Premier Health Care Center
460 W Main St · Ranger, TX · 76470 · 2546473111
50 certified beds For profit - Individual
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Inspection results are getting worse cycle over cycle, not better.
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Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.79 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
63% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.79 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 2.37 | ≈ weekday level |
| Nursing turnover / year | 63% | median 45% |
| Fines (3-yr window) | 1 · $21,645 |
Inspection citations (23 in the current record)
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Immediate jeopardy · J January 15, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 16, 2026 · Quality of Life and Care
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Potential for harm · E January 15, 2026 · found via complaint
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 in appropriate training.
Corrected January 16, 2026 · Nursing and Physician Services
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Potential for harm · D January 15, 2026 · found via complaint
Keep all essential equipment working safely.
Corrected January 16, 2026 · Environmental
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Potential for harm · D March 5, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · D March 5, 2025
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · F March 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 11, 2025 · Nutrition and Dietary
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Potential for harm · E March 5, 2025
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 26, 2025 · Resident Assessment and Care Planning
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Potential for harm · E March 5, 2025
Provide and implement an infection prevention and control program.
Corrected April 27, 2025 · Infection Control
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No harm found · B March 5, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 27, 2025 · Quality of Life and Care
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Potential for harm · E February 22, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected March 15, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 22, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 22, 2024 · Resident Assessment and Care Planning
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Potential for harm · E February 22, 2024 · found via complaint
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected March 15, 2024 · Quality of Life and Care
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Potential for harm · E February 22, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 15, 2024 · Nutrition and Dietary
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Potential for harm · D January 11, 2023
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected February 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected February 10, 2023 · Resident Assessment and Care Planning
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Potential for harm · E January 11, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected February 10, 2023 · Quality of Life and Care
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Potential for harm · E January 11, 2023
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected February 10, 2023 · Pharmacy Service
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Potential for harm · E January 11, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected February 10, 2023 · Pharmacy Service
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Potential for harm · E January 11, 2023
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected February 10, 2023 · Nutrition and Dietary
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Potential for harm · F January 11, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected February 16, 2023 · Nutrition and Dietary
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Potential for harm · E January 11, 2023
Provide and implement an infection prevention and control program.
Corrected February 10, 2023 · Infection Control
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No harm found · C January 11, 2023
Post nurse staffing information every day.
Corrected February 10, 2023 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 15, 2026 | Fine | $21,645 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 676017 · certified since December 31, 2003. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.