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Ralls Nursing Home, Ralls, TX: 1 star rating, fined $303,179 across 5 fines and had 1 payment denial

Ralls Nursing Home in Ralls, TX is owned by Ralls NH Operations, LTD and SSS Holdings LP, is rated 1 of 5 stars by Medicare, and was fined $303,179 across 5 fines and had 1 payment denial in the three years to October 1, 2026. CMS lists 25 health citations from inspections in that time, the latest survey on August 13, 2026, and 9 of them found actual harm or immediate jeopardy.

SpecStream is the live web data engine for teams and agents. It reads the CMS nursing home files every month, and this page is that reading, joined on the CMS Certification Number. Ask for the nursing homes you track by state, owner or rating and new inspection citations and fines arrive in your sheet, CRM, Slack or agent as CMS publishes them.

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Address
1111 Avenue P, Ralls, TX 79357
Overall rating
1 of 5 stars
Health inspection rating
1 of 5
Staffing rating
1 of 5
Quality measure rating
4 of 5
Certified beds
46
Residents per day
36 on average
Ownership type
For profit, partnership
Legal business name
Childress County Hospital District
Abuse icon
CMS shows an abuse icon on Care Compare
Fines
$303,179 across 5 fines, three years to October 1, 2026
Payment denials
1
Health citations
25, of which 9 with actual harm or immediate jeopardy
Latest survey
August 13, 2026
CMS Certification Number
675407
On Care Compare
Medicare Care Compare

Fines and payment denials

Every fine and payment denial CMS lists for this facility in the three years, newest first.

DateTypeFine amountDenial startsDenial daysSource
January 14, 2026Fine$12,740Not listeddata.cms.gov
January 14, 2026Fine$8,281Not listeddata.cms.gov
July 18, 2025Fine$16,543Not listeddata.cms.gov
June 10, 2024Fine$203,177Not listeddata.cms.gov
June 10, 2024Payment denialNot listedJuly 12, 202411data.cms.gov
May 9, 2024Fine$62,438Not listeddata.cms.gov

Recent health citations

Citations from health inspections, newest first.

Survey dateTagWhat CMS citedScope and severityStatusCorrected onSource
August 13, 2026F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 26, 2026data.cms.gov
January 14, 2026F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
January 14, 2026F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
January 14, 2026F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
January 14, 2026F602Protect each resident from the wrongful use of the resident's belongings or money.E: pattern, no actual harm, potential for more than minimal harmCorrectedJanuary 15, 2026data.cms.gov
November 26, 2025F760Ensure that residents are free from significant medication errors.D: isolated, no actual harm, potential for more than minimal harmCorrectedNovember 27, 2025data.cms.gov
September 16, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
September 16, 2025F727Have 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
September 16, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D: isolated, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
September 16, 2025F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
September 16, 2025F565Honor the resident's right to organize and participate in resident/family groups in the facility.E: pattern, no actual harm, potential for more than minimal harmCorrectedOctober 11, 2025data.cms.gov
July 18, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
July 18, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
July 18, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.J: isolated, immediate jeopardyPast noncompliancedata.cms.gov
August 20, 2024F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 21, 2024data.cms.gov
August 20, 2024F880Provide and implement an infection prevention and control program.D: isolated, no actual harm, potential for more than minimal harmCorrectedAugust 21, 2024data.cms.gov
June 10, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.K: pattern, immediate jeopardyCorrectedJuly 23, 2024data.cms.gov
June 10, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.K: pattern, immediate jeopardyCorrectedJuly 23, 2024data.cms.gov
June 10, 2024F610Respond appropriately to all alleged violations.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
June 10, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.E: pattern, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
June 10, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.D: isolated, no actual harm, potential for more than minimal harmCorrectedJuly 23, 2024data.cms.gov
May 9, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G: isolated, actual harmCorrectedJune 6, 2024data.cms.gov
May 9, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.D: isolated, no actual harm, potential for more than minimal harmCorrectedJune 6, 2024data.cms.gov
May 9, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2024data.cms.gov
May 9, 2024F585Honor 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.E: pattern, no actual harm, potential for more than minimal harmCorrectedJune 6, 2024data.cms.gov

Owners and managers

Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 16 individual or personal trusts (6 owners, 3 managers, 2 officers, directors or trustees, 5 other disclosable parties). Their names are not shown on this page.

OrganizationRoleShareSinceSource
Ralls NH Operations, LTDDirect ownerNot listedDecember 1, 2014data.cms.gov
SSS Holdings LPDirect ownerNot listedDecember 1, 2023data.cms.gov
Childress County Hospital DistrictIndirect ownerNot listedDecember 1, 2014data.cms.gov
Childress County Hospital DistrictAdditional disclosable partyNot listedJanuary 23, 2025data.cms.gov
Ralls NH Operations, LTDAdditional disclosable partyNot listedJanuary 23, 2025data.cms.gov

Also on SpecStream

Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.