Ranger Care Center
460 W. MAIN ST., Ranger, TX, 76470
Federal 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 March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Individual
- Certified beds
- 50 · avg 42 residents/day
- Total nursing staff turnover
- 61.9% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $21,645 total
State licensing & capacity
- License number
- 308468
- Service type
- Medicare/medicaid
- Licensed capacity
- 50 beds
- Bed type breakdown
- 10 Medicare-only · 40 Medicaid/Medicare
- Current license effective
- January 28, 2026
- Current license expires
- January 1, 2029
- Initial license date
- January 15, 1972
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Premier Health Care Center Llc (Limited Liability Company (LLC))
- Operator / manager
- Premier Health Care Center Llc
- Administrator
- Rainey Renee Alexander, Mrs.
Texas HHSC licensing registry · as of April 16, 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 April 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 Mar 1, 2026.
About this community
Ranger Care Center is a 50-bed nursing home in Ranger, Eastland County, licensed since 1972 and currently operated by Premier Health Care Center LLC. CMS rates it 1 star overall — the lowest possible rating — with 1-star scores on both staffing and quality measures. Roughly 42 of 50 beds are occupied. One CMS fine of $21,645 has been issued.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 1 star — the bottom tier among Texas nursing homes, shared by about 38% of facilities in the state. Each resident receives roughly 162 minutes of nursing care per day, about 79 minutes less than at a 4-star-staffing facility in Texas. Residents here also require more hands-on care than at a typical facility — they are sicker or less mobile on average — which means those 162 minutes stretch even thinner than the raw number suggests.
About 6 in 10 nursing staff left in the past year. Texas's median nursing-home turnover runs around 50%, and the 75th percentile is 60% — this facility sits above that mark. A long-stay resident is likely to go through two or three primary caregivers over the course of a year.
CMS recorded one fine totaling $21,645. The state median fine amount is $20,699, and about 30% of Texas nursing homes have had no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
With 162 daily nursing minutes per resident on average — and a resident mix that requires more hands-on care than typical — ask how many nurses and aides are on duty overnight and on weekends specifically.
Keeping the same caregiver
About 6 in 10 nursing staff left in the past year; ask how assignments are managed so residents aren't cycling through new caregivers repeatedly.
What the $21,645 fine covered
CMS issued one fine of $21,645 — ask what deficiency it was tied to and what the facility changed in response.
Resident Council participation
The facility has a Resident Council but no Family Council; ask how often the Resident Council meets and how family members can raise concerns outside of that channel.
Administrator continuity
Administrator Rainey Renee Alexander is listed as the current leader; ask how long she has been in that role, given the facility's 1-star overall rating.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.