Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357
Phone: 8062532596
CMS ratings and facility information
Ralls Nursing Home is a Medicare-certified nursing facility in Ralls, Crosby County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.
| CMS overall rating | 1 of 5 stars |
|---|---|
| Health inspection rating | 1 of 5 |
| Staffing rating | 1 of 5 |
| Quality measures rating | 4 of 5 |
| Certified beds | 46 |
| Ownership | For profit - Partnership |
| CMS certification number | 675407 |
Staffing
| Total nurse hours per resident day | 2.31 |
|---|---|
| RN hours per resident day | 0.31 |
| Nurse aide hours per resident day | 1.29 |
| Total nursing staff turnover percent | 72.4 |
| RN turnover percent | 57.1 |
Resident outcome measures
| Measure | Value | Unit | Period |
|---|---|---|---|
| Hospitalizations | 3.79 | events_per_1000_resident_days | 20250101-20251231 |
| Emergency-department visits | 0.75 | events_per_1000_resident_days | 20250101-20251231 |
| Falls with major injury | 4.55 | percent | 2025Q2-2026Q1 |
| Pressure ulcers | 1.18 | percent | 2025Q2-2026Q1 |
| Urinary tract infections | 4.69 | percent | 2025Q2-2026Q1 |
| Antipsychotic medication use | 12.24 | percent | 2025Q2-2026Q1 |
Health inspection citations
| Survey date | Tag | Citation | Severity |
|---|---|---|---|
| 2025-09-16 | 0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E |
| 2025-09-16 | 0585 | 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. | E |
| 2025-09-16 | 0727 | 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. | E |
| 2025-09-16 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2025-09-16 | 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-08-20 | 0880 | Provide and implement an infection prevention and control program. | D |
| 2024-08-20 | 0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D |
| 2023-07-18 | 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2023-07-18 | 0552 | Ensure that residents are fully informed and understand their health status, care and treatments. | E |
| 2023-07-18 | 0558 | Reasonably accommodate the needs and preferences of each resident. | D |
| 2023-07-18 | 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-07-18 | 0679 | Provide activities to meet all resident's needs. | D |
Penalties
| Date | Type | Amount |
|---|---|---|
| 2026-01-14 | Fine | ,281 |
| 2026-01-14 | Fine | ,740 |
| 2025-07-18 | Fine | ,543 |
| 2024-06-10 | Fine | 3,177 |
| 2024-06-10 | Payment Denial | |
| 2024-05-09 | Fine | ,438 |
Ownership records
| Name | Type | Role |
|---|---|---|
| RALLS NH OPERATIONS, LTD | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| SPORE, SCOTT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST |
| SSS HOLDINGS LP | Organization | DIRECT OWNERSHIP INTEREST |
| BRITTON, CARL | Individual | DIRECT OWNERSHIP INTEREST |
| CHEBIB, PAUL | Individual | DIRECT OWNERSHIP INTEREST |
| WOLCOTT, ROGER | Individual | DIRECT OWNERSHIP INTEREST |
| CHILDRESS COUNTY HOSPITAL DISTRICT | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST |
| BUCHOK, ANDREW | Individual | W-2 MANAGING EMPLOYEE |
| CHEBIB, PAUL | Individual | W-2 MANAGING EMPLOYEE |
| HOLCOMB, HOLLY | Individual | W-2 MANAGING EMPLOYEE |
| HOLCOMB, HOLLY | Individual | CORPORATE OFFICER |
| STRATTON, EMILEE | Individual | CORPORATE OFFICER |
| BUCHOK, ANDREW | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| CHEBIB, PAUL | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| SPORE, SCOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL |
| BRITTON, CARL | Individual | LIMITED PARTNERSHIP INTEREST |
| WOLCOTT, ROGER | Individual | LIMITED PARTNERSHIP INTEREST |
| CHILDRESS COUNTY HOSPITAL DISTRICT | Organization | ADP OF THE SNF |
| RALLS NH OPERATIONS, LTD | Organization | ADP OF THE SNF |
| BUCHOK, ANDREW | Individual | ADP OF THE SNF |
| CHEBIB, PAUL | Individual | ADP OF THE SNF |
| HOLCOMB, HOLLY | Individual | ADP OF THE SNF |
| SPORE, SCOTT | Individual | ADP OF THE SNF |
| STRATTON, EMILEE | Individual | ADP OF THE SNF |
Compare nursing homes in Crosby County, Texas.
Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.