Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357 · Crosby County
For-profit · 46 certified beds · 73% occupancy · (806) 253-2596
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.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. 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
- Immediate jeopardyTag F0600 · Jul 18, 2025Complaint
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 · Jul 18, 2025Complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Immediate jeopardyTag F0609 · Jul 18, 2025Complaint
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
Showing the 10 most recent and serious of 29 findings. See the full inspection history on Medicare.gov.