Nursing homeActive
Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357806253259646 certified beds · 34 residentsFor profit - PartnershipMedicare and Medicaid
Surveys on file
8
since 2023
Deficiencies
29
● 0● 20● 9
Penalties · 3 yrs
$303,179
5 fines · 1 action
Last survey
2026-01-14
Complaint
CMS overall
1 / 5
stars as published by CMS
CMS overall 1/5
Health 1
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Texas Health and Human Services Commission · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-01-14 | Complaint | 013 | CMS-2567 (Care Compare) | — |
| 2025-11-26 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2025-09-16 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-07-18 | Complaint | 003 | CMS-2567 (Care Compare) | — |
| 2024-08-20 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-06-10 | Complaint | 032 | CMS-2567 (Care Compare) | — |
| 2024-05-09 | Complaint | 031 | CMS-2567 (Care Compare) | — |
| 2023-07-18 | Standard | 050 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Texas Health and Human Services Commission publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675407-20260114-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675407-20260114-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675407-20260114-F609
F602Protect each resident from the wrongful use of the resident's belongings or money.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-15Record 675407-20260114-F602
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-11-27Record 675407-20251126-F760
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-11Record 675407-20250916-F565
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-11Record 675407-20250916-F585
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-11Record 675407-20250916-F609
F727Have 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.Scope/severity EStandard
Staffing
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-11Record 675407-20250916-F727
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-10-11Record 675407-20250916-F812
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675407-20250718-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675407-20250718-F607
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity JHarm
Abuse & neglect
Isolated; immediate jeopardy to resident health or safety.Correction not yet recordedRecord 675407-20250718-F609
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 675407-20240820-F880
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-21Record 675407-20240820-F921
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-07-23Record 675407-20240610-F600
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity KHarm
Abuse & neglect
Pattern; immediate jeopardy to resident health or safety.Corrected 2024-07-23Record 675407-20240610-F607
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 675407-20240610-F580
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 675407-20240610-F609
F610Respond appropriately to all alleged violations.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 675407-20240610-F610
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-06-06Record 675407-20240509-F689
F585Honor 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.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675407-20240509-F585
F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.Scope/severity EStandard
Abuse & neglect
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675407-20240509-F607
F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-06-06Record 675407-20240509-F657
F552Ensure that residents are fully informed and understand their health status, care and treatments.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-07-19Record 675407-20230718-F552
F558Reasonably accommodate the needs and preferences of each resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-24Record 675407-20230718-F558
F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-27Record 675407-20230718-F656
F679Provide activities to meet all resident's needs.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-07-19Record 675407-20230718-F679
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-08-02Record 675407-20230718-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-01-14 | Civil money penalty | $12,740 | CMS · Penalties |
| 2026-01-14 | Civil money penalty | $8,281 | CMS · Penalties |
| 2025-07-18 | Civil money penalty | $16,543 | CMS · Penalties |
| 2024-06-10 | Civil money penalty | $203,177 | CMS · Penalties |
| 2024-06-10 | Denial of payment for new admissions Payment denial for 11 days, from 2024-07-12 | — | CMS · Penalties |
| 2024-05-09 | Civil money penalty | $62,438 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.31
Facility
Texas
National
Texas 0.43 · National 0.69
Total nurse hours per resident day2.31
Facility
Texas
National
Texas 3.39 · National 3.86
Weekend total nurse hours1.98
Facility
Texas
National
Texas 2.98 · National 3.42
Total nursing staff turnover72%
Facility
Texas
National
Texas 55% · National 46%
Registered nurse turnover57%
Facility
Texas
National
Texas 55% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Texas | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.2% | 3.8% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.5% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.2% | 9.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 4.7% | 0.8% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.0% | 15.8% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 15.7% | 3.0% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 53.4% | 18.0% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Ralls Nh Operations, Ltd Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Spore, Scott Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Childress County Hospital District Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Buchok, Andrew Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Chebib, Paul Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Spore, Scott Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Britton, Carl Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Britton, Carl Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Buchok, Andrew Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Buchok, Andrew Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chebib, Paul Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Chebib, Paul Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Chebib, Paul Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Childress County Hospital District Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holcomb, Holly Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Holcomb, Holly Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Holcomb, Holly Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Ralls Nh Operations, Ltd Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Spore, Scott Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Sss Holdings LP Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Stratton, Emilee Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Stratton, Emilee Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Wolcott, Roger Individual | LIMITED PARTNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Wolcott, Roger Individual | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Texas.
No county cost figures on file for Crosby.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Crosbyton Nursing and Rehabilitation Center Crosbyton | 7.6 mi | 2025-12-02 | 2230 |
| Slaton Care Center Slaton | 23.9 mi | 2025-12-04 | 1100 |
| Windmill Village Rehabilitation & Care Center Lubbock | 26.6 mi | 2026-07-09 | 0280 |
| Post Nursing & Rehab Center Post | 34.1 mi | 2025-12-04 | 080 |
| Avir at Heritage Oaks Lubbock | 30.2 mi | 2026-06-22 | 0320 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |