Ralls Nursing Home has received an F grade based on CMS data, with a score of 4/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Ralls facility should carefully review its inspection history and quality metrics.
With 2.51 total nurse hours per resident per day, Ralls Nursing Home falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 34 deficiencies at Ralls Nursing Home, including 9 classified as serious — among the most concerning citation levels. The most notable finding involved: protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 2.51 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.29 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.75 | 0.7 | Average |
| Certified Nursing Assistants (CNA) | 1.48 | 2.4 | Below Average |
| Weekend Total Nursing | 2.21 | 3.8 | Below Average |
| Weekend RN Hours | 0.20 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0600 Severity JProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Jan 13, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0607 Severity JDevelop and implement policies and procedures to prevent abuse, neglect, and theft.Jan 13, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0609 Severity JTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Jan 13, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0602 Severity EProtect each resident from the wrongful use of the resident's belongings or money.Jan 13, 2026 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Nov 25, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.8% | 4.5% | Better |
| Falls with major injury | 5.2% | 3.0% | Worse |
| On antipsychotic medication | 22.6% | 14.5% | Worse |
| Urinary tract infections | 5.4% | 2.5% | Worse |
| ADL decline (daily activities) | 12.5% | 14.0% | Better |
| Excessive weight loss | 12.4% | 7.5% | Worse |
| New/worsened incontinence | 21.3% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $501,656
How This Grade Was Calculated
This facility's grade of F is based on a score of 4 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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