Nursing home

Ralls Nursing Home

1111 Avenue P, Ralls, TX, 79357

CMS ownership records associate this facility with Childress County Hospital District · For profit - Partnership.

CMS overall rating
CMS overall rating: 1 out of 51of 5

At a glance

CMS reports a 1-star overall rating for Ralls Nursing Home, with 29 inspection citations on record (9 higher severity). Federal records include $307,638 and 1 payment-denial record in the current dataset.
CMS overall
1
of 5
Health inspection
1
of 5
Staffing
1
of 5
Quality measures
4
of 5
Certified beds
46
CMS-reported

CMS rating profile

The four CMS ratings on one aligned scale, with county and state averages for context.

Rating profile

How this facility's overall rating relates to its three CMS component ratings.

Overall1 of 5
Health inspection1 of 5
Staffing1 of 5
Quality measures4 of 5

CMS-reported data · updated 2026-07-17

Comparative context

This facility's CMS overall rating next to its county and state averages.

This facility 1
15
Crosby Co. avg 2Texas avg 2.7This facility
This facility: 1 of 5. Crosby Co. avg: 2. Texas avg: 2.7.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
Averages are calculated from CMS records included in this dataset and exclude facilities CMS has not rated. A neutral reference point, not a CMS rating or a pass/fail line.

Inspections and citations

Health-inspection citations CMS reports for this facility. Individual records are in the technical appendix.

Citation profile

How many citations CMS reports, how severe, and when they occurred.

29
Citations on record
9
Higher severity (G–L)
17
From complaints
0
Infection control
Citations by inspection year
52023
112024
92025
42026
Higher severity Standard

CMS-reported data · updated 2026-07-17

Methodology
Severity uses the CMS scope-and-severity letter (G–L count as higher severity). Counts are CMS-reported inspection findings, not a judgment about current conditions.

Federal records

Federal fines (CMPs) and payment-denial records CMS reports in the recent reporting period. These are distinct record types and are never merged.

Federal fines (CMP)

Fine records over time, sized by amount.

5 records · $307,638 total · May 9, 2024–Jan 14, 2026
  1. Jan 14, 2026$12,740
  2. Jan 14, 2026$12,740
  3. Jul 18, 2025$16,543
  4. Jun 10, 2024$203,177
  5. May 9, 2024$62,438

CMS-reported data · updated 2026-07-17

Payment denials

Payment-denial records over time, sized by duration.

1 record · 11 days total · Jun 10, 2024
  1. Jun 10, 202411 days

CMS-reported data · updated 2026-07-17

Methodology
CMS may deny Medicare/Medicaid payment for new admissions. This is a distinct record type from a civil monetary fine. Confirm current status on CMS Care Compare.

Staffing and care

Selected CMS care indicators for long-stay residents, with a typical level for context. The CMS staffing star rating appears in the rating profile above.

Selected care measures

How this facility's reported care indicators sit against a typical level.

3 of 3 care measures reported by CMS
On antipsychotic medication(lower is better)14%

Long-stay residents given antipsychotic medication.

With new/worsened pressure ulcers(lower is better)1.36%

Long-stay residents with new or worsened pressure ulcers.

Falls with major injury(lower is better)2.99%

Long-stay residents with one or more falls with major injury.

CMS-reported data · updated 2026-07-17 · site-calculated context, not a CMS rating

Methodology
The tick marks a typical level for context and is calculated from CMS records included in this dataset — not a CMS rating. Per-shift staffing hours are not part of this dataset. Missing values are shown as “Not reported”, never as zero.

Facilities and agencies grouped by CMS-reported ownership fields. A company appearing here does not by itself mean it controlled day-to-day care or did anything wrong.

Owner / organizationRole
Ralls Nh Operations, Ltd5% OR GREATER DIRECT OWNERSHIP INTEREST
Spore, Scott5% OR GREATER DIRECT OWNERSHIP INTEREST
Sss Holdings LPDIRECT OWNERSHIP INTEREST
Britton, CarlDIRECT OWNERSHIP INTEREST
Chebib, PaulDIRECT OWNERSHIP INTEREST
Wolcott, RogerDIRECT OWNERSHIP INTEREST
Childress County Hospital District5% OR GREATER INDIRECT OWNERSHIP INTEREST
Buchok, AndrewW-2 MANAGING EMPLOYEE
Chebib, PaulW-2 MANAGING EMPLOYEE
Holcomb, HollyW-2 MANAGING EMPLOYEE
Holcomb, HollyCORPORATE OFFICER
Stratton, EmileeCORPORATE OFFICER
Buchok, AndrewOPERATIONAL/MANAGERIAL CONTROL
Chebib, PaulOPERATIONAL/MANAGERIAL CONTROL
Spore, ScottOPERATIONAL/MANAGERIAL CONTROL
Britton, CarlLIMITED PARTNERSHIP INTEREST
Wolcott, RogerLIMITED PARTNERSHIP INTEREST
Childress County Hospital DistrictADP OF THE SNF
Ralls Nh Operations, LtdADP OF THE SNF
Buchok, AndrewADP OF THE SNF
Chebib, PaulADP OF THE SNF
Holcomb, HollyADP OF THE SNF
Spore, ScottADP OF THE SNF
Stratton, EmileeADP OF THE SNF

Nearby facilities

Other CMS-certified nursing homes near Crosby County.

