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HomeTexasNorth Star Ranch Rehabilitation and Health Care Ce

North Star Ranch Rehabilitation and Health Care Ce

709 W Fifth St, Bonham, TX 754189035838551WebsiteGoogle Maps
4.9on Google(50 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
1/5
Staffing
2/5
Quality
5/5
Beds
65
certified
2 fine(s) totaling $278,005

How North Star Ranch Rehabilitation and Health Care Ce Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
1/5
TX average
2.8/5
Below state average
Staffing rating
2/5
TX average
1.9/5
Close to state average
Nursing hours per resident
3.46 hrs/day
TX average
3.39 hrs/day
Close to state average
RN hours per resident
0.21 hrs/day
TX average
0.43 hrs/day
Below state average
Staff turnover
45.2%
TX average
55.3%
Lower than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Its 1/5 health inspection rating is below the Texas average of 2.8/5.
Reported RN time is 0.21 hours per resident per day, below the state average of 0.43.
Staff turnover is 45.2%, lower than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
18
deficiency citations
Inspected Mar 6, 2024
Most recent cycle
27
deficiency citations
Inspected Apr 24, 2025
The most recent cycle recorded 9 more deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Fannin County 65+
6,535
18.1% of county
County Population
36,052
Fannin County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
65
Avg Residents/Day
43.5
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)
27
Weighted Score
284.8
Infection Citations
0

Deficiency Citations (61)

F0628Potential for Harm

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Survey: Mar 6, 2026Corrected: NoCycle: 1
F0692Potential for Harm

Provide enough food/fluids to maintain a resident's health.

Survey: Feb 20, 2026Corrected: 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
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
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
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
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
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
F0695Potential for Harm

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

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
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
F0757Potential for Harm

Ensure each resident’s drug regimen must be free from unnecessary 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
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
F0926Potential for Harm

Have policies on smoking.

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

Post nurse staffing information every day.

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: May 24, 2025Corrected: NoCycle: 2
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: 2
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: 2

+ 31 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 Aide1.95 hrs
National avg: 2.32 hrs
LPN1.30 hrs
National avg: 0.86 hrs
RN0.21 hrs
National avg: 0.69 hrs
Total Nursing3.46 hrs
National avg: 3.86 hrs
Weekend Total3.23 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
45.2%
RN Turnover
0.0%
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 (43)

NameRoleTypeOwnership %Since
FANNIN COUNTY HOSPITAL AUTHORITY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%May 1, 2025
HOLT, ERINMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 25, 2020
KEETON, WENDYMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 29, 2012
KISSLING, MONICAMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 21, 2017
LIBERATORE, DANTEMANAGING CONTROL - GOVERNING BODYIndividualN/ADec 19, 2022
MCBEAN, PATRICIAMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 30, 2021
OWENS, ANGELAMANAGING CONTROL - GOVERNING BODYIndividualN/AJun 22, 2016
RINER, MEERAMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 1, 2012
SANDERSON, CLARKMANAGING CONTROL - GOVERNING BODYIndividualN/AOct 29, 2012
TROMPLER, KELLYMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 22, 2022
SANDERSON, CLARKCORPORATE OFFICERIndividualN/AMay 1, 2025
FANNIN COUNTY HOSPITAL AUTHORITYOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2025
NEXION HEALTH AT BONHAM, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2025
NEXION HEALTH LEASING, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2025
NEXION HEALTH OF OHI INCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2025
NEXION HEALTH, INC.OPERATIONAL/MANAGERIAL CONTROLOrganizationN/AMay 1, 2025
CORRERA, KRISTYOPERATIONAL/MANAGERIAL CONTROLIndividualN/ANov 17, 2025
FALLON, JOHNOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
KIRLEY, CHRISTOPHEROPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
KIRLEY, FRANCISOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
LIBERATORE, DANTEOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
MITCHELL, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
PIERCE, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
RINER, MEERAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
SANDERSON, CLARKOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
SHAH, JAGDISHOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
THOMISON, ISAACOPERATIONAL/MANAGERIAL CONTROLIndividualN/AMay 1, 2025
FANNIN COUNTY HOSPITAL AUTHORITYADP OF THE SNFOrganizationN/AMay 1, 2025
NEXION HEALTH AT BONHAM, INC.ADP OF THE SNFOrganizationN/AMay 1, 2025
NEXION HEALTH LEASING, INC.ADP OF THE SNFOrganizationN/AMay 1, 2025
NEXION HEALTH OF OHI INCADP OF THE SNFOrganizationN/AMay 1, 2025
NEXION HEALTH, INC.ADP OF THE SNFOrganizationN/AMay 1, 2025
CORRERA, KRISTYADP OF THE SNFIndividualN/ANov 17, 2025
FALLON, JOHNADP OF THE SNFIndividualN/AMay 1, 2025
KIRLEY, CHRISTOPHERADP OF THE SNFIndividualN/AMay 1, 2025
KIRLEY, FRANCISADP OF THE SNFIndividualN/AMay 1, 2025
LIBERATORE, DANTEADP OF THE SNFIndividualN/AMay 1, 2025
MITCHELL, RYANADP OF THE SNFIndividualN/AMay 1, 2025
PIERCE, DANIELADP OF THE SNFIndividualN/AMay 1, 2025
RINER, MEERAADP OF THE SNFIndividualN/AMay 1, 2025
SANDERSON, CLARKADP OF THE SNFIndividualN/AMay 1, 2025
SHAH, JAGDISHADP OF THE SNFIndividualN/AMay 1, 2025
THOMISON, ISAACADP OF THE SNFIndividualN/AMay 1, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for North Star Ranch Rehabilitation and Health Care Ce and nearby alternatives.

