Ralls Nursing Home

Penalties

• Jan 14, 2026 — Fine ($8,281)
• Jan 14, 2026 — Fine ($12,740)
• Jul 18, 2025 — Fine ($16,543)
• Jun 10, 2024 — Payment Denial · payment denial 11 days
• Jun 10, 2024 — Fine ($203,177)
• May 9, 2024 — Fine ($62,438)

Inspection findings

1. Jan 14, 2026 Health · 4 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     CMS health inspection

   • Not serious Scope/severity E Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Jan 15, 2026 · CMS health inspection

   • Serious Scope/severity J Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     CMS health inspection

   • Serious Scope/severity J Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     CMS health inspection

2. Nov 26, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0760 Pharmacy Service Deficiencies

     Ensure that residents are free from significant medication errors.

     Corrected Nov 27, 2025 · CMS health inspection

3. Sep 16, 2025 Health · 7 findings
   • Not serious Scope/severity E

     F0565 Resident Rights Deficiencies

     Honor the resident's right to organize and participate in resident/family groups in the facility.

     Corrected Oct 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Oct 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Oct 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0727 Nursing and Physician Services Deficiencies

     Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

     Corrected Oct 11, 2025 · CMS health inspection

   • Not serious Scope/severity E

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Oct 11, 2025 · CMS health inspection

   • Not serious Scope/severity D

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Oct 11, 2025 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

4. Jul 18, 2025 Health · 3 findings
   • Serious Scope/severity J Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     CMS health inspection

   • Serious Scope/severity J Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     CMS health inspection

   • Serious Scope/severity J Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     CMS health inspection

5. Aug 20, 2024 Health · 4 findings
   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Aug 21, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0921 Environmental Deficiencies

     Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

     Corrected Aug 21, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0341 Smoke Deficiencies

     Install a fire alarm system that can be heard throughout the facility.

     Corrected Oct 16, 2024 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     Corrected Sep 18, 2024 · CMS fire safety

6. Jun 10, 2024 Health · 5 findings
   • Not serious Scope/severity D Complaint

     F0580 Resident Rights Deficiencies

     Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

     Corrected Jul 23, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0600 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

     Corrected Jul 23, 2024 · CMS health inspection

   • Serious Scope/severity K Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jul 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Jul 23, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jul 23, 2024 · CMS health inspection

7. May 9, 2024 Health · 4 findings
   • Not serious Scope/severity E Complaint

     F0585 Resident Rights Deficiencies

     Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

     Corrected Jun 6, 2024 · CMS health inspection

   • Not serious Scope/severity E Complaint

     F0607 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Develop and implement policies and procedures to prevent abuse, neglect, and theft.

     Corrected Jun 6, 2024 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0657 Resident Assessment and Care Planning Deficiencies

     Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

     Corrected Jun 6, 2024 · CMS health inspection

   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jun 6, 2024 · CMS health inspection

8. Jul 18, 2023 Health · 8 findings
   • Not serious Scope/severity E

     F0552 Resident Rights Deficiencies

     Ensure that residents are fully informed and understand their health status, care and treatments.

     Corrected Jul 19, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0558 Resident Rights Deficiencies

     Reasonably accommodate the needs and preferences of each resident.

     Corrected Jul 24, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0656 Resident Assessment and Care Planning Deficiencies

     Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

     Corrected Jul 27, 2023 · CMS health inspection

   • Not serious Scope/severity D

     F0679 Quality of Life and Care Deficiencies

     Provide activities to meet all resident's needs.

     Corrected Jul 19, 2023 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Aug 2, 2023 · CMS health inspection

   • Not serious Scope/severity E

     K0222 Egress Deficiencies

     Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

     Corrected Aug 17, 2023 · CMS fire safety

   • Not serious Scope/severity D

     K0345 Smoke Deficiencies

     Have approved installation, maintenance and testing program for fire alarm systems.

     Corrected Aug 17, 2023 · CMS fire safety

   • Not serious Scope/severity C

     K0521 Services Deficiencies

     Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

     CMS fire safety

Owners and managers (as published by CMS)

• BRITTON, CARL — limited partnership interest, NOT APPLICABLE, since 12/01/2023
• BRITTON, CARL — direct ownership interest, NOT APPLICABLE, since 12/01/2023
• BUCHOK, ANDREW — w-2 managing employee, NOT APPLICABLE, since 08/22/2023
• BUCHOK, ANDREW — operational/managerial control, NOT APPLICABLE, since 01/13/2025
• BUCHOK, ANDREW — adp of the snf, NOT APPLICABLE, since 01/23/2025
• CHEBIB, PAUL — direct ownership interest, NOT APPLICABLE, since 12/01/2023
• CHEBIB, PAUL — w-2 managing employee, NOT APPLICABLE, since 12/01/2023
• CHEBIB, PAUL — operational/managerial control, NOT APPLICABLE, since 12/30/2024
• CHEBIB, PAUL — adp of the snf, NOT APPLICABLE, since 01/23/2025
• HOLCOMB, HOLLY — corporate officer, NOT APPLICABLE, since 05/29/2021
• HOLCOMB, HOLLY — w-2 managing employee, NOT APPLICABLE, since 04/15/1996
• HOLCOMB, HOLLY — adp of the snf, NOT APPLICABLE, since 01/23/2025
• SPORE, SCOTT — adp of the snf, NOT APPLICABLE, since 01/23/2025
• SPORE, SCOTT — operational/managerial control, NOT APPLICABLE, since 12/13/2024
• SPORE, SCOTT — 5% or greater direct ownership interest, since 12/01/2014
• STRATTON, EMILEE — adp of the snf, NOT APPLICABLE, since 01/23/2025
• STRATTON, EMILEE — corporate officer, NOT APPLICABLE, since 03/18/2018
• WOLCOTT, ROGER — direct ownership interest, NOT APPLICABLE, since 12/01/2023
• WOLCOTT, ROGER — limited partnership interest, NOT APPLICABLE, since 12/01/2023
• CHILDRESS COUNTY HOSPITAL DISTRICT — adp of the snf, NOT APPLICABLE, since 01/23/2025
• CHILDRESS COUNTY HOSPITAL DISTRICT — 5% or greater indirect ownership interest, since 12/01/2014
• RALLS NH OPERATIONS, LTD — adp of the snf, NOT APPLICABLE, since 01/23/2025
• RALLS NH OPERATIONS, LTD — 5% or greater direct ownership interest, since 12/01/2014
• SSS HOLDINGS LP — direct ownership interest, NOT APPLICABLE, since 12/01/2023