Premier Health Care Center
460 W Main St, Ranger, TX 76470 · Eastland County
For-profit · 50 certified beds · 95% occupancy · (254) 647-3111
Premier Health Care Center reviews: what the government record shows
The U.S. government (CMS) rates Premier Health Care Center 1 out of 5 stars overall, much below average. Its nurse staffing is 33% below the Texas median. Inspectors cited it for 1 immediate-jeopardy finding in recent inspection cycles.
Updated September 2026 from the latest CMS data release. Ellery Care shows the government's own inspection and safety record, not consumer reviews.
At a glance
- CMS overall rating
- 1 of 5 stars
- Nurse staffing
- 2.21 hrs/resident/day (-33% vs TX median)
- Antipsychotic drug use
- 3.9% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 7.6% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $14,069
- Inspection findings
- 25 cited, 1 immediate-jeopardy
- Federal abuse-warning flag
- No
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05.
What this means for your family
Several serious marks on its federal record. Look closely and ask hard questions before deciding.
Concerns
- !CMS rates it just 1 of 5 stars overall.
- !Nurse staffing of 2.21 hrs/resident/day is below the Texas median of 3.27.
- !Cited for 1 immediate-jeopardy finding (the most serious category) in recent inspections.
- !Serious-fall rate of 7.6% is well above the Texas median of 3%.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·Can we see the most recent inspection report and the plan of correction?
- ·What is your fall-prevention program, and how is it staffed overnight?
Touring in person? Our free nursing-home tour checklist has 30 questions to ask and the red flags to watch for, printable to take with you.
A plain-English read of this home's public record. Not advice — always visit in person.
Common questions about Premier Health Care Center
Is Premier Health Care Center a good nursing home?
Premier Health Care Center in Ranger, Texas holds a 1 of 5 star CMS overall rating. Several serious marks on its federal record. Look closely and ask hard questions before deciding.
How is Premier Health Care Center staffed?
Premier Health Care Center reports 2.21 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Premier Health Care Center been fined or flagged for abuse?
Premier Health Care Center has paid approximately $14,069 in federal fines in roughly the last three years, and does not currently carry a federal abuse-warning flag.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.21 nurse hours per resident per day. 33% below the Texas median of 3.27.
Nursing staff turnover: 59.1%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Jan 15, 2026ComplaintCorrected Jan 16, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0656 · May 21, 2026Corrected Jun 30, 2026
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
- Potential for harmTag F0690 · May 21, 2026Corrected Jun 30, 2026
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
- Potential for harmTag F0695 · May 21, 2026Corrected Jun 30, 2026
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0759 · May 21, 2026Corrected Jun 30, 2026
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
- Potential for harmTag F0880 · May 21, 2026Corrected Jun 30, 2026
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
- Potential for harmTag F0921 · May 21, 2026Corrected Jun 30, 2026
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0728 · Jan 15, 2026ComplaintCorrected Jan 16, 2026
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0641 · May 21, 2026Corrected Jun 30, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0644 · May 21, 2026Corrected Jun 30, 2026
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
Showing the 10 most recent and serious of 25 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is at or below the Texas median, which is a reassuring sign for how the home manages dementia care.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-09-05. See the Texas study
Preventable harm
Two injuries that good staffing and attentive care are meant to prevent: serious falls and pressure ulcers (bedsores). These are the outcomes families fear most, and they rarely appear on referral sites. Lower is better on both.
The serious-fall rate here is at least double the Texas median. Ask the staff directly about their fall-prevention program: how they assess risk, how often they check on residents, and whether staffing at night is enough to respond quickly.
Source: CMS MDS Quality Measures, long-stay falls and pressure-ulcer measures, period 2025Q2-2026Q1, retrieved 2026-09-05. Texas falls study · bedsore study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-09-05. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - individual). It is independently operated, not part of a multi-facility chain.