Ralls Rehab Ranch

    1111 Ave P, Ralls, TX 79357
    • Assisted Living
    • Memory Care
    • Skilled Nursing
    3.2ยท9 reviews

    Engaging community with caring staff

    I'm very happy with this community - engaging activities, caring and attentive nursing staff, tasty nutritious meals with dietary staff who go above and beyond, and an effective therapy team. I see the staff doing their best every day; it's a very good place.

    Current/former resident
    Jul 2026

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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

    Reviews

    3.22ยท(9)

    Overall rating

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

      2.3
    • Staff

      2.2
    • Meals

      5.0
    • Amenities

      3.2
    • Value

      3.2

    Pros

    • Engaging activity programming
    • Attentive nursing staff
    • Nutritious, wellโ€‘prepared meals
    • Proactive and supportive dietary team
    • Effective therapy and rehabilitation services
    • Positive workplace environment for staff

    Cons

    • Inconsistent staff professionalism and communication
    • Medicationโ€‘management and accountability gaps
    • Fallโ€‘risk and safeโ€‘transfer practice weaknesses
    • Inadequate financial and dataโ€‘security safeguards
    • Gaps in clinicalโ€‘incident response and family communication
    • Insufficient administrative oversight and management consistency
    • Oversight failures resulting in protectiveโ€‘services escalation

    Summary of reviews

    Ralls Rehab Ranch displays a mix of clear programmatic strengths and operational weaknesses. On the positive side, reviewers describe an active activities program, a therapy department that delivers effective rehabilitation, and a dietary team that provides nutritious, wellโ€‘prepared meals and often goes above standard expectations. Nursing personnel are frequently characterized as attentive and caring, and some comments indicate a generally positive workplace culture for staff. These elements suggest the facility can provide meaningful engagement and therapeutic benefit for residents.

    However, there are recurring concerns that relate to safety, administration, and institutional controls. Several accounts point to weaknesses in medication management and accountability as well as gaps in fallโ€‘risk and safeโ€‘transfer practices. Those operational gaps have contributed to incidents that reviewers identified as compromising resident safety. In at least one instance an allegation was escalated to adult protective services, which underscores the need for careful inquiry into clinical oversight and incident followโ€‘up when evaluating the facility.

    Communication and staff conduct present a mixed picture. While many caregivers are described as caring and attentive, other interactions were described as curt or unhelpful, including poor responsiveness to inquiries and inconsistent tone from frontโ€‘line staff and nursing leadership. These communication shortcomings extend into family engagement and incident notification, creating friction between families and staff and complicating trust and collaboration.

    Administrative and security controls also drew concern. Reviewers described situations indicative of insufficient financial and dataโ€‘security safeguards, including a privacy breach tied to a residentโ€™s financial information. Taken together with descriptions of inconsistent management practices, these accounts suggest gaps in record controls, financial protections, and overall administrative oversight.

    For prospective residents and families: weigh the facilityโ€™s tangible strengths in therapy, dining, and activity programming against the operational areas flagged here. When considering placement, ask specific questions about medicationโ€‘administration protocols, fallโ€‘prevention measures, incident reporting and followโ€‘up, staff training on professional conduct, and data/financial safeguards. Request documentation of internal investigations and any corrective actions taken, and tour clinical and administrative workflows to assess whether leadership has addressed the weaknesses reviewers described.

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    Medicare Ratings

    1ยท/ 5
    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Ralls Rehab Ranch

    Ralls Rehab Ranch is located at 1111 Ave P, Ralls, TX, 79357.

    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.

    People often ask...

    Ralls Rehab Ranch offers assisted living, memory care, and skilled nursing.

    The full address for this community is 1111 Ave P, Ralls, TX 79357.

    No, Ralls Rehab Ranch does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Ralls Rehab Ranch. The information above has not been verified or approved by the owner or operator. For exact information, please contact Ralls Rehab Ranch directly. There is no cost for this service. We are compensated by the community you select.

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