NURSING HOME PUBLIC RECORD
CMS lists this provider in Ralls, TX, with 46 certified beds, an overall rating of 1/5, and 36 citation rows in the current August 2026 release.
1111 Avenue P · Ralls, TX 79357 · Crosby County
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
CMS supplies 3 survey-cycle rows for Ralls Nursing Home in this release; health and fire inspection dates remain separate.
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-09-16 | 10 | 2025-09-16 | 2 |
| Cycle 2 | 2024-08-20 | 5 | 2024-08-20 | 2 |
| Cycle 3 | 2023-07-18 | 14 | 2023-07-18 | 3 |
CMS reports 36 citation rows, including 9 with G–L codes and 8 with J–L codes.
9 rows carry G–L scope/severity codes; 8 carry J–L. 6 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · complaintProtect each resident from the wrongful use of the resident's belongings or money.
Correction field: Deficient, Provider has date of correction · 2026-01-15 · complaintDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Past Non-Compliance · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Past Non-Compliance · complaintEnsure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-11-27 · complaintHonor the resident's right to organize and participate in resident/family groups in the facility.
Correction field: Deficient, Provider has date of correction · 2025-10-11Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-10-11Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2025-10-11Have 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.
Correction field: Deficient, Provider has date of correction · 2025-10-11Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-10-11Inspect, test, and maintain automatic sprinkler systems.
Correction field: Deficient, Provider has date of correction · 2025-10-11Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Deficient, Provider has no plan of correctionProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Past Non-Compliance · complaintDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Past Non-Compliance · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Past Non-Compliance · complaintProvide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-08-21Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-08-21Install a fire alarm system that can be heard throughout the facility.
Correction field: Deficient, Provider has date of correction · 2024-10-16Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Correction field: Waiver has been granted · 2024-09-18Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Correction field: Deficient, Provider has date of correction · 2024-07-23 · complaintProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-07-23 · complaintDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-07-23 · complaintTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Correction field: Deficient, Provider has date of correction · 2024-07-23 · complaintRespond appropriately to all alleged violations.
Correction field: Deficient, Provider has date of correction · 2024-07-23 · complaintThe August 2026 file contains 6 penalty rows and $303,179 in listed fines for this provider record.
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2026-01-14 | Fine | $8,281 | 0 |
| 2026-01-14 | Fine | $12,740 | 0 |
| 2025-07-18 | Fine | $16,543 | 0 |
| 2024-06-10 | Fine | $203,177 | 0 |
| 2024-06-10 | Payment Denial | $0 | 11 |
| 2024-05-09 | Fine | $62,438 | 0 |
CMS matched 24 ownership disclosure rows to Ralls Nursing Home; names and roles are reported fields, not independently verified identities.
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
CMS reports 2.31 total nurse hours and 0.31 RN hours per resident day for this provider.
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
No second published facility record in Ralls, TX met the local peer rule in this release.
No second facility in the same city met the directory rule.
Use this ledger to frame questions—not to choose care on its own. Recheck Medicare Care Compare, contact the state survey agency and long-term care ombudsman, and ask the facility about anything you find.
