CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Provide or get specialized rehabilitative services as required for a resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Ensure that residents are fully informed and understand their health status, care and treatments.
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.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide timely, quality laboratory services/tests to meet the needs of residents.
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
+ 31 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | May 1, 2025 |
| HOLT, ERIN | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 25, 2020 |
| KEETON, WENDY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 29, 2012 |
| KISSLING, MONICA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jun 21, 2017 |
| LIBERATORE, DANTE | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Dec 19, 2022 |
| MCBEAN, PATRICIA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 30, 2021 |
| OWENS, ANGELA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Jun 22, 2016 |
| RINER, MEERA | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 1, 2012 |
| SANDERSON, CLARK | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Oct 29, 2012 |
| TROMPLER, KELLY | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 22, 2022 |
| SANDERSON, CLARK | CORPORATE OFFICER | Individual | N/A | May 1, 2025 |
| FANNIN COUNTY HOSPITAL AUTHORITY | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2025 |
| NEXION HEALTH AT BONHAM, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2025 |
| NEXION HEALTH LEASING, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2025 |
| NEXION HEALTH OF OHI INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2025 |
| NEXION HEALTH, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | May 1, 2025 |
| CORRERA, KRISTY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Nov 17, 2025 |
| FALLON, JOHN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| KIRLEY, CHRISTOPHER | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| KIRLEY, FRANCIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