Ranger, TX

Premier Health Care Center

1-star overall rating with 2-star inspections with $21,645 in total fines with 10 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

460 W Main St, Ranger, TX

(254) 647-3111

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2003-12-31

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.20

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

1.01

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

1.48

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

2.70

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.22

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

2.34

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.19

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.23

CMS adjusted RN staffing hours

Adjusted total hours

3.08

CMS adjusted total nurse staffing hours

Case-mix index

1.20

Higher values indicate more complex resident acuity

RN turnover

Annual RN turnover

Total nurse turnover

62%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,882

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.39

Composite VBP score used to determine payment impact.

Payment multiplier

0.9838

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

1.68

Baseline 60.00% · Performance 56.82% · Measure score 1.68 · Achievement 1.68 · Improvement 0.41

Adjusted total nurse staffing

3.40

Baseline 4 hours · Performance 4.04 hours · Measure score 3.40 · Achievement 3.40 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.44%	10.72% 0.3 pts better	No Different than the National Rate · Eligible stays 26 · Observed rate 7.69% · Lower 95% interval 6.3%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.4	1.02 0.4 pts worse
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	2%	8.2% 6.2 pts worse	Numerator 1 · Denominator 50
Staff flu vaccination coverage	Not Available	42%	Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 11 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.5	2.1 0.6 pts better	1.9 0.4 pts better	Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	3.0	2.1 0.9 pts worse	1.8 1.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 3.0 · Observed 2.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	6.1%	3.3% 2.8 pts worse	3.3% 2.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 5.7% · Q3 7.7% · Q4 8.1% · 4Q avg 6.1% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	4.5%	2.7% 1.8 pts worse	11.4% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 6.5% · Q3 5.7% · Q4 0.0% · 4Q avg 4.5%
Percentage of long-stay residents who lose too much weight	2.1%	3.3% 1.2 pts better	5.4% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 0.0% · Q3 0.0% · Q4 4.5% · 4Q avg 2.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	20.8%	18.9% 1.9 pts worse	19.6% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 22.2% · Q2 16.7% · Q3 24.0% · Q4 20.0% · 4Q avg 20.8%
Percentage of long-stay residents who received an antipsychotic medication	5.1%	10.8% 5.7 pts better	16.7% 11.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 5.0% · Q3 4.8% · 4Q avg 5.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	43.2%	15.4% 27.8 pts worse	16.3% 26.9 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 43.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	30.5%	16.1% 14.4 pts worse	14.9% 15.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.0% · Q2 18.2% · Q3 17.4% · Q4 52.0% · 4Q avg 30.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	8.8%	0.5% 8.3 pts worse	1.0% 7.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 9.6% · Q2 12.9% · Q3 9.7% · Q4 2.6% · 4Q avg 8.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.5%	0.8% 2.7 pts worse	1.7% 1.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 5.7% · Q3 7.9% · Q4 0.0% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	13.4%	15.0% 1.6 pts better	19.8% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.0% · Q2 12.2% · Q3 17.4% · Q4 15.9% · 4Q avg 13.4%
Percentage of long-stay residents with pressure ulcers	3.3%	4.2% 0.9 pts better	5.1% 1.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.8% · Q2 2.7% · Q3 0.0% · Q4 3.8% · 4Q avg 3.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	93.0%	89.7% 3.3 pts better	81.7% 11.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 93.0%
Percentage of short-stay residents who newly received an antipsychotic medication	4.0%	1.5% 2.5 pts worse	1.6% 2.4 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-05 · Fire 2025-03-05

10 health deficiencies

Top issue: Quality of Life and Care (3 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-02-22 · Fire 2024-02-22

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

3 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Cycle 3 Health 2023-01-11 · Fire 2023-01-11

9 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Services (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-05

E41 · Emergency Preparedness Deficiencies

Fire Safety

Implement emergency and standby power systems.

Corrected 2025-04-10

F · Potential for more than minimal harm 2025-03-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-09

E · Potential for more than minimal harm 2025-03-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-08

E · Potential for more than minimal harm 2025-03-05

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-04-09

C · Minimal harm 2025-03-05

K521 · Services Deficiencies

Fire Safety

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

Corrected 2025-04-09

D · Potential for more than minimal harm 2024-02-22

K343 · Smoke Deficiencies

Fire Safety

Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire.

Corrected 2024-03-31

D · Potential for more than minimal harm 2024-02-22

K751 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of flammable curtains.

Corrected 2024-03-15

C · Minimal harm 2024-02-22

K521 · Services Deficiencies

Fire Safety

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

Corrected 2024-03-15

C · Minimal harm 2023-01-11

K521 · Services Deficiencies

Fire Safety

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

Corrected 2023-02-04

Inspection history

Recent health citations

J · Immediate jeopardy 2026-01-15

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2026-01-16

E · Potential for more than minimal harm 2026-01-15

F728 · Nursing and Physician Services Deficiencies

Health

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 2026-01-16

D · Potential for more than minimal harm 2026-01-15

F908 · Environmental Deficiencies

Health

Keep all essential equipment working safely.

Corrected 2026-01-16

F · Potential for more than minimal harm 2025-03-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-03-11

E · Potential for more than minimal harm 2025-03-05

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-26

E · Potential for more than minimal harm 2025-03-05

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-04-27

D · Potential for more than minimal harm 2025-03-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-03-05

F657 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-04-26

D · Potential for more than minimal harm 2025-03-05

F690 · Quality of Life and Care Deficiencies

Health

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 2025-03-27

B · Minimal harm 2025-03-05

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-27

E · Potential for more than minimal harm 2024-02-22

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-03-15

E · Potential for more than minimal harm 2024-02-22

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2024-03-22

E · Potential for more than minimal harm 2024-02-22

F700 · Quality of Life and Care Deficiencies

Health

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 2024-03-15

E · Potential for more than minimal harm 2024-02-22

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-03-15

F · Potential for more than minimal harm 2023-01-11

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-02-16