FPoor · score 17/100 · #1140 of 1,170 in Texas
Ralls Nursing Home
1111 Avenue P, Ralls, TX 79357 · 46 certified beds · For profit - Partnership
Staffing 2.3 nurse hours per resident-daybottom quarter in Texas
10 health deficiencies at the last standard survey (CMS severity score 108)bottom quarter
$303,179 in fines in 3 years, 1 payment denials
Why Ralls Nursing Home is graded F
Each metric below is percentile-ranked against Texas nursing homes in the same size band (small, 46 beds), then weighted. The score is the weighted sum; A ≥ 72, B ≥ 58, C ≥ 42, D ≥ 28, F below. Nothing here can be edited or paid for.
Ralls Nursing Home at a Glance
F
17/100
Nurse staffing · weight 30Total nurse hours per resident per day, as reported to CMS (PBJ). Raw: 2.31 h.
2<small style="font-size:12px;color:var(--muted)">th pct</small>Health inspections · weight 30Health deficiencies cited at the last standard survey and complaint surveys, weighted by severity. Raw: 108.
9<small style="font-size:12px;color:var(--muted)">th pct</small>Quality measures · weight 25CMS quality-measure rating: falls, pressure ulcers, rehospitalisation, antipsychotic use. Raw: 4.
53<small style="font-size:12px;color:var(--muted)">th pct</small>Penalties · weight 15Fines and payment denials in the last three years. Raw: $303,179 fines, 1 denials.
1<small style="font-size:12px;color:var(--muted)">th pct</small>CMS overall star ratingMedicare's own 1–5 rating, shown for reference; not part of our grade.
1/5Data: CMS Care Compare, as of Aug 1, 2026 · graded Sep 11, 2026 · peer group: Texas, small facilities · CMS record 675407 · How we grade.
Facility details
Address1111 Avenue P, Ralls, TX 79357
Phone8062532596
CountyCrosby
OwnershipFor profit - Partnership
Certified beds46
AcceptsMedicare Medicaid
Special Focus FacilityNo
Higher-graded nursing homes nearby
1
Longhorn Village - Austin, TX · 60 beds
- Staffing 5.7 nurse hours per resident-day — top 10% in Texas
- 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
1
The Shoal - Texas City, TX · 134 beds
- Staffing 3.7 nurse hours per resident-day — top 10% in Texas
- 2 health deficiencies at the last standard survey (CMS severity score 8) — top 10%
1
Sagecrest Alzheimers Care Center - San Angelo, TX · 72 beds
- Staffing 4.7 nurse hours per resident-day — top 10% in Texas
- 2 health deficiencies at the last standard survey (CMS severity score 12) — top 10%
A grade is a shortlist tool, not medical or legal advice. Visit the facility, ask for the latest survey report, and talk to residents' families before choosing.