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Nursing homeFAID #14431

Premier Health Care Center

460 W MAIN ST, RANGER, TX, 76470

(254) 647-3111

50 licensed beds

CMS rates Premier Health Care Center 1 out of 5 overall. Federal inspectors issued 35 citations across 8 inspections in the last three years, with $14,069 in fines. Listing last updated 2026-11-06.

★★★★★1/5CMS Five-Star overall2/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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Address

460 W Main St

Ranger, TX 76470

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

676017

Care type

Nursing home

County

Eastland

Facility name

Premier Health Care Center

Street address

460 W MAIN ST

City / state / ZIP

Ranger, TX 76470

Phone

(254) 647-3111

About this facility — Premier Health Care Center

Premier Health Care Center is a Medicare/Medicaid-certified skilled nursing facility in Ranger, Texas. It is licensed for 50 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Ranger and 1,179 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Premier Health Care Center 35 times across 8 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $14,069 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type

For profit - Individual

Registered owners & officers

Alexander, Rainey

Direct owner · Operational control · Additional disclosable party — since 2022

Martinez Irizarry, Axel

Operational control · Additional disclosable party — since 2025

Stroh Properties Lp

Additional disclosable party — since 2022

Stroh, Clarence

Additional disclosable party — since 2022

Regulatory standing

Licensed / certified since

2003-12-31

CMS overall rating

1 of 5 stars

Health deficiencies

14 at the last standard inspection

Federal fines

$14,069 total

Last standard inspection

2026-05-21

Nurse staffing

2.2 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges

$1,844 per day (≈ $56,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.

Payer mix (resident days)

1% Medicaid · 98% Medicare · 1% private/other

Occupancy

5% (fiscal year 2023)

Vs. state median

566% above the TX median of $277/day — full state cost breakdown

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-11-06. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 2 food-safety citations on its three-year record — flagged below among the inspections.

2026-05-21Health inspection11 citations

F-0641

D · No harm found

Ensure each resident receives an accurate assessment.

Corrected 2026-06-30

F-0644

D · No harm found

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2026-06-30

F-0655

D · No harm found

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2026-06-30

F-0656

E · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2026-06-30

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2026-06-30

F-0690

E · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2026-06-30

F-0695

E · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-06-30

F-0757

D · No harm found

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Corrected 2026-06-30

F-0759

E · No harm found

Ensure medication error rates are not 5 percent or greater.

Corrected 2026-06-30

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2026-06-30

F-0921

E · No harm found

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2026-06-30

2026-01-15Health inspectionComplaint-triggered3 citations

F-0689

J · Immediate jeopardyFrom a complaint

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-01-16

F-0728

E · No harm foundFrom a complaint

Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.

Corrected 2026-01-16

F-0908

D · No harm foundFrom a complaint

Keep all essential equipment working safely.

Corrected 2026-01-16

5 earlier / fire-safety inspections (21 citations)

2025-03-05Health inspection7 citations

F-0656

D · No harm found

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-04-26

F-0657

D · No harm found

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-04-26

F-0690

D · No harm found

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-03-27

F-0695

B · No harm found

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-27

F-0812

F · No harm foundFood safety

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-11

F-0842

E · No harm found

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-26

F-0880

E · No harm found

Provide and implement an infection prevention and control program.

Corrected 2025-04-27

2024-02-22Health inspectionComplaint-triggered4 citations

F-0641

E · No harm foundFrom a complaint

Ensure each resident receives an accurate assessment.

Corrected 2024-03-15

F-0656

E · No harm foundFrom a complaint

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-03-22

F-0700

E · No harm foundFrom a complaint

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-03-15

F-0812

E · No harm foundFood safetyFrom a complaint

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-03-15

2026-05-21Fire-safety inspection2 citations

K-0353

E · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-06-30

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2026-06-30

2025-03-05Fire-safety inspection5 citations

E-0041

F · No harm found

Implement emergency and standby power systems.

Corrected 2025-04-10

K-0321

E · No harm found

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-08

K-0372

E · No harm found

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-09

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2025-04-09

K-0918

F · No harm found

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-09

2024-02-22Fire-safety inspection3 citations

K-0343

D · No harm found

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-03-31

K-0521

C · No harm found

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2024-03-15

K-0751

D · No harm found

Have restrictions on the use of flammable curtains.

