Premier Health Care Center

460 W Main St
Ranger, TX, 76470
2546473111
CCN: 676017
1
Overall
2
Health
1
Staffing
1
Quality
Special 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
NameRole%
ALEXANDER, RAINEY5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ALEXANDER, RAINEYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MARTINEZ IRIZARRY, AXELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Penalties (1)
DateTypeAmount
2026-01-15Fine$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/Day
2.70
3.68
RN Hrs/Resident/Day
0.20
0.54
LPN Hrs/Resident/Day
1.01
0.81
CNA Hrs/Resident/Day
1.48
2.33
PT Hrs/Resident/Day
0.01
0.12
Data as of 2026-03-01