F

Premier Health Care Center

460 W Main St, Ranger, TX 76470
Score: 18 / 100

Premier Health Care Center has received an F grade based on CMS data, with a score of 18/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Ranger facility should carefully review its inspection history and quality metrics.

With 2.70 total nurse hours per resident per day, Premier Health Care Center 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 23 deficiencies at Premier Health Care Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 3 / 15 pts
1 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 2.70 3.8 Below Average
Registered Nurses (RN) 0.20 0.7 Below Average
Licensed Practical Nurses (LPN) 1.01 0.7 Above Average
Certified Nursing Assistants (CNA) 1.48 2.4 Below Average
Weekend Total Nursing 2.34 3.8 Below Average
Weekend RN Hours 0.19 0.7 Below Average

🔍 Inspection & Deficiency History

23
Total Deficiencies
Jan 14, 2026
Most Recent Inspection
⚪ 2 Minor 🟠 20 Moderate 🔴 1 Serious
View recent deficiencies (5 shown)
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jan 14, 2026 · Quality of Life and Care Deficiencies
  • Tag 0728 Severity E
    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
    Jan 14, 2026 · Nursing and Physician Services Deficiencies
  • Tag 0908 Severity D
    Keep all essential equipment working safely.
    Jan 14, 2026 · Environmental Deficiencies
  • Tag 0812 Severity F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    Mar 4, 2025 · Nutrition and Dietary Deficiencies
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Mar 4, 2025 · Resident Assessment and Care Planning 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 3.3% 4.5% Better
Falls with major injury 6.1% 3.0% Worse
On antipsychotic medication 5.1% 14.5% Better
Urinary tract infections 3.5% 2.5% Worse
ADL decline (daily activities) 30.5% 14.0% Worse
Excessive weight loss 2.1% 7.5% Better
New/worsened incontinence 13.4% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $21,645

How This Grade Was Calculated

This facility's grade of F is based on a score of 18 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 1★ → 3 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -2 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Individual
Certified Beds
50
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 4, 2025
Deficiencies (Cycle 1)
10