Nursing HomeInspections

Premier Health Care Center

Nursing home in Ranger, TX

Medicare & Medicaid certified1★ overall (CMS)

Call (254) 647-3111Send a messageMap ↗

Public-record details

Address
460 W Main St, Ranger, TX 76470
Phone
(254) 647-3111
Listed under
For-profit
Medicare CCN
676017
Overall star rating
1 of 5 ★☆☆☆☆
Health inspection rating
2 of 5
Staffing rating
1 of 5
Quality measures rating
2 of 5
Certified beds
50
Average residents per day
47
Ownership
For-profit, individual
Legal business name
Premier Health Care Center LLC
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 31, 2003
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 676017. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: May 21, 2026. CMS lists 25 health citations for this facility across its last three standard inspection cycles and complaint inspections (Feb 22, 2024 to May 21, 2026): 7 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
May 21, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
May 21, 2026Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service		D
Potential for more than minimal harm, isolated
May 21, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
May 21, 2026Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 21, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
May 21, 2026Ensure medication error rates are not 5 percent or greater.
Pharmacy Service		E
Potential for more than minimal harm, pattern
May 21, 2026Provide and implement an infection prevention and control program.
Infection Control		E
Potential for more than minimal harm, pattern
May 21, 2026Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental		E
Potential for more than minimal harm, pattern
Jan 15, 2026Keep all essential equipment working safely.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 25. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $14,069 in the last three years.

Jan 15, 2026Fine: $14,069

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.21 hours
Registered nurse (RN) time per resident per day
0.22 hours
Nurse aide time per resident per day
1.24 hours
Total nurse staffing on weekends
1.92 hours
Nursing staff turnover (yearly)
59%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.