Ralls Nursing Home
1111 Avenue P, Ralls, TX, 79357
Yes. Federal inspectors cited 13 deficiencies against Ralls Nursing Home in Ralls, Texas at its most recent standard inspection on 2025-09-16, 8 of them arising from complaints. 8 findings have been recorded at the immediate-jeopardy level, the most serious CMS uses, meaning a resident was placed in immediate danger. Medicare has fined it 5 times, totalling $303,179. CMS currently flags this home for abuse. Medicare rates it 1 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 20 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-01-14 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2026-01-14 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-01-14 · from a complaint · Immediate jeopardy to resident health or safety
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0602 · 2026-01-14 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies · F0760 · 2025-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · F0565 · 2025-09-16 · standard survey · No actual harm, potential for more than minimal harm
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.
Resident Rights Deficiencies · F0585 · 2025-09-16 · standard survey · No actual harm, potential for more than minimal harm
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.
Nursing and Physician Services Deficiencies · F0727 · 2025-09-16 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-09-16 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-09-16 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-07-18 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2025-07-18 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2025-07-18 · from a complaint · Immediate jeopardy to resident health or safety
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-08-20 · standard survey · No actual harm, potential for more than minimal harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · F0921 · 2024-08-20 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-06-10 · from a complaint · Immediate jeopardy to resident health or safety
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0607 · 2024-06-10 · from a complaint · Immediate jeopardy to resident health or safety
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2024-06-10 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2024-06-10 · from a complaint · No actual harm, potential for more than minimal harm
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Rights Deficiencies · F0580 · 2024-06-10 · from a complaint · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Ralls Nursing Home
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| RALLS NH OPERATIONS, LTD | Organization | NO PERCENTAGE PROVIDED | since 12/01/2014 |
| SPORE, SCOTT | Individual | NO PERCENTAGE PROVIDED | since 12/01/2014 |
| SSS HOLDINGS LP | Organization | NOT APPLICABLE | since 12/01/2023 |
| BRITTON, CARL | Individual | NOT APPLICABLE | since 12/01/2023 |
| CHEBIB, PAUL | Individual | NOT APPLICABLE | since 12/01/2023 |
| WOLCOTT, ROGER | Individual | NOT APPLICABLE | since 12/01/2023 |
| CHILDRESS COUNTY HOSPITAL DISTRICT | Organization | NO PERCENTAGE PROVIDED | since 12/01/2014 |
| BUCHOK, ANDREW | Individual | NOT APPLICABLE | since 08/22/2023 |
| CHEBIB, PAUL | Individual | NOT APPLICABLE | since 12/01/2023 |
| HOLCOMB, HOLLY | Individual | NOT APPLICABLE | since 04/15/1996 |
| HOLCOMB, HOLLY | Individual | NOT APPLICABLE | since 05/29/2021 |
| STRATTON, EMILEE | Individual | NOT APPLICABLE | since 03/18/2018 |
Ask Ralls Nursing Home a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 675407.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction