Ralls Nursing Home

1111 Avenue P, Ralls, TX 79357 8062532596

Overall Rating

★☆☆☆☆ Poor 1 out of 5 stars

Key Metrics

Health Inspection 1/5
Staffing 1/5
Quality Measures 4/5
Certified Beds 46
Avg Residents/Day 35.2
Total Penalties 6
Total Fines $501,656

Penalty History

Date Type Fine
Jan 14, 2026 Fine $12,740
Jan 14, 2026 Fine $12,740
Jun 10, 2024 Fine $203,177
Jun 10, 2024 Payment Denial $0
May 9, 2024 Fine $62,438
Mar 24, 2023 Fine $210,561

Recent Health Citations

Citation Nov 26, 2025

Ensure that residents are free from significant medication errors.

Scope/Severity: D
Citation Sep 16, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity: D
Citation Sep 16, 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.

Scope/Severity: E
Citation Sep 16, 2025

Honor the resident's right to organize and participate in resident/family groups in the facility.

Scope/Severity: E
Citation Sep 16, 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.

Scope/Severity: E

Staffing Detail

RN Hours/Resident/Day
0.29
Total Nurse Hours/Resident/Day
2.51
CNA Hours/Resident/Day
1.48
Weekend Nurse Hours
2.21

Turnover Rates

Total Nurse Turnover 46.2%
Admin Turnover 2.0%

Quality Measures

Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

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