Ralls Nursing Home

1111 Avenue P, Ralls, TX 79357 · CCN 675407 · 46 certified beds · Data as of 2026-07-01

CMS overall1 of 5CMS inspections1 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 8 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-01-14 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2026-01-14 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2026-01-14 IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-07-18 IMMEDIATE JEOPARDY (tag F0600, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-07-18 IMMEDIATE JEOPARDY (tag F0609, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2025-07-18 IMMEDIATE JEOPARDY (tag F0607, severity J)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
2024-06-10 IMMEDIATE JEOPARDY (tag F0600, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-06-10 IMMEDIATE JEOPARDY (tag F0607, severity K)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Staffing, from payroll records

Nursing hours / resident / day

1.71

state median 2.67

Weekend staffing gap

−12%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.20

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

15

with residents present

Nursing staff turnover

72%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

6 enforcement action(s), totaling $303,179 in fines.

DateTypeAmount
2026-01-14Fine$8,281
2026-01-14Fine$12,740
2025-07-18Fine$16,543
2024-06-10Fine$203,177
2024-06-10Payment Denialpayment denial
2024-05-09Fine$62,438

Ownership

Ownership type: For profit - Partnership.

Full citation history

By severity: Actual harm: 1 · Potential for more than minimal harm: 20 · Immediate jeopardy: 8

Survey dateTagCategorySeverityCorrected
2026-01-14F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2026-01-14F0602Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2026-01-14F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2026-01-14F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-11-26F0760Pharmacy Service DeficienciesDnot recorded
2025-09-16F0565Resident Rights DeficienciesEnot recorded
2025-09-16F0585Resident Rights DeficienciesEnot recorded
2025-09-16F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-09-16F0727Nursing and Physician Services DeficienciesEnot recorded
2025-09-16F0812Nutrition and Dietary DeficienciesEnot recorded
2025-07-18F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-07-18F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2025-07-18F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesJnot recorded
2024-08-20F0880Infection Control DeficienciesDnot recorded
2024-08-20F0921Environmental DeficienciesDnot recorded
2024-06-10F0580Resident Rights DeficienciesDnot recorded
2024-06-10F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-06-10F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesKnot recorded
2024-06-10F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-06-10F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-05-09F0585Resident Rights DeficienciesEnot recorded
2024-05-09F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2024-05-09F0657Resident Assessment and Care Planning DeficienciesDnot recorded
2024-05-09F0689Quality of Life and Care DeficienciesGnot recorded
2023-07-18F0552Resident Rights DeficienciesEnot recorded
2023-07-18F0558Resident Rights DeficienciesDnot recorded
2023-07-18F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2023-07-18F0679Quality of Life and Care DeficienciesDnot recorded
2023-07-18F0812Nutrition and Dietary DeficienciesFnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Ralls Nursing Home, Ralls” at medicare.gov/care-compare.