Premier Health Care Center
460 W Main St
Ranger, TX, 76470
2546473111
CCN: 676017
1
Overall2
Health1
Staffing1
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (10)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
ALTERNATIVE HEALTH CARE SVC
1128a1
Excluded 1991-03-25
AMAZON HEALTH CENTER, INC
1128b8
Excluded 2010-01-20
COMMUNICARE HOME HEALTH CARE
1128b8
Excluded 2000-01-19
HEALTH CARE CONCEPTS, INC
1128b7
Excluded 2015-01-27
HEALTH CARE INNOVATIONS, INC
1128b8
Excluded 1997-01-29
HEALTH RESOURCES & REHAB CENTE
1128b8
Excluded 2005-01-19
M+CARE HEALTH SVCS, INC
1128b8
Excluded 1991-03-25
MED-AMERICA HEALTH CENTER
1128b8
Excluded 1996-08-13
NURSES POOL HOME HEALTH CARE
1128Aa
Excluded 1987-04-13
SHERMAN HEALTH CARE GROUP
1128a2
Excluded 1991-04-04
Ownership
| Name | Role | % |
|---|---|---|
| ALEXANDER, RAINEY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| ALEXANDER, RAINEY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MARTINEZ IRIZARRY, AXEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2026-01-15 | Fine | $22K |
Health Deficiencies (23)
2026-01-15 · Health
D
F908 · Environmental Deficiencies
Keep all essential equipment working safely.
E
F728 · Nursing and Physician Services Deficiencies
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.
J
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-03-05 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F842 · Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
B
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F690 · Quality of Life and Care Deficiencies
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
F657 · 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.
D
F656 · 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.
2024-02-22 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F700 · Quality of Life and Care Deficiencies
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
F656 · 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.
E
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
2023-01-11 · Health
E
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F802 · Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
E
F761 · Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
E
F758 · Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
E
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
E
F656 · 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.
D
F655 · Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
2.70
RN Hrs/Resident/Day0.54
0.20
LPN Hrs/Resident/Day0.81
1.01
CNA Hrs/Resident/Day2.33
1.48
PT Hrs/Resident/Day0.12
0.01
Data as of 2026-03-01