Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357 · Crosby County
For-profit · 46 certified beds · 73% occupancy · (806) 253-2596
Ralls Nursing Home reviews: what the government record shows
The U.S. government (CMS) rates Ralls Nursing Home 1 out of 5 stars overall, much below average. Its nurse staffing is 29% below the Texas median. It currently carries a federal abuse-warning icon. Inspectors cited it for 8 immediate-jeopardy findings 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
- 2.31 hrs/resident/day (-29% vs TX median)
- Antipsychotic drug use
- 12.2% of long-stay residents (TX median 8.3%)
- Falls with major injury
- 4.5% of long-stay residents (TX median 3%)
- Federal fines (3 yrs)
- $303,179
- Inspection findings
- 29 cited, 8 immediate-jeopardy
- Federal abuse-warning flag
- Yes
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 2.31 hrs/resident/day is below the Texas median of 3.27.
- !Currently carries the federal abuse-warning icon on CMS Care Compare.
- !Cited for 8 immediate-jeopardy findings (the most serious category) in recent inspections.
- !Has paid $303,179 in federal fines in roughly the last three years.
Questions to ask on your visit
- ·How many residents does each nurse and aide care for on the day, evening, and overnight shifts?
- ·What was the abuse-warning finding, and what has changed since?
- ·Can we see the most recent inspection report and the plan of correction?
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 Ralls Nursing Home
Is Ralls Nursing Home a good nursing home?
Ralls Nursing Home in Ralls, 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 Ralls Nursing Home staffed?
Ralls Nursing Home reports 2.31 nurse hours per resident per day, below the Texas median of 3.27 hours per resident per day.
Has Ralls Nursing Home been fined or flagged for abuse?
Ralls Nursing Home has paid approximately $303,179 in federal fines in roughly the last three years, and currently carries the federal abuse-warning icon on CMS Care Compare.
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.
2.31 nurse hours per resident per day. 29% below the Texas median of 3.27.
Nursing staff turnover: 72.4% · RN turnover: 57.1%
Safety & compliance flags
- Federal abuse warning icon
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 F0600 · Jan 14, 2026Complaint
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
- Immediate jeopardyTag F0607 · Jan 14, 2026Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0609 · Jan 14, 2026Complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0602 · Jan 14, 2026ComplaintCorrected Jan 15, 2026
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Potential for harmTag F0565 · Sep 16, 2025Corrected Oct 11, 2025
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
- Potential for harmTag F0585 · Sep 16, 2025Corrected Oct 11, 2025
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
- Potential for harmTag F0727 · Sep 16, 2025Corrected Oct 11, 2025
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
- Potential for harmTag F0812 · Sep 16, 2025Corrected Oct 11, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0760 · Nov 26, 2025ComplaintCorrected Nov 27, 2025
Ensure that residents are free from significant medication errors.
Pharmacy Service Deficiencies
- Potential for harmTag F0609 · Sep 16, 2025Corrected Oct 11, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Showing the 10 most recent and serious of 29 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 below the national median but above the Texas median, roughly middle of the pack for the state.
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 above the national median. It is worth asking how the home prevents falls and whether recent injuries prompted any changes.
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 - partnership). It is independently operated, not part of a multi-facility chain.