Corrected 2024-03-15

Federal penalties

2026-01-15Fine$14,069

Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 676017.

Quality of care & staffing

How it compares in Texas.

Inspection citations, 3 years

More than 53% of nursing homes in the state

State median: 33

Federal fines, 3 years

$14,069

More than 46% of nursing homes in the state

State median: $15,642

Nurse staffing, hours per resident per day

2.2

Among the lowest of nursing homes in the state

State median: 3.3

Nursing staff turnover, annual

59%

Higher than 73% of nursing homes in the state

State median: 50%

Resident outcomes

On 18 federal quality measures, this facility does better than the Texas average on 5 and worse on 8. Differences within 10% of the average are shown as near average.

Long-stay residents	This facility	State	US	Compared with state
Need for help with daily activities has increased	31.0%	15.8%	13.5%	Worse than state
Lose too much weight	5.3%	2.9%	5.1%	Worse than state
With a catheter inserted and left in their bladder	4.3%	0.3%	0.7%	Worse than state
With a urinary tract infection	5.0%	0.8%	1.5%	Worse than state
Have depressive symptoms	2.5%	2.3%	13.5%	Near state average
Were physically restrained	0.0%	0.0%	0.1%	Better than state
Experiencing one or more falls with major injury	7.7%	3.2%	3.2%	Worse than state
Assessed and appropriately given the pneumococcal vaccine	100.0%	96.4%	93.7%	Near state average
Ability to walk independently worsened	23.0%	12.9%	12.7%	Worse than state
Received an antianxiety or hypnotic medication	18.0%	17.8%	19.5%	Near state average
Assessed and appropriately given the seasonal influenza vaccine	95.3%	97.0%	95.3%	Near state average
With pressure ulcers	4.4%	3.7%	4.5%	Worse than state
With new or worsened bowel or bladder incontinence	8.2%	12.5%	18.3%	Better than state
Received an antipsychotic medication	4.1%	9.8%	15.4%	Better than state
Hospitalizations per 1000 long-stay resident days	1.35	2.05	1.81	Better than state
Outpatient emergency department visits per 1000 long-stay resident days	2.31	1.97	1.69	Worse than state

Short-stay residents	This facility	State	US	Compared with state
Assessed and appropriately given the pneumococcal vaccine	93.2%	88.7%	82.3%	Near state average
Newly received an antipsychotic medication	0.0%	1.4%	1.5%	Better than state

Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

F-0656 3 inspections. Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
K-0521 3 inspections. Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
F-0641 2 inspections. Ensure each resident receives an accurate assessment.
F-0657 2 inspections. Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
F-0690 2 inspections. Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
F-0695 2 inspections. Provide safe and appropriate respiratory care for a resident when needed.

Verify & compare

Where to check, and what's nearby.

Who to contact in Texas

Licensing: Texas Health and Human Services
File a complaint: 800-458-9858 · Online
Long-Term Care Ombudsman: 800-252-2412. A free advocate for residents and families.
Adult Protective Services: 800-252-5400. Some states send facility cases to licensing instead. In an emergency, call 911.
Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

Eastland Memorial Hospital, about 9.4 miles.
Stephens Memorial Hospital, about 23 miles.
Texas Health Harris Methodist Hospital Stephenvill, about 33 miles. CMS rating 4 of 5.

Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

The Woodlands Assisted Living, Eastland, about 11 miles. CMS rating 1 of 5.
Avir At Cisco, Cisco, about 19 miles. CMS rating 4 of 5.
Villa Haven Health and Rehabilitation Center, Breckenridge, about 23 miles. CMS rating 5 of 5.
De Leon Nursing and Rehabilitation, De Leon, about 26 miles. CMS rating 5 of 5.
Rising Star Nursing Center, Rising Star, about 31 miles. CMS rating 5 of 5.

Inside your report

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Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 35 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only

Active civil suits

Federal dockets

CDC infection data

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Original records

Sources we pull for this facility.

Source

CMS Nursing Home Compare

data.cms.gov Provider Data Catalog

Last verified 2026-11-06

Source

Secretary of State filings

Entity & officer search

Pulled when a report is ordered

Source

PACER federal dockets

pacer.uscourts.gov

Pulled when a report is ordered