Ralls Nursing Home
Nursing Home · Ralls, TX
CMS certification number675407
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
1111 Avenue PRalls, TX 79357
Crosby County
- Phone
- (806) 253-2596
- ZIP code
- 79357 – all care providers
Facility details
- Certified beds
- 46
- Residents per day
- 33.7 (73% occupied)
- Ownership
- For profit - Partnership
- Legal name
- Childress County Hospital District
- Medicare certified since
- September 16, 1994
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 2.31 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.31 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.71 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.29 (state 2.00 · U.S. 2.32)
- Weekend total
- 1.98 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 72.4 (state 55.3 · U.S. 45.8)%
- RN turnover
- 57.1 (state 54.6 · U.S. 42.9)%
- Administrators who left
- 2 in the last year
Inspections
- Last standard inspection
- September 16, 2025
- Health deficiencies (last cycle)
- 10.0 (state 9.3 · U.S. 9.3)
- From complaints
- 5
- Citations on record (3 years)
- 29 health · 7 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-01-14 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2026-01-14 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2026-01-14 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2026-01-14 | Protect each resident from the wrongful use of the resident's belongings or money. F0602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-15 |
| 2025-11-26 | Ensure that residents are free from significant medication errors. F0760 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-11-27 |
| 2025-09-16 | Honor the resident's right to organize and participate in resident/family groups in the facility. F0565 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0585 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0727 · Nursing and Physician Services Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-10-11 |
| 2025-09-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2025-07-18 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2025-07-18 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Past Non-Compliance |
| 2024-08-20 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0921 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-07-23 |
| 2024-06-10 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
K Immediate jeopardy to resident health or safety |
Corrected 2024-07-23 |
| 2024-06-10 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-07-23 |
| 2024-06-10 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0580 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
G Actual harm |
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. F0585 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-06-06 |
| 2024-05-09 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0657 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2023-08-02 |
| 2023-07-18 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2023-07-19 |
| 2023-07-18 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-27 |
| 2023-07-18 | Provide activities to meet all resident's needs. F0679 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-07-19 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
6 penalties in the last three years, including $303,179 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-14 | Fine | $12,740 |
| 2026-01-14 | Fine | $8,281 |
| 2025-07-18 | Fine | $16,543 |
| 2024-06-10 | Payment Denial | 11 days payment denial |
| 2024-06-10 | Fine | $203,177 |
| 2024-05-09 | Fine | $62,438 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Ralls NH Operations, LTD (organization) | 5%+ Direct Ownership Interest | |
| Spore, Scott (individual) | 5%+ Direct Ownership Interest | |
| Childress County Hospital District (organization) | 5%+ Indirect Ownership Interest | |
| Buchok, Andrew (individual) | Administrator · NOT APPLICABLE | |
| Chebib, Paul (individual) | Administrator · NOT APPLICABLE | |
| Childress County Hospital District (organization) | Administrator · NOT APPLICABLE | |
| Holcomb, Holly (individual) | Administrator · NOT APPLICABLE | |
| Ralls NH Operations, LTD (organization) | Administrator · NOT APPLICABLE | |
| Spore, Scott (individual) | Administrator · NOT APPLICABLE | |
| Stratton, Emilee (individual) | Administrator · NOT APPLICABLE | |
| Holcomb, Holly (individual) | Corporate Officer · NOT APPLICABLE | |
| Stratton, Emilee (individual) | Corporate Officer · NOT APPLICABLE | |
| Britton, Carl (individual) | Direct Ownership Interest · NOT APPLICABLE | |
| Chebib, Paul (individual) | Direct Ownership Interest · NOT APPLICABLE | |
| SSS Holdings LP (organization) | Direct Ownership Interest · NOT APPLICABLE | |
| Wolcott, Roger (individual) | Direct Ownership Interest · NOT APPLICABLE | |
| Britton, Carl (individual) | Limited Partnership Interest · NOT APPLICABLE | |
| Wolcott, Roger (individual) | Limited Partnership Interest · NOT APPLICABLE | |
| Buchok, Andrew (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Chebib, Paul (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Spore, Scott (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Buchok, Andrew (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Chebib, Paul (individual) | W-2 Managing Employee · NOT APPLICABLE | |
| Holcomb, Holly (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Ralls Nursing Home?
Ralls Nursing Home has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does Ralls Nursing Home have?
It has 46 certified beds and cares for about 34 residents per day.
Has Ralls Nursing Home been fined?
Yes. CMS lists 6 penalties totaling $303,179 in the last three years.
What is the phone number of Ralls Nursing Home?
(806) 253-2596. The facility is located at 1111 Avenue P, Ralls, TX 79357.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.