Five citations dated Sept. 16, 2025
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, a pattern, several residents.
- F727 Required Registered Nurse and Nursing Director: risk of harm, no one found hurt, a pattern, several residents.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, one or a few residents.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents.
- F565 Right to Resident and Family Groups: risk of harm, no one found hurt, a pattern, several residents.
Three citations dated July 18, 2025
- F609 Reporting Suspected Abuse: immediate danger to residents, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, one or a few residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, one or a few residents, found on a complaint visit.
Two citations dated Aug. 20, 2024
- F921 A Safe, Clean Building: risk of harm, no one found hurt, one or a few residents.
- F880 Infection Prevention and Control: risk of harm, no one found hurt, one or a few residents.
Five citations dated June 10, 2024
- F610 Investigating Abuse Allegations: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F609 Reporting Suspected Abuse: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F600 Freedom From Abuse and Neglect: immediate danger to residents, a pattern, several residents, found on a complaint visit.
- F580 Telling the Family About a Change: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
Four citations dated May 9, 2024
- F689 Accident Hazards and Supervision: residents were harmed, one or a few residents, found on a complaint visit.
- F657 Updating the Care Plan on Time: risk of harm, no one found hurt, one or a few residents, found on a complaint visit.
- F607 Policies to Prevent Abuse, Neglect, and Theft: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
- F585 Right to File Complaints Without Retaliation: risk of harm, no one found hurt, a pattern, several residents, found on a complaint visit.
Five citations dated July 18, 2023
- F812 Food Storage and Kitchen Safety: risk of harm, no one found hurt, widespread.
- F679 Activities That Meet Every Resident's Needs: risk of harm, no one found hurt, one or a few residents.
- F656 A Complete Care Plan: risk of harm, no one found hurt, one or a few residents.
- F558 Meeting Residents' Needs and Preferences: risk of harm, no one found hurt, one or a few residents.
- F552 Keep Residents Informed About Health and Care: risk of harm, no one found hurt, a pattern, several residents.
Payment Denials and Fines
| Date | Penalty | Amount |
|---|---|---|
| Jan. 14, 2026 | Fine | $8,281 |
| Jan. 14, 2026 | Fine | $12,740 |
| July 18, 2025 | Fine | $16,543 |
| June 10, 2024 | Fine | $203,177 |
| June 10, 2024 | Payment denial for new admissions | 11 days |
| May 9, 2024 | Fine | $62,438 |
Ownership and Management of the Home
- The direct owner is Ralls NH Operations, Ltd.
- The direct owner is Sss Holdings LP.
- Owns a share through another company: Childress County Hospital District.
Four people with an ownership stake are also listed by CMS.
The CMS Care Compare files, updated every month, provide provider information, health deficiencies, penalties, and ownership. The CMS certification number is 675407. Other homes in Texas.