Ralls Nursing Home
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 6 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (13 vs median 8.0)
Bottom 25% in Texas · Critically understaffed (RN) · Significantly below average staffing · $501,656 in fines · Abuse citation
What this means for your family
This facility presents significant red flags, including allegations of abuse and medication mismanagement. If you are considering this location, it is critical to conduct an independent investigation into their recent state inspection reports and verify their medication administration protocols.
Google Reviews
Google Reviews
6 reviews analyzed“Families should exercise extreme caution when considering this facility due to serious allegations of abuse and medication mismanagement. While one reviewer defends the staff's efforts, other reviews highlight unprofessional administration and rude communication from leadership.”
Quality Themes
Tap a score for detailsStrengths
- Staff efforts despite difficult circumstances
Concerns
- Allegations of abuse and medication issues (mentioned by 2 reviewers)
- Unprofessional and rude administration/nursing leadership (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1How has the facility addressed the recent feedback regarding medication management and administration protocols?
- 2What specific steps are being taken to improve communication between the nursing leadership and the families of residents?
- 3Can you tell me more about the training programs currently in place to support staff quality and resident safety?
- 4How does the nursing team handle medical emergencies or urgent changes in a resident's condition during the night?
- 5What kind of daily activities or social engagement opportunities are available to keep the residents active and connected?
- 6I noticed some praise for the staff's hard work during difficult times; how do you support your team to ensure they can provide the best care possible?
Personalized based on this facility's data
Key Review Excerpts
“Took all my meds away!! I fell I’m in HELL”
“Reported abuse from this place to Adult protective services.”
“I called to inquire about visitation, both the person answering as well as the Director of nursing were rude.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 15 measures
7
measures
7
measures
1
measures
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Residents vaccinated for the flu
Residents with depression symptoms
Residents who lost too much weight
Residents whose bladder or bowel control got worse
Short-stay residents vaccinated for pneumonia
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed numerous complaints that triggered repeated federal violations at this facility, particularly around resident protection from abuse and neglect, with incidents occurring multiple times between 2023-2024. The facility also struggled with medication management, care planning, and resident rights protections. While most violations show correction dates, the pattern of complaint-driven inspections and recurring protection failures raises serious safety concerns that families should investigate thoroughly before considering placement.
Jan 14, 2026Complaint4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Nov 26, 2025Complaint1
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Sep 16, 2025Routine7
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies
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.
Nursing and Physician Services Deficiencies
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.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jul 18, 2025Complaint3
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Aug 20, 2024Routine4
Smoke Deficiencies
Install a fire alarm system that can be heard throughout the facility.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Jun 10, 2024Complaint5
Freedom from Abuse, Neglect, and Exploitation Deficiencies
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
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Federal Penalties
Fine
Jan 14, 2026
$12,740
Fine
Jan 14, 2026
$12,740
Fine
Jul 18, 2025
$16,543
Fine
Jun 10, 2024
$203,177
Payment Denial
Jun 10, 2024
11-day denial
Fine
May 9, 2024
$62,438
Ownership & Operations
Who Operates This Facility
Childress County Hospital District
for profit
RALLS NH OPERATIONS LTD
JAMIE CROW
Ownership & Management
Owners
Ralls Nh Operations, Ltd
Owner · Organization
Spore, Scott
Owner
Sss Holdings Lp
Owner · Organization
Britton, Carl
Owner
Chebib, Paul
Owner
Wolcott, Roger
Owner
Childress County Hospital District
Owner (parent company) · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
6 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.