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    Nursing home · RALLS, TX

    RALLS NURSING HOME

    1111 AVENUE P, RALLS, TX 79357

    CMS certification number: 675407 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance8062532596Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    46

    Residents / day

    36.5

    Ownership

    For profit - Partnership

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Partnership
    County
    Crosby
    Certified beds
    46
    Average residents per day
    36.5
    First certified
    September 16, 1994

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    1 / 5
    Staffing
    1 / 5
    Quality measures
    4 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Crosby, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    3.00
    n=1
    State peers
    2.76

    Nurse hours / resident / day

    This home
    2.53
    County peers
    3.79
    n=1
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.33
    County peers
    3.34
    n=1
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    76.70
    County peers
    44.00
    n=1
    State peers
    50.78
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 7.9% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 76.7% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    7
    Health citations
    30
    Resident measures
    17
    Ownership records
    21
    Penalties
    6
    SNF rehabilitation measures
    57
    Inspection summaries
    3

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    2.53196
    Reported RN Staffing Hours per Resident per Day
    0.34461
    Reported LPN Staffing Hours per Resident per Day
    0.72061
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.46674
    Total number of nurse staff hours per resident per day on the weekend
    2.33252
    Registered Nurse hours per resident per day on the weekend
    0.37582
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03499
    Total nursing staff turnover
    76.7
    Registered Nurse turnover
    60.0
    Number of administrators who have left the nursing home
    3
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    Y
    Chain ID
    Not reported
    Latitude
    33.682
    Location
    1111 AVENUE P,RALLS,TX,79357
    ZIP Code
    79357
    City/Town
    RALLS
    Longitude
    -101.37
    QM Rating
    4
    Abuse Icon
    Y
    Chain Name
    Not reported
    County/Parish
    Crosby
    Provider Name
    RALLS NURSING HOME
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    For profit - Partnership
    Number of Fines
    5
    Processing Date
    2026-10-01
    Staffing Rating
    1
    Provider Address
    1111 AVENUE P
    Telephone Number
    8062532596
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    CHILDRESS COUNTY HOSPITAL DISTRICT
    Long-Stay QM Rating
    4
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.25810
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    46
    Provider SSA County Code
    362
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    1
    Registered Nurse turnover
    60.0
    Total Number of Penalties
    6
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.89211
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    76.7
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    675407
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    303179.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    112
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    178.500
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    36.5
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    378
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    112
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    378
    Rating Cycle 1 Standard Survey Health Date
    2025-09-16
    Rating Cycle 2 Standard Health Survey Date
    2024-08-20
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.38325
    Case-Mix RN Staffing Hours per Resident per Day
    0.61702
    Reported RN Staffing Hours per Resident per Day
    0.34461
    Adjusted LPN Staffing Hours per Resident per Day
    0.80142
    Case-Mix LPN Staffing Hours per Resident per Day
    0.76888
    Reported LPN Staffing Hours per Resident per Day
    0.72061
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    11
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    14
    Rating Cycle 1 Number of Standard Health Deficiencies
    5
    Rating Cycle 2 Number of Standard Health Deficiencies
    2
    Reported Licensed Staffing Hours per Resident per Day
    1.06522
    Number of Citations from Infection Control Inspections
    0
    Rating Cycle 1 Number of Complaint Health Deficiencies
    6
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    1.63122
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.09410
    Number of administrators who have left the nursing home
    3
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.46674
    Adjusted Total Nurse Staffing Hours per Resident per Day
    2.81590
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.47999
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    12
    Reported Total Nurse Staffing Hours per Resident per Day
    2.53196
    Registered Nurse hours per resident per day on the weekend
    0.37582
    Date First Approved to Provide Medicare and Medicaid Services
    1994-09-16
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.03499
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    2.59409
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.06265
    Total number of nurse staff hours per resident per day on the weekend
    2.33252

    COMMUNITY EXPERIENCE

    Reviews of RALLS NURSING HOME

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026