Ralls Nursing Home
1111 Avenue P, Ralls, TX, 79357
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Partnership
- Certified beds
- 46 · avg 34 residents/day
- Total nursing staff turnover
- 52.2% — near the Texas averageTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 60% — higher than most Texas nursing homesTexas avg: 52.8% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 2 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 5 fines · $307,638 total
- Payment denials
- 1 denial
Medicare certification
- CMS Certification Number
- 675407
- Certified beds
- 46 beds · avg 34 residents/day
- Ownership type
- For profit - Partnership
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Childress County Hospital District
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Parent entity
Sss Holdings lp
Disclosed owners (10 on record)
- Andrew Buchok
Adp of The Snf · since 2025
- Childress County Hospital District
Adp of The Snf · since 2025
- Emilee Stratton
Adp of The Snf · since 2025
- Holly Holcomb
Adp of The Snf · since 2025
- Paul f Chebib
Adp of The Snf · since 2025
- Ralls nh Operations, Ltd
Adp of The Snf · since 2025
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of May 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 29)
- J0609·Jan 14, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- J0607·Jan 14, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E0602·Jan 14, 2026Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
- J0600·Jan 14, 2026Complaint
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.
- D0760·Nov 26, 2025Complaint
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
- E0812·Sep 16, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E0727·Sep 16, 2025
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.
- D0609·Sep 16, 2025
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal penalties
By year
- 20262 fines · $25K
- 20251 fine · $17K
- 20242 fines · $266K · 1 payment denial
Most recent events
- Jan 14, 2026Fine · $13K
- Jan 14, 2026Fine · $13K
- Jul 18, 2025Fine · $17K
- Jun 10, 2024Payment denial · 11 days · starting Jul 12, 2024
- Jun 10, 2024Fine · $203K
- May 9, 2024Fine · $62K
Largest single fine on record: $203K.
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: Sep 16, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Ralls Nursing Homeinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.