The nursing home failed to protect residents from abuse and neglect by others. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
Nursing home report
Ralls Nursing Home
Ralls, TX · Medicare-certified · 46 beds
Needs attention
Abuse citationFor-profit
1 of 5 overall
Ralls Nursing Home in Ralls, TX has a 1-out-of-5 overall rating, with 1-star health inspection and staffing ratings but 4-star quality measures. It has reported nurse staffing below the federal benchmark (2.75 vs 4.1 hours per resident per day), $307,638 in fines over the last 24 months, and a recent abuse citation.
Facility ratings
Health inspections
Staffing
2.7487 hrs/resident/day
Quality measures
Last inspection: January 14, 2026Penalties, last 24 months: $307,638recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.7487.
Staffing detail
- Registered nurses
- 0.39
- Licensed practical nurses
- 0.81
- Nurse aides
- 1.55
- Weekend nursing
- 2.39
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 60%
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
—14%—
Residents with a fall causing major injury
3%2.9%No change
Residents with pressure ulcers (bedsores)
3.2%2.2%Improving
Residents with a urinary tract infection
3.3%6.2%Worsening
Residents who lost too much weight
4.5%9.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
17.4%4.5%Improving
Residents whose ability to walk got worse
—9.6%—
Long-stay residents on antianxiety or sleep medication
50%53.8%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
37.9%25.8%Improving
Residents with depressive symptoms
0%0%No change
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
—84.2%—
Long-stay residents given the pneumonia vaccine
87.9%79.4%Worsening
Short-stay residents given the pneumonia vaccine
—23.1%—
What the inspectors found
The home failed to have policies and procedures in place to prevent abuse, neglect, and theft. Cited June 2024 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 607 — 42 CFR §483.12 — S/S: K
The home failed to promptly report suspected abuse, neglect, or theft and share the investigation results with the proper authorities. Cited January 2026 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 609 — 42 CFR §483.12 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited May 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited July 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,740 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,543 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $203,177 was recorded.
- PENALTY
A federal fine of $62,438 was recorded.
Penalties & enforcement
On record with Medicare: 5 fines · $307,638 in total fines · 1 payment denial.
- $12,740
Federal fine
Jan 14, 2026
- $16,543
Federal fine
Jul 18, 2025
- 11 days
Medicare/Medicaid payment denial
Jun 10, 2024
- $203,177
Federal fine
Jun 10, 2024
- $62,438
Federal fine
May 9, 2024
Operator & ownership
- Ownership
- For profit - Partnership
- Occupancy
- 33.9 residents on an average day (74% of 46 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.