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Nursing home report

Ranger Care Center

Registered name: Premier Health Care Center

Ranger, TX · Medicare-certified · 50 beds

Needs attention
For-profit
Data as of July 1, 2026
1 of 5 overall

Ranger Care Center in Ranger, TX has a 1-star overall rating, with 2-star health inspection and quality ratings and a 1-star staffing rating. Reported nurse staffing is 2.21 hours per resident per day, below the 4.1-hour federal benchmark, and the facility had $14,069 in fines in the last 24 months with a recent federal penalty.

Facility ratings

Health inspections

Staffing

2.2068 hrs/resident/day

Quality measures

Last inspection: January 15, 2026Penalties, last 24 months: $14,069recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.2068.

Staffing detail

Registered nurses
0.22
Licensed practical nurses
0.74
Nurse aides
1.24
Weekend nursing
1.92

Hours per resident per day.

Total staff turnover: 59%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

4.8%0%Improving

Residents with a fall causing major injury

7.7%9.8%Worsening

Residents with pressure ulcers (bedsores)

0%5.3%Worsening

Residents with a urinary tract infection

7.9%2.5%Improving

Residents who lost too much weight

0%4.5%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

17.4%8.7%Improving

Residents whose ability to walk got worse

19.3%

Long-stay residents on antianxiety or sleep medication

24%21.7%Improving

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

9.7%3.9%Improving

Residents with new or worsening incontinence

17.4%2.2%Improving

Residents with depressive symptoms

5.7%2.5%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the pneumonia vaccine

94%

What the inspectors found

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2026 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited March 2025 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to ensure nurse aides were properly trained and competent to provide safe care. Cited January 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 728 — 42 CFR §483.35(e) — S/S: E

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: E

Recent history

  1. PENALTY

    A federal fine of $14,069 was recorded.

  2. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  3. PENALTY

    A federal fine of $21,645 was recorded.

  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found
  5. INSPECTION

    Health inspection found 7 health deficiencies.

    See what inspectors found
  6. INSPECTION

    Health inspection found 4 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $14,069 in total fines.

  • Federal fine

    Jan 15, 2026

    $14,069

Operator & ownership

Recent ownership change · Jan 1, 2022

Now operated by Premier Health Care Center LLC, previously Distinguished Health Care INC..

Ownership
For profit - Individual
Occupancy
47.3 residents on an average day (95% of 50 beds)
Resident voice
Resident council
Medicare history
Certified for 22 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.