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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasNorth Star Ranch Rehabilitation and Health Care Ce

North Star Ranch Rehabilitation and Health Care Ce

709 W Fifth St, Bonham, TX 754189035838551
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
1/5
Staffing
1/5
Quality
5/5
Beds
65
certified
2 fine(s) totaling $278,005

Key Findings

• CMS rates this facility 2/5 stars (below average)

• Has 65 certified beds with an average of 49.4 residents per day (76% occupancy)

• Last health inspection found 29 deficiencies (inspected Apr 24, 2025)

• Has been fined a total of $278,005 across 2 fine(s)

• Total nursing staff: 3.11 hours per resident per day

• Staff turnover rate: 60.4% (high)

• Part of the Nexion Health chain (52 facilities)

North Star Ranch Rehabilitation and Health Care Ce is a 2-star Medicare and Medicaid certified nursing home in Bonham, Texas with 65 certified beds. It has been operating since 1995. The facility scored below average compared to Texas facilities.

Beds
65
Avg Residents/Day
49.4
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Mar 30, 1995
Sprinklers
Yes
Council
None
County
Fannin
Last Inspection
Apr 24, 2025
Deficiencies (Cycle 1)
29
Weighted Score
321.3
Infection Citations
0

Deficiency Citations (59)

F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0725Potential for Harm

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0802Potential for Harm

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0825Potential for Harm

Provide or get specialized rehabilitative services as required for a resident.

Survey: Dec 1, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: May 24, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: May 24, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Feb 27, 2025Corrected: NoCycle: 1
F0552Potential for Harm

Ensure that residents are fully informed and understand their health status, care and treatments.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0578Potential for Harm

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0582Potential for Harm

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0610Potential for Harm

Respond appropriately to all alleged violations.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0656Potential for Harm

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

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0689Immediate Jeopardy

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0695Potential for Harm

Provide safe and appropriate respiratory care for a resident when needed.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0761Potential for Harm

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.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0770Potential for Harm

Provide timely, quality laboratory services/tests to meet the needs of residents.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0773Potential for Harm

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0803Potential for Harm

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0812Potential for Harm

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

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0921Potential for Harm

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Apr 24, 2025Corrected: NoCycle: 1
F0584Potential for Harm

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Survey: Mar 6, 2024Corrected: NoCycle: 2

+ 29 more deficiencies

Total Fines
$278,005
Number of Fines
2
Payment Denials
0
Total Penalties
2

Penalty History

FineJan 12, 2024
$109,769
FineFeb 27, 2025
$168,236

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.74 hrs
National avg: 2.35 hrs
LPN1.08 hrs
National avg: 0.86 hrs
RN0.30 hrs
National avg: 0.68 hrs
Total Nursing3.11 hrs
National avg: 3.89 hrs
Weekend Total2.68 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
60.4%
RN Turnover
87.5%
Administrators Left
1

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (1)

NameRoleTypeOwnership %Since
Ownership Data Not AvailableN/AN/A

Nearby Nursing Homes

All Texas facilities

Seven Oaks Nursing & Rehabilitation

Bonham, TX · 108 beds

For profit
Health
Staffing
Quality
1.2 mi

Clyde W Cosper Texas State Veterans Home

Bonham, TX · 160 beds

For profit$216,749 in fines
Health
Staffing
Quality
1.2 mi

Frequently Asked Questions

What is the CMS rating for North Star Ranch Rehabilitation and Health Care Ce?▾
North Star Ranch Rehabilitation and Health Care Ce has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 1/5, staffing rating of 1/5, and quality measures rating of 5/5. This facility is rated below average.
Has North Star Ranch Rehabilitation and Health Care Ce had any health inspection violations?▾
North Star Ranch Rehabilitation and Health Care Ce had 29 deficiency citations in its most recent health inspection (Apr 24, 2025). The facility has been fined a total of $278,005 across 2 fine(s).
What are the staffing levels at North Star Ranch Rehabilitation and Health Care Ce?▾
North Star Ranch Rehabilitation and Health Care Ce provides 3.11 total nursing staff hours per resident per day, including 0.30 RN hours, 1.08 LPN hours, and 1.74 nurse aide hours. The total staff turnover rate is 60.4%.
How many beds does North Star Ranch Rehabilitation and Health Care Ce have?▾
North Star Ranch Rehabilitation and Health Care Ce has 65 certified beds with an average of 49.4 residents per day, resulting in approximately 76% occupancy. The facility is For profit - Corporation owned and is part of the Nexion Health chain.
Are there other nursing homes near North Star Ranch Rehabilitation and Health Care Ce?▾
Yes, there are 2 other nursing homes in Bonham, Texas with an average rating of 2.7/5. You can compare all facilities on the Bonham nursing homes page.

Part of Nexion Health

This chain operates 52 facilities. View all →