Ralls Rehab Ranch

    1111 Ave P, Ralls, TX, 79357
    2.7 · 7 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousCurrent/former resident
    2.0

    Compassionate staff, unsafe management issues

    I've had mixed experiences here. The nursing and dietary teams are caring, attentive, and the meals and therapy are excellent - staff genuinely try their best - but management is poor: communication is bad, inquiries are handled rudely, and safety concerns worry me (a fall, medication removal issues, even reports to adult protective services). I also experienced a privacy/financial risk (a debit card tied to a personal email), tense interactions with families, and lax security/activities-good caregivers, but the overall management and safety need fixing.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    2.71 · 7 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      2.3
    • Staff

      2.4
    • Meals

      5.0
    • Amenities

      2.7
    • Value

      2.7

    Pros

    • engaging activities
    • caring and attentive nursing staff
    • effective therapy department
    • tasty, nutritious meals
    • above-and-beyond dietary staff
    • staff generally try their best / nice to work

    Cons

    • staff misconduct
    • rude staff and poor inquiry handling
    • poor communication (including director of nursing)
    • privacy breach: debit card linked to personal email
    • financial exploitation risk
    • security concern
    • abuse reported to Adult Protective Services
    • medication removal
    • fall incident / unsafe care
    • poor management
    • residents' families rude to staff

    Summary review

    Overall sentiment across the reviews is mixed: there are clearly strong, positive elements in resident life and certain departments, but multiple serious and recurring safety, communication, and management concerns that materially undermine trust. Positive comments focus on the quality of daily life for residents in some areas—activities, dining, and therapy receive frequent praise—while negative comments raise red flags about staff behavior, incident handling, privacy and financial security, and allegations of abuse and unsafe care.

    Care quality and therapeutic services: Several reviews emphasize genuinely positive aspects of care—nursing staff are described as caring and attentive and the therapy department is described as effective. These strengths suggest that some direct-care staff perform well and that rehabilitative services meet residents' needs in many cases. However, these favorable reports are counterbalanced by more serious claims: removal of medication, a reported fall incident, and at least one allegation of abuse that was reported to Adult Protective Services. Those safety-related complaints indicate variability in the standard of clinical oversight and direct resident safety. Taken together, the reviews paint a picture of inconsistent care quality: good outcomes and attention for some residents, alongside dangerous lapses for others.

    Staff behavior, workplace environment, and communication: Reviews indicate two distinct staff-related patterns. On the positive side, dietary staff are praised as going "above and beyond," and at least one statement indicates the place is "nice to work," implying pockets of a positive workplace culture. Conversely, several reviews call out staff misconduct, rudeness, and poor handling of inquiries. Communication problems are mentioned explicitly, including criticism directed at the director of nursing for poor communication. These conflicting impressions suggest that staff performance and professionalism vary substantially across shifts, departments, or individual employees. Additionally, interpersonal tensions extend to families: some reviewers note that residents' families can be rude to staff, which can exacerbate communication and morale problems.

    Dining, activities, and quality-of-life offerings: This is the most consistently positive area across the reviews. Meals are described as tasty and nutritious, and the dietary team receives praise for going above and beyond. Engaging activities are also highlighted, indicating that programming for resident engagement is a strength and contributes positively to resident experience. These elements appear reliable and are repeatedly mentioned as bright spots.

    Safety, privacy, and financial concerns: Several reviews raise serious concerns that go beyond customer service and enter the realms of resident safety and potential exploitation. A privacy breach is described where a debit card was linked to a personal email, creating a concrete financial security concern and an asserted risk of financial exploitation. Coupled with abuse reports to Adult Protective Services and citations of medication removal and a fall, these items signal systemic risks that should be investigated and addressed. The combination of physical-safety incidents, alleged abuse, and potential financial mismanagement represents the most significant negative pattern in the reviews and is likely to be the primary concern for prospective residents and their families.

    Management and oversight: Multiple comments point to poor management and inadequate communication from leadership. The presence of serious incidents (medication removal, fall, APS involvement) alongside reports of rude or misconduct-prone staff suggests gaps in oversight, incident response, and accountability. While some staff are described as doing their best, the recurring nature of the safety and communication complaints implies inconsistent enforcement of policies or insufficient training and supervision. The mixed staff-related feedback (some praise, some serious complaints) suggests a facility with capable front-line staff in places but with management challenges that allow significant problems to occur.

    Overall assessment: The facility appears to offer meaningful benefits—engaging activities, good meals, a strong dietary team, effective therapy, and caring nurses in many cases—but these positives are overshadowed by multiple serious and specific concerns about safety, privacy, and management. The most concerning patterns are reports of abuse (APS involvement), medication removal, a fall incident, and a financial/privacy breach tied to a debit card and personal email. These issues indicate an urgent need for stronger oversight, clearer communication from leadership, and safeguards around resident finances and medication management. For families considering this facility, the reviews suggest that visiting, asking detailed questions about incident history and safeguarding protocols, and verifying how the facility handles finances and incident reporting would be prudent steps before making a decision.

    Location

    Map showing location of Ralls Rehab Ranch

    About Ralls Rehab Ranch

    Ralls Nursing Home received a rating of 1 out of 5 stars from Medicare, indicating potential issues within the facility. Medicare evaluates problems based on the number of residents affected and the severity of harm. Orange and red issues are considered substandard quality of care, particularly those related to resident treatment. The expected staffing time per resident per day is determined based on the level of care needed by residents at Ralls Nursing Home.

    The facility provides approximately 25 minutes per resident per week of physical therapist time, which is an important aspect of resident care. Turnover, the percentage of staff that leave within a year, is lower at facilities where staff members have longer tenures. This can benefit residents as longer-tenured staff may be more familiar with the facility and its procedures, leading to better care for residents.

    It is crucial for family members or individuals looking into care facilities to compare reported staffing times to expected standards, as this can impact the quality of care provided. Understanding the staffing levels and turnover rates can give insights into how well a facility may be able to meet the needs of its residents. As such, individuals considering Ralls Nursing Home should carefully consider these factors in their decision-making process to ensure that their loved ones receive the best care possible.

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