1111 Avenue P, Ralls
Crosby County · TX · 79357
46 certified beds33.6820, -101.3700

Verify the current location and license with official sources.

FacilityLocationOverallHealthStaffingCMS abuse iconFederal penalties
Avir at Beaumont
CCN 455001
Beaumont, TX121Shown$52,494
Avir at New Braunfels
CCN 455020
New Braunfels, TX112Not shown$147,263
Baylor Scott & White Continuing Care Hospital Skil
CCN 455069
Temple, TX555Not shown$0
Knopp Healthcare and Rehab Center Inc
CCN 455278
Fredericksburg, TX443Not shown$0
Sharpville Residence and Rehabilitation Center
CCN 455333
Houston, TX443Not shown$8,431
Legacy Nursing and Rehabilitation
CCN 455351
Bryan, TX222Not shown$12,375

Related research

Frequently asked questions

What is Ralls Nursing Home's CMS rating?

Ralls Nursing Home has a 1-star CMS overall rating (out of 5) in the current dataset, with CMS component ratings of 1 for health inspections, 1 for staffing, and 4 for quality measures. A star rating is a CMS summary of past data, not a judgment about current conditions.

Where is Ralls Nursing Home located?

Ralls Nursing Home is located at 1111 Avenue P, Ralls, TX, 79357 in Crosby County, and CMS lists 46 certified beds.

Does Ralls Nursing Home have federal penalties or payment denials on record?

The CMS data includes $307,638 in federal fine amounts and 1 payment-denial record for Ralls Nursing Home over roughly the past three years. These are CMS-reported records; see CMS Care Compare for the details and context.

How does Ralls Nursing Home's rating compare to nearby facilities?

Ralls Nursing Home's CMS overall rating is 1 of 5. For comparison, the average CMS overall rating is 2 across 2 facilities in Crosby County, and 2.7 across Texas. Averages exclude facilities CMS has not rated, and a star rating is a CMS summary, not a judgment about any individual facility.

How can I verify Ralls Nursing Home's current information?

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Confirm Ralls Nursing Home's current ratings, inspection reports, and license status on the official CMS Care Compare site and with your state survey agency.

Technical appendix

Record identifiers

CMS provider number (CCN)
675407
Ownership type
For profit - Partnership
Certified beds
46
Data snapshot
2026-07-17
All 29 citation records
DateCMS tagSeverityTypeCMS deficiency statusCorrection date
Jan 14, 20260600JComplaintPast Non-ComplianceNot available
Jan 14, 20260602EComplaintDeficient, Provider has date of correctionJan 15, 2026
Jan 14, 20260607JComplaintPast Non-ComplianceNot available
Jan 14, 20260609JComplaintPast Non-ComplianceNot available
Nov 26, 20250760DComplaintDeficient, Provider has date of correctionNov 27, 2025
Sep 16, 20250565EStandardDeficient, Provider has date of correctionOct 11, 2025
Sep 16, 20250585EStandardDeficient, Provider has date of correctionOct 11, 2025
Sep 16, 20250609DStandardDeficient, Provider has date of correctionOct 11, 2025
Sep 16, 20250727EStandardDeficient, Provider has date of correctionOct 11, 2025
Sep 16, 20250812EStandardDeficient, Provider has date of correctionOct 11, 2025
Jul 18, 20250609JComplaintPast Non-ComplianceNot available
Jul 18, 20250600JComplaintPast Non-ComplianceNot available
Jul 18, 20250607JComplaintPast Non-ComplianceNot available
Aug 20, 20240880DStandardDeficient, Provider has date of correctionAug 21, 2024
Aug 20, 20240921DStandardDeficient, Provider has date of correctionAug 21, 2024
Jun 10, 20240580DComplaintDeficient, Provider has date of correctionJul 23, 2024
Jun 10, 20240600KComplaintDeficient, Provider has date of correctionJul 23, 2024
Jun 10, 20240607KComplaintDeficient, Provider has date of correctionJul 23, 2024
Jun 10, 20240609EComplaintDeficient, Provider has date of correctionJul 23, 2024
Jun 10, 20240610EComplaintDeficient, Provider has date of correctionJul 23, 2024
May 9, 20240585EComplaintDeficient, Provider has date of correctionJun 6, 2024
May 9, 20240607EComplaintDeficient, Provider has date of correctionJun 6, 2024
May 9, 20240657DComplaintDeficient, Provider has date of correctionJun 6, 2024
May 9, 20240689GComplaintDeficient, Provider has date of correctionJun 6, 2024
Jul 18, 20230552EStandardDeficient, Provider has date of correctionJul 19, 2023
Showing the 25 most recent of 29 citations.

How to verify this data

  • The current CMS profile on Medicare’s Care Compare
  • Your state survey agency’s latest inspection reports
  • Any recent complaint investigations
  • Current ownership and license status

SeniorCareRating.com organizes public CMS data and is not affiliated with CMS. Ratings and records are CMS-reported summaries of past data, not a judgment about current conditions. See methodology.

SeniorCareRating.com summarizes public CMS data. It is not affiliated with CMS, Medicare.gov, or any nursing home. Data may lag current conditions. This is not medical, legal, or care-placement advice — always verify with official sources and qualified professionals.