Ralls Rehab Ranch

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

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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

    3.40·(10)

    Overall rating

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

      3.0
    • Staff

      2.6
    • Meals

      5.0
    • Amenities

      3.4
    • Value

      3.4

    Pros

    • Engaging activity programs
    • Attentive nursing care
    • Nutritious, well-prepared meals
    • Proactive and supportive dietary staff
    • Effective rehabilitation and therapy services
    • Supportive workplace environment

    Cons

    • Security and privacy-control weaknesses
    • Gaps in medication-management processes
    • Inconsistent staff communication and inquiry handling
    • Staff conduct and responsiveness
    • Weak incident-response and family-communication protocols
    • Administrative and management oversight deficiencies

    Summary of reviews

    The reviews describe a facility with several operational strengths alongside notable areas of concern. On the positive side, families and staff describe engaging activity programming and a therapy department that appears effective for residents' rehabilitation needs. Nursing staff are frequently characterized as attentive, and dietary services receive praise for nutritious, well-prepared meals and a team that goes beyond basic expectations. Some comments also indicate a generally supportive workplace environment for employees.

    Care-quality themes are mixed. Clinical caregiving is often portrayed as attentive, but reviewers raise specific safety-related concerns that suggest gaps in medication controls and fall-prevention or transfer practices. One serious administrative follow-up noted an allegation involving adult protective services; this, along with reports of medication removal and an injurious fall, indicates the facility may have inconsistent processes for managing clinical incidents and ensuring resident safety.

    Staffing and communication present contrasting impressions. While direct-care staff are described as trying to do their best, there are repeated notes about inconsistent communication, brusque inquiry handling, and concerns about staff conduct and responsiveness in some interactions. Families also report strained interactions between relatives and staff; reviewers imply that conflict-resolution and family-communication protocols could be strengthened to reduce tension and improve transparency.

    Administrative and security issues are another recurring pattern. Concerns about privacy and financial controls — including an instance described as a debit-card linkage to a personal email — point to weaknesses in records and asset safeguards that could expose residents to financial risk. Several comments criticize overall management and administrative oversight, suggesting the facility would benefit from clearer policies, improved incident-reporting mechanisms, and stronger oversight of operational practices.

    For prospective residents and families: the facility offers solid programming in activities, dining, and therapy, and many caregivers are viewed as committed. At the same time, ask specific questions about the facility's medication-administration protocols, fall-prevention measures, incident-reporting and escalation procedures, staff training on conduct and communication, and policies protecting resident financial and personal information. Those topics are the primary areas reviewers identified as needing clearer, more consistent controls and oversight.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.

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

    Location

    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.

    Safety & Compliance

    In Texas, the Health & Human Services Commission licenses assisted living and long-term care facilities, conducting health and life-safety visits and complaint investigations.

    License number001cv00000RriFRAAZ
    StatusActive
    Facility typeNursing Facility (snf/nf)
    License classLicensed
    Capacity46 residents
    LicenseeCHILDRESS COUNTY HOSPITAL DISTRICT
    Care servedSnf/nf
    View the official license record

    Inspection Reports

    2

    Reports

    8

    Citations

    0

    Complaints

    1

    Years

    16 Sept 2025Inspection
    Identified several deficiencies during a health visit, including resident rights, privacy, abuse reporting, nurse staffing, and food safety.
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    • —Health Visit
    15 Sept 2025Life Safety
    Found life safety deficiencies, including exterior doors not kept open in emergencies, failure to inspect sprinkler heads per NFPA, and noncompliance with Life Safety Code requirements for an existing Health Care Occupancy.
    • —Life Safety Code
    • —Life Safety Code
    • —Life Safety Code

    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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