All Texas facilities
North Star Ranch Rehabilitation and Health Care Ce
Bonham, TXCurrent facility
CMS
2/5
Health
1/5
Staffing
2/5
Recorded fines: $278,005
Seven Oaks Nursing & Rehabilitation
Bonham, TX1.2 mi
CMS
4/5
Health
4/5
Staffing
1/5
Recorded fines: None
Clyde W Cosper Texas State Veterans Home
Bonham, TX1.2 mi
CMS
1/5
Health
1/5
Staffing
4/5
Recorded fines: $216,749
Mullican Care Center
Savoy, TX10.4 mi
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $5,159
Honey Grove Nursing Center
Honey Grove, TX16.4 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $213,797
Denison Nursing and Rehab
Denison, TX23.0 mi
CMS
2/5
Health
2/5
Staffing
1/5
Recorded fines: $8,281
Cedar Hollow Rehabilitation Center
Sherman, TX24.1 mi
CMS
3/5
Health
3/5
Staffing
2/5
Recorded fines: $39,697
FacilityDistanceCMSHealthStaffingRecorded fines
North Star Ranch Rehabilitation and Health Care Ce
Bonham, TX · Current facility
—2/51/52/5$278,005
Seven Oaks Nursing & Rehabilitation
Bonham, TX
1.2 mi4/54/51/5None recorded
Clyde W Cosper Texas State Veterans Home
Bonham, TX
1.2 mi1/51/54/5$216,749
Mullican Care Center
Savoy, TX
10.4 mi2/53/51/5$5,159
Honey Grove Nursing Center
Honey Grove, TX
16.4 mi1/52/51/5$213,797
Denison Nursing and Rehab
Denison, TX
23.0 mi2/52/51/5$8,281
Cedar Hollow Rehabilitation Center
Sherman, TX
24.1 mi3/53/52/5$39,697

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

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 2/5, and quality measures rating of 5/5. This facility is rated below average.
How much does North Star Ranch Rehabilitation and Health Care Ce cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). North Star Ranch Rehabilitation and Health Care Ce participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has North Star Ranch Rehabilitation and Health Care Ce had any health inspection violations?▾
North Star Ranch Rehabilitation and Health Care Ce had 27 deficiency citations in its most recent health inspection (Apr 24, 2025). The current CMS dataset records 2 fine(s) totaling $278,005.
What are the staffing levels at North Star Ranch Rehabilitation and Health Care Ce?▾
North Star Ranch Rehabilitation and Health Care Ce provides 3.46 total nursing staff hours per resident per day, including 0.21 RN hours, 1.30 LPN hours, and 1.95 nurse aide hours. The total staff turnover rate is 45.2%.
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 43.5 residents per day, resulting in approximately 67% 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. This page lists 6 nearby nursing homes in Texas, including 2 in Bonham. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about North Star Ranch Rehabilitation and Health Care Ce?▾
On Google Maps, North Star Ranch Rehabilitation and Health Care Ce has a rating of 4.9 out of 5 based on 50 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Nexion Health

This chain operates 53 facilities. View all →