Deficiency Index

Premier Health Care Center

Ranger, Texas · CCN 676017

21 surveys since 2010, 8 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
82
Surveys
21
Harm or worse
8
Immediate jeopardy
5
The record, 2010–2026
’10’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/21

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
50
Ownership
For profit - Individual
Chain
Independent
County
Eastland · rural
Medicare-certified since
2003

CMS ratings

Overall
1
Health inspection
2
Staffing
1
Quality measures
2

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded somewhat more weighted findings than its peer group.

Weighted by harm level, against 75 for-profit facilities with fewer than 66 beds in Texas.

Last survey on record

May 21, 2026

172 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day2.213.40
Registered-nurse hours per resident day0.22—
Annual nurse turnover59.1%50.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$14,069 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ12.9%K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD1029.4%E1955.9%F25.9%
No harm, potential for minimalA—B12.9%C12.9%
CMS’s current file: 34 of the 82 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6564×

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

  • F8123×

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

  • F8803×

    Provide and implement an infection prevention and control program.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

In the surveyor’s words

From the most serious findings on record at Premier Health Care Center, in the surveyor’s own words.

  • Immediate jeopardy, isolatedF689Jan 15, 2026

    Based on observation, interview and record review the facility failed to ensure the resident environment remained as free of accident hazards as was possible and ensure each resident received adequate supervision and assistance devices to prevent accidents for 1 of 3 residents (Resident #1) reviewed for accidents and hazards. The facility failed to ensure Resident #1, who was transported via the facility van, was secured with the proper utilization of the 5-seatbelt restraint system, required when transporting residents in a van, which resulted in injury and hospitalization on 01/08/2026. An Immediate Jeopardy (IJ) situation was identified on 01/13/2026. […]

  • No harm, potential for more than minimal, widespreadF812Mar 5, 2025

    Based on observations, interviews, and record reviews the facility failed to properly store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food storage. The facility failed to ensure foods were sealed and/or labeled properly in dry storage. This failure could place residents at risk for foodborne illnesses. Findings include: During an observation of dry storage on [DATE] at 09:10 AM revealed the following: *,d+[DATE] bag of 35-ounce toasted oats not sealed *,d+[DATE] packaged cornbread mix opened with no open date or expiration dates. *1 plastic container with dry round cereal with no used by dates. […]

  • No harm, potential for more than minimal, widespreadF812Jan 11, 2023

    Based on observations, interviews, and record reviews the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed. The facility failed to ensure foods were sealed and/or labeled properly in refrigerators and dry storage. The facility failed to ensure kitchen equipment was clean. These failures could place residents that eat meals that are prepared in the kitchen at risk for food borne illnesses. Findings included: Observation on 01/09/2023 between 10:20 AM and 11:30 AM revealed: Pantry 1. One opened tub of vanilla cream icing with an open date of 12/5, with a manufacture label that stated refrigerate 1 week after opening. 2. One dented can of Cream of Celery soup. 3. […]

  • No harm, potential for more than minimal, widespreadF812Nov 4, 2021

    Based on observation, interviews, and record review the facility failed to store, distribute, and serve food in accordance with professional standards for food safety in the facility's only kitchen. 1. The facility failed to ensure the proper labeling and dating of all foods stored in the refrigerator, freezer, and dry food storage area. 2. The facility failed to ensure proper cleanliness and storage of food serving utensils. These failures could place residents at risk of food-borne illness. Findings included: Observations on [DATE] at 9:05 a.m., revealed the following in a walk-in refrigerator located in the kitchen: an undated 4-ounce size potato salad, 4-ounce cup of fruit, 4-ounce cup of peaches, and 8-ounce cup of milk on the second shelf. […]

  • No harm, potential for more than minimal, patternF656May 21, 2026

    Based on interview and record review the facility failed to develop and implement a comprehensive person-centered care plan for each resident, consistent with the resident rights that included measurable objectives and time frames to meet a resident's medical, nursing, and mental and psychosocial needs that were identified in the comprehensive assessment and , for 4 of 16 residents (Resident #3, Resident #4, Resident #6, and Resident #43) reviewed for care plans. 1. The facility failed to ensure Resident #3's care plan objectives or goals were measurable. 2. The facility failed to ensure Resident #4's care plan objectives or goals were measurable. 3. The facility failed to ensure Resident #6's care plan objectives or goals were measurable. 4. […]

Read 27 findings in full →The most serious and the most recent: 27 of 82 on record.

Every survey on record

FindingsAt actual harm or above

  • May 21, 2026Standard11 findings
  • Jan 15, 2026Complaint3 findings · 1 harm
  • Mar 5, 2025Standard7 findings
  • Feb 22, 2024Complaint4 findings
  • Jan 11, 2023Standard and complaint9 findings
  • Jun 2, 2022Complaint1 finding
  • Nov 4, 2021Standard and complaint2 findings
  • Apr 10, 2020Complaint1 finding · 1 harm
Show the 13 earlier surveys
  • Oct 17, 2019Standard8 findings
  • Nov 14, 2018Standard1 finding
  • Nov 7, 2017Complaint3 findings · 3 harm
  • Aug 31, 2017Standard3 findings
  • Oct 18, 2016Complaint2 findings · 2 harm
  • Jun 2, 2016Standard2 findings
  • May 15, 2015Standard and complaint2 findings
  • Mar 7, 2014Standard4 findings
  • Apr 25, 2013—10 findings
  • Apr 27, 2012—2 findings
  • Feb 7, 2012—1 finding
  • Jun 9, 2011—4 findings
  • Nov 19, 2010—2 findings · 1 harm

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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