Premier Health Care Center
460 W Main St, Ranger, TX, 76470
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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 Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 50 · avg 42 residents/day
- Total nursing staff turnover
- 63.2% — higher than most Texas nursing homesTexas avg: 53.8% · National avg: 46.1% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.7 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $21,645 total
Medicare certification
- CMS Certification Number
- 676017
- Certified beds
- 50 beds · avg 42 residents/day
- Ownership type
- For profit - Individual
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Premier Health Care Center Llc
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Disclosed owners (4 on record)
- Axel Martinez Irizarry
Operational/managerial Control · since 2025
- Clarence Stroh
Adp of The Snf · since 2022
- Rainey Renee Alexander
5% or Greater Direct Ownership Interest · 100% · since 2022
- Stroh Properties lp
Adp of The Snf · since 2022
Recent change of ownership
January 2022 (4 years ago) · acquired from Ranger Care Center
Transaction type: Change of Ownership
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Change of Ownership, 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 23)
- D0908·Jan 15, 2026Complaint
Environmental Deficiencies
Keep all essential equipment working safely.
- E0728·Jan 15, 2026Complaint
Nursing and Physician Services Deficiencies
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.
- J0689·Jan 15, 2026Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E0880·Mar 5, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0842·Mar 5, 2025
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- F0812·Mar 5, 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.
- B0695·Mar 5, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- D0690·Mar 5, 2025
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Federal penalties
By year
- 20261 fine · $22K
Most recent events
- Jan 15, 2026Fine · $22K
Fire-safety citations
9 Life-Safety-Code citations on file. Most recent: Mar 5, 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 Premier Health Care Centerinto 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.