Ralls Nursing Home: Staffing, Turnover, and Inspection Record
Ralls Nursing Home is a 46-bed for-profit nursing home in Ralls, Texas. In the CMS August 2026 release it reported 1.29 nurse aide hours per resident per day, 35% below the Texas average of 2.00, and 72.4% nursing staff turnover (Texas average 55.3%).
Ralls Nursing Home
1111 Avenue PRalls, TX 79357
Crosby County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Ralls Nursing Home, nurse aides logged 1.29 hours per resident per day, 35% below the Texas average. With about 34 residents a day, that works out to roughly 44 aide hours a day, or about 5 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.29 | 2.00 | 2.32 |
| Licensed practical nurses | 0.71 | 0.95 | 0.86 |
| Registered nurses | 0.31 | 0.43 | 0.69 |
| All nursing staff | 2.31 | 3.39 | 3.86 |
| All nursing staff, weekends | 1.98 | 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
72.4% of nursing staff at Ralls Nursing Home left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 57.1%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Sep 16, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 10 health deficiencies (Texas average 9.3). CMS lists 5 fines totaling $303,179 and 1 payment denial in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jan 14, 2026 | Fine | $8,281 |
| Jan 14, 2026 | Fine | $12,740 |
| Jul 18, 2025 | Fine | $16,543 |
| Jun 10, 2024 | Fine | $203,177 |
| Jun 10, 2024 | Payment Denial | 11 days from Jul 12, 2024 |
| May 9, 2024 | Fine | $62,438 |
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. Ralls Nursing Home holds 1 of 5 overall; the Texas average is 2.6.
About Ralls Nursing Home
- Ownership: For profit - Partnership
- Legal name: Childress County Hospital District
- Medicare and Medicaid certified since: Sep 16, 1994
- Councils: resident council
- Area: urban
Nursing homes near Ralls Nursing Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Crosbyton Nursing and Rehabilitation Center Crosbyton · staffing data not validated | 7.6 | 53 | — | — | 42.3% | 2 | None |
| Slaton Care Center Slaton · many days without an RN | 23.9 | 120 | 1.77 | 2.84 | — | 4 | $23,491 |
| Windmill Village Rehabilitation & Care Center Lubbock | 26.6 | 120 | 1.98 | 3.11 | 61.6% | 4 | None |
| Avir at Heritage Oaks Lubbock · many days without an RN | 30.2 | 159 | 2.07 | 3.21 | 67.2% | 1 | None |
| The Mildred & Shirley L. Garrison Geriatric Educat Lubbock · abuse citation | 31.1 | 120 | 1.66 | 3.00 | 53.8% | 2 | $26,949 |
| Southern Specialty Rehab & Nursing Lubbock | 31.3 | 144 | 2.52 | 3.99 | 98.7% | 1 | $36,652 |
| Lubbock Health Care Center Lubbock | 31.4 | 120 | 2.02 | 3.12 | 96.8% | 3 | None |
| Lakeside Rehabilitation and Care Center Lubbock | 31.4 | 93 | 1.97 | 3.13 | 82.2% | 1 | $8,994 |
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.
Explore next
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.