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.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is below the national median but above the Texas median, roughly middle of the pack for the state.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - partnership). It is independently operated, not part of a multi-facility chain.