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Nursing homeFAID #14090

Ralls Nursing Home

1111 AVENUE P, RALLS, TX, 79357

(806) 253-2596

46 licensed beds

★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing4/5 quality measuresSource: CMS Care Compare

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Address

1111 Avenue P

Ralls, TX 79357

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Public record summary

What we can show you for free.

Bed capacity

CMS facility ID

675407

Care type

Nursing home

County

Crosby

Facility name

Ralls Nursing Home

Street address

1111 AVENUE P

City / state / ZIP

Ralls, TX 79357

Phone

(806) 253-2596

About this facility — Ralls Nursing Home

Ralls Nursing Home is a Medicare/Medicaid-certified skilled nursing facility in Ralls, Texas. It is licensed for 46 beds — well below the median for skilled nursing facilities in Texas (120 beds).

It is one of 1 senior care facility in Ralls and 1,178 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 Ralls Nursing Home 36 times across 13 inspections in the last three years, including 2 food-safety citations, and CMS has imposed $303,179 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 August 31, 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 - Partnership

Registered owners & officers

Britton, Carl

Direct owner · Partner — since 2023

Buchok, Andrew

Managing employee · Operational control · Additional disclosable party — since 2023

Chebib, Paul

Direct owner · Managing employee · Operational control · Additional disclosable party — since 2023

Childress County Hospital District

Indirect owner · Additional disclosable party — since 2014

Holcomb, Holly

Managing employee · Officer · Additional disclosable party — since 1996

Ralls Nh Operations, Ltd

Direct owner · Additional disclosable party — since 2014

Spore, Scott

Direct owner · Operational control · Additional disclosable party — since 2014

Sss Holdings Lp

Direct owner — since 2023

Stratton, Emilee

Officer · Additional disclosable party — since 2018

Wolcott, Roger

Direct owner · Partner — since 2023

Regulatory standing

Licensed / certified since

1994-09-16

CMS overall rating

1 of 5 stars

Health deficiencies

10 at the last standard inspection

Federal fines

$303,179 total

Last standard inspection

2025-09-16

Nurse staffing

2.3 hours per resident per day

Services & coverage

Licensed beds

Medicare

Accepted

Medicaid

Accepted

Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. 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.

2026-01-14Health inspectionComplaint-triggered4 citations

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F-0602

E · No harm foundFrom a complaint

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-01-15

F-0607

J · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F-0609

J · Immediate jeopardyFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2025-11-26Health inspectionComplaint-triggered1 citation

F-0760

D · No harm foundFrom a complaint

Ensure that residents are free from significant medication errors.

Corrected 2025-11-27

9 earlier / fire-safety inspections (31 citations)

2025-09-16Health inspection5 citations

F-0565

E · No harm found

Honor the resident's right to organize and participate in resident/family groups in the facility.

Corrected 2025-10-11

F-0585

E · No harm found

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2025-10-11

F-0609

D · No harm found

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2025-10-11

F-0727

E · No harm found

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-10-11

F-0812

E · 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 2025-10-11

2025-07-18Health inspectionComplaint-triggered3 citations

F-0600

J · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F-0607

J · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

F-0609

J · Immediate jeopardyFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

2024-08-20Health inspection2 citations

F-0880

D · No harm found

Provide and implement an infection prevention and control program.

Corrected 2024-08-21

F-0921

D · 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 2024-08-21

2024-06-10Health inspectionComplaint-triggered5 citations

F-0580

D · No harm foundFrom a complaint

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-07-23

F-0600

K · Immediate jeopardyFrom a complaint

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-23

F-0607

K · Immediate jeopardyFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-07-23

F-0609

E · No harm foundFrom a complaint

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-07-23

F-0610

E · No harm foundFrom a complaint

Respond appropriately to all alleged violations.

Corrected 2024-07-23

2024-05-09Health inspectionComplaint-triggered4 citations

F-0585

E · No harm foundFrom a complaint

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2024-06-06

F-0607

E · No harm foundFrom a complaint

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-06-06

F-0657

D · No harm foundFrom a complaint

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

Corrected 2024-06-06

F-0689

G · Actual harmFrom a complaint

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

Corrected 2024-06-06

2023-07-18Health inspection5 citations

F-0552

E · No harm found

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2023-07-19

F-0558

D · No harm found

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-07-24

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 2023-07-27

F-0679

D · No harm found

Provide activities to meet all resident's needs.

Corrected 2023-07-19

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 2023-08-02

2025-09-16Fire-safety inspection2 citations

K-0353

D · No harm found

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-10-11

K-0521

C · No harm found

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

2024-08-20Fire-safety inspection2 citations

K-0341

F · No harm found

Install a fire alarm system that can be heard throughout the facility.

Corrected 2024-10-16

K-0521

C · No harm found

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

Corrected 2024-09-18

2023-07-18Fire-safety inspection3 citations

K-0222

E · No harm found

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-08-17

K-0345

D · No harm found

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-08-17

K-0521

C · No harm found

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

Federal penalties

2026-01-14Fine$8,281

2026-01-14Fine$12,740

2025-07-18Fine$16,543

2024-06-10Fine$203,177

2024-05-09Fine$62,438

2024-06-10Medicare payment denial — 11 days

Total fines$303,179

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 675407.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier

Prior operators & transfers

Corporate network & affiliates

Owners' other facilities

· · 2 more

Inspection citations — last 5 years

Locked

The 36 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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Citations, owner history, lawsuits — decoded into one PDF.

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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 2026-08-31

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