23.5/100
Poor
1111 Avenue P, Ralls, TX 79357
These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
9 citation(s) involving actual harm or immediate jeopardy
Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.
$303,179 in federal fines
CMS has fined this facility across 5 penalty action(s).
Nursing staff turnover of 72%
High turnover means residents rarely see the same caregiver twice. The national average is about 50%.
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Grade ceiling applied
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: September 16, 2025 (11 months ago).
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Immediate jeopardy to resident health or safety
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
No actual harm, potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
No actual harm, potential for more than minimal harm
Resident Rights Deficiencies
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.
No actual harm, potential for more than minimal harm
Nursing and Physician Services Deficiencies
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.
No actual harm, potential for more than minimal harm
| Owner | Type | Role | Since |
|---|---|---|---|
| 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 | — |
| 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 | — |
No family reviews yet for Ralls Nursing Home. If you or a relative have experience of this home, other families would find it useful.
Be the first to reviewEvery review is confirmed by email and read by a moderator before it appears. We remove reviews written by or for a facility. If something is wrong right now, report a concern — that routes you to your state ombudsman, who can actually intervene.
Ralls Nursing Home holds an ElderGrade of F (23.5 out of 100), which we describe as "poor". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 2.31 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Yes. 9 of the 29 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.
Yes, Ralls Nursing Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.