Texas › Eastland County › Ranger
Premier Health Care Center
460 W Main St, Ranger, TX 76470
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 50 beds, Premier Health Care Center serves Ranger in Eastland County, Texas and has taken Medicare and Medicaid residents since 2003.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 2, staffing 1 and quality measures 2.
Inspectors recorded 25 health deficiencies across the three most recent survey cycles (14, 7, 4 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 50.0 per 100 beds, more than the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $14K.
Reported nurse staffing is 2.2 hours per resident per day (0.2 RN), below the Texas median of 3.3; nursing staff turnover is 59.1%.
Compared with county, state and nation
| Measure | This facility | Eastland Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 25 | 25 | 25 | 28.7 |
| Citations per 100 beds | 50.0 | 40.8 | 22.5 | 26.8 |
| Total nurse hours per resident day | 2.2 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.2 | 0.7 | 0.4 | 0.7 |
| Nursing staff turnover | 59.1% | 59.1% | 52.1% | 45.8% |
| Fines listed | $14,069 | $14,069 | $16,801 | — |
County and state figures are medians across facilities (4 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 21 May 2026, 5 Mar 2025.
Severity mix: J ×1 D ×9 E ×13 F ×1 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 21 May 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | E | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 30 Jun 2026 |
| 21 May 2026 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard survey | 30 Jun 2026 |
| 15 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 16 Jan 2026 |
| 15 Jan 2026 | F0728 | 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. | E | Complaint investigation | 16 Jan 2026 |
| 15 Jan 2026 | F0908 | Keep all essential equipment working safely. | D | Complaint investigation | 16 Jan 2026 |
| 5 Mar 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 11 Mar 2025 |
| 5 Mar 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 26 Apr 2025 |
| 5 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 27 Apr 2025 |
| 5 Mar 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 Apr 2025 |
| 5 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 26 Apr 2025 |
| 5 Mar 2025 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 27 Mar 2025 |
| 5 Mar 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | B | Standard survey | 27 Mar 2025 |
| 22 Feb 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 15 Mar 2024 |
| 22 Feb 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint investigation | 22 Mar 2024 |
| 22 Feb 2024 | F0700 | 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. | E | Complaint investigation | 15 Mar 2024 |
| 22 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 15 Mar 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 15 Jan 2026 | Fine | $14,069 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 59.1%, RNs —; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 25.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 5.3% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.9% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.6% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 19.3% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.0% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, individual.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Stroh Properties LP | Adp of the snf | NOT APPLICABLE | 01/01/2022 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Eastland County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avir At Cisco | Cisco | 80 | 5 | 5 | 2 | 18 | 22.5 | — | 9 Mar 2026 |
| Rising Star Nursing Center | Rising Star | 60 | 4 | 4 | 3 | 13 | 21.7 | — | 5 Dec 2025 |
| Avir At Woodlands | Eastland | 76 | 1 | 1 | 3 | 31 | 40.8 | $86K | 13 Aug 2025 |
All 4 facilities in Eastland County
Questions and answers
How many deficiencies has Premier Health Care Center been cited for?
25 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Premier Health Care Center been fined?
Yes. CMS lists fines totalling $14K in the period covered.
How does staffing at Premier Health Care Center compare?
Reported total nurse staffing is 2.2 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Premier Health Care Center?
Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.
When was Premier Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 21 May 2026; the most recent standard health survey was 21 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.