Ralls Nursing Home
Ralls, Crosby County, Texas · CCN 675407 · For-profit (Partnership) · not part of a chain
CMS rates Ralls Nursing Home 1 of 5 overall as of August 2026. 46 certified beds, 34 residents a day on average. 29 citations on record from the current inspection cycles, 8 at immediate jeopardy; 5 fines totalling $303,179 and 1 payment denial.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★☆☆☆☆ 1 of 5 |
|---|---|
| Health inspections | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 2.30745 hours per resident per day |
|---|---|
| Registered nurses | 0.30785 hours per resident per day |
| Weekend total | 1.97651 hours per resident per day |
| Nursing staff turnover | 72.4% (registered nurses 57.1%) |
| Administrators who left | 2 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-14 complaint survey |
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 · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance |
| 2026-01-14 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance |
| 2026-01-14 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance |
| 2026-01-14 complaint survey |
Protect each resident from the wrongful use of the resident's belongings or money. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-15 |
| 2025-11-26 complaint survey |
Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · tag F0760 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-11-27 |
| 2025-09-16 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-11 |
| 2025-09-16 | 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 · tag F0585 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-11 |
| 2025-09-16 | 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 · tag F0727 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-11 |
| 2025-09-16 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-10-11 |
| 2025-09-16 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-10-11 |
| 2025-07-18 complaint survey |
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 · tag F0600 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance |
| 2025-07-18 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance |
| 2025-07-18 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
J Immediate jeopardy to resident health or safety; isolated | Past Non-Compliance |
| 2024-08-20 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-21 |
| 2024-08-20 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · tag F0921 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-08-21 |
| 2024-06-10 complaint survey |
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 · tag F0600 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-07-23 |
| 2024-06-10 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
K Immediate jeopardy to resident health or safety; pattern | Deficient, Provider has date of correction 2024-07-23 |
| 2024-06-10 complaint survey |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0609 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-23 |
| 2024-06-10 complaint survey |
Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-07-23 |
| 2024-06-10 complaint survey |
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 · tag F0580 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-07-23 |
| 2024-05-09 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2024-06-06 |
| 2024-05-09 complaint survey |
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 · tag F0585 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-06 |
| 2024-05-09 complaint survey |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0607 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-06-06 |
| 2024-05-09 complaint survey |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · tag F0657 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-06-06 |
| 2023-07-18 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2023-08-02 |
| 2023-07-18 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-07-19 |
| 2023-07-18 | Reasonably accommodate the needs and preferences of each resident. Resident Rights Deficiencies · tag F0558 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-24 |
| 2023-07-18 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · tag F0656 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-27 |
| 2023-07-18 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-07-19 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-01-14 | Fine | $12,740 |
| 2026-01-14 | Fine | $8,281 |
| 2025-07-18 | Fine | $16,543 |
| 2024-06-10 | Payment denial for 11 days from 2024-07-12 | — |
| 2024-06-10 | Fine | $203,177 |
| 2024-05-09 | Fine | $62,438 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Ralls Nh Operations, Ltd Organization | 5% or greater direct ownership interest | — | 2014-12-01 |
| Childress County Hospital District Organization | 5% or greater indirect ownership interest | — | 2014-12-01 |
| Childress County Hospital District Organization | adp of the snf | — | 2025-01-23 |
| Ralls Nh Operations, Ltd Organization | adp of the snf | — | 2025-01-23 |
| Sss Holdings Lp Organization | direct ownership interest | — | 2023-12-01 |
| Spore, Scott Individual | 5% or greater direct ownership interest | — | 2014-12-01 |
| Buchok, Andrew Individual | adp of the snf | — | 2025-01-23 |
| Chebib, Paul Individual | adp of the snf | — | 2025-01-23 |
| Holcomb, Holly Individual | adp of the snf | — | 2025-01-23 |
| Spore, Scott Individual | adp of the snf | — | 2025-01-23 |
| Stratton, Emilee Individual | adp of the snf | — | 2025-01-23 |
| Holcomb, Holly Individual | corporate officer | — | 2021-05-29 |
| Stratton, Emilee Individual | corporate officer | — | 2018-03-18 |
| Britton, Carl Individual | direct ownership interest | — | 2023-12-01 |
| Chebib, Paul Individual | direct ownership interest | — | 2023-12-01 |
| Wolcott, Roger Individual | direct ownership interest | — | 2023-12-01 |
| Britton, Carl Individual | limited partnership interest | — | 2023-12-01 |
| Wolcott, Roger Individual | limited partnership interest | — | 2023-12-01 |
| Buchok, Andrew Individual | operational/managerial control | — | 2025-01-13 |
| Chebib, Paul Individual | operational/managerial control | — | 2024-12-30 |
| Spore, Scott Individual | operational/managerial control | — | 2024-12-13 |
| Buchok, Andrew Individual | w-2 managing employee | — | 2023-08-22 |
| Chebib, Paul Individual | w-2 managing employee | — | 2023-12-01 |
| Holcomb, Holly Individual | w-2 managing employee | — | 1996-04-15 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Ralls Nursing Home.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Crosby County.