Nursing Home
Premier Health Care Center
460 W Main St, Ranger, TX 76470
1
1
CMS Overall Rating — Much below average
Informational only. This information comes from CMS Care Compare data and may be out of date or contain errors. It is not a substitute for visiting the nursing home. Always confirm details directly with the provider and with Medicare.gov Care Compare before making a decision.
CMS five-star sub-ratings
Health inspection
2
Staffing
1
Quality measures
2
Long-stay QM
2
The overall rating starts from the health-inspection rating and is adjusted by staffing and quality-measure performance. How this works.
Facility details
- Type
- Nursing Home
- Ownership
- For-profit
- Certified beds
- 50
- Phone
- (254) 647-3111
- CMS Certification Number
- 676017
- Address
- 460 W Main St, Ranger, TX 76470
Staffing
- Total nurse staffing (hrs/resident/day)
- 2.79 hrs
- RN staffing (hrs/resident/day)
- 0.26 hrs
- Total nursing staff turnover
- 63.2 %
Inspection
- Total weighted health survey score
- 106.25
Other measures
- Average residents per day
- 42.1
Inspection history
23citations on record
1serious (scope/severity G+)
7from complaints
January 15, 2026most recent survey
Recent citations
| Date | Tag | Issue | Severity |
|---|---|---|---|
| Jan 2026 | 0689 | Quality of Life and Care Deficiencies complaint | |
| Jan 2026 | 0728 | Nursing and Physician Services Deficiencies complaint | |
| Jan 2026 | 0908 | Environmental Deficiencies complaint | |
| Mar 2025 | 0812 | Nutrition and Dietary Deficiencies | |
| Mar 2025 | 0842 | Resident Assessment and Care Planning Deficiencies | |
| Mar 2025 | 0880 | Infection Control Deficiencies | |
| Mar 2025 | 0656 | Resident Assessment and Care Planning Deficiencies | |
| Mar 2025 | 0657 | Resident Assessment and Care Planning Deficiencies | |
| Mar 2025 | 0690 | Quality of Life and Care Deficiencies | |
| Mar 2025 | 0695 | Quality of Life and Care Deficiencies | |
| Feb 2024 | 0641 | Resident Assessment and Care Planning Deficiencies complaint | |
| Feb 2024 | 0656 | Resident Assessment and Care Planning Deficiencies complaint | |
| Feb 2024 | 0700 | Quality of Life and Care Deficiencies complaint | |
| Feb 2024 | 0812 | Nutrition and Dietary Deficiencies complaint | |
| Jan 2023 | 0812 | Nutrition and Dietary Deficiencies |
Scope/severity runs A (least) to L (most serious); G and above indicate actual harm or immediate jeopardy. Source: CMS health inspection surveys.
Penalties & enforcement
1fines
$21,645total fines
0payment denials
1total penalties
Penalty history
| Date | Type | Amount / length |
|---|---|---|
| Jan 2026 | Fine | $21,645 |
Federal penalties recorded by CMS. Source: CMS Provider Data Catalog.
Ownership
| Owner | Type | Role | Stake |
|---|---|---|---|
| Alexander, Rainey | Individual | Direct Ownership Interest | — |
| Alexander, Rainey | Individual | Operational/Managerial Control | — |
| Martinez Irizarry, Axel | Individual | Operational/Managerial Control | — |
| Stroh Properties LP | Organization | Adp Of The SNF | — |
| Alexander, Rainey | Individual | Adp Of The SNF | — |
| Martinez Irizarry, Axel | Individual | Adp Of The SNF | — |
| Stroh, Clarence | Individual | Adp Of The SNF | — |
Owners, managing employees and organizations on file with CMS. Ownership can affect accountability and care patterns. Source: CMS Ownership data.
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