Premier Health Care Center: Staffing, Turnover, and Inspection Record
Premier Health Care Center is a 50-bed for-profit nursing home in Ranger, Texas. In the CMS August 2026 release it reported 1.24 nurse aide hours per resident per day, 38% below the Texas average of 2.00, and 59.1% nursing staff turnover (Texas average 55.3%).
Premier Health Care Center
460 W Main StRanger, TX 76470
Eastland County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Premier Health Care Center, nurse aides logged 1.24 hours per resident per day, 38% below the Texas average. With about 47 residents a day, that works out to roughly 59 aide hours a day, or about 7 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.24 | 2.00 | 2.32 |
| Licensed practical nurses | 0.74 | 0.95 | 0.86 |
| Registered nurses | 0.22 | 0.43 | 0.69 |
| All nursing staff | 2.21 | 3.39 | 3.86 |
| All nursing staff, weekends | 1.92 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
59.1% of nursing staff at Premier Health Care Center left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 21, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 14 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $14,069 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 15, 2026 | Fine | $14,069 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Premier Health Care Center holds 1 of 5 overall; the Texas average is 2.6.
About Premier Health Care Center
- Ownership: For profit - Individual
- Legal name: Premier Health Care Center LLC
- Medicare and Medicaid certified since: Dec 31, 2003
- Councils: resident council
- Area: rural
Nursing homes near Premier Health Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avir at Woodlands Eastland | 10.8 | 76 | 2.24 | 3.44 | 65.9% | 1 | $85,613 |
| Avir at Cisco Cisco | 19.1 | 80 | 1.99 | 3.47 | 58.5% | 5 | None |
| Villa Haven Health and Rehabilitation Center Breckenridge | 22.6 | 92 | 1.98 | 3.45 | 60.0% | 5 | None |
| De Leon Nursing and Rehabilitation De Leon | 26.3 | 98 | 1.58 | 2.95 | — | 5 | None |
| Rising Star Nursing Center Rising Star | 31.0 | 60 | 2.46 | 3.78 | 48.6% | 4 | None |
| Avir at Stephenville Stephenville · many days without an RN | 31.7 | 102 | 2.29 | 3.33 | 82.3% | 1 | $204,614 |
| Stephenville Nursing and Rehabilitation Stephenville · staffing data not validated | 32.3 | 46 | — | — | — | 5 | None |
| Lone Star Rehabilitation & Wellness Center Stephenville | 32.4 | 122 | 1.34 | 2.73 | 33.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.