Premier Health Care Center
Nursing Home · Ranger, TX
CMS certification number676017
Contact & location
460 W Main StRanger, TX 76470
Eastland County
- Phone
- (254) 647-3111
- ZIP code
- 76470 – all care providers
Facility details
- Certified beds
- 50
- Residents per day
- 47.3 (95% occupied)
- Ownership
- For profit - Individual
- Legal name
- Premier Health Care Center LLC
- Medicare certified since
- December 31, 2003
- 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
- 2.21 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.22 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 0.74 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.24 (state 2.00 · U.S. 2.32)
- Weekend total
- 1.92 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 59.1 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- May 21, 2026
- Health deficiencies (last cycle)
- 14.0 (state 9.3 · U.S. 9.3)
- From complaints
- 3
- Citations on record (3 years)
- 25 health · 10 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-05-21 | 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 |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Ensure medication error rates are not 5 percent or greater. F0759 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | 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 |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-05-21 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-06-30 |
| 2026-01-15 | 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 |
J Immediate jeopardy to resident health or safety |
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. F0728 · Nursing and Physician Services Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-01-16 |
| 2026-01-15 | Keep all essential equipment working safely. F0908 · Environmental Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies |
F No actual harm, potential for more than minimal harm |
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. F0842 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-26 |
| 2025-03-05 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
E No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
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. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-03-27 |
| 2025-03-05 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
B No actual harm, potential for minimal harm |
Corrected 2025-03-27 |
| 2024-02-22 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0656 · Resident Assessment and Care Planning Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0700 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
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. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-15 |
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
1 penalty in the last three years, including $14,069 in fines.
| Date | Type | Amount |
|---|---|---|
| 2026-01-15 | Fine | $14,069 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Alexander, Rainey (individual) | Administrator · NOT APPLICABLE | |
| Martinez Irizarry, Axel (individual) | Administrator · NOT APPLICABLE | |
| Stroh Properties LP (organization) | Administrator · NOT APPLICABLE | |
| Stroh, Clarence (individual) | Administrator · NOT APPLICABLE | |
| Alexander, Rainey (individual) | Direct Ownership Interest · NOT APPLICABLE | |
| Alexander, Rainey (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Martinez Irizarry, Axel (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of Premier Health Care Center?
Premier Health Care Center 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 Premier Health Care Center have?
It has 50 certified beds and cares for about 47 residents per day.
Has Premier Health Care Center been fined?
Yes. CMS lists 1 penalty totaling $14,069 in the last three years.
What is the phone number of Premier Health Care Center?
(254) 647-3111. The facility is located at 460 W Main St, Ranger, TX 76470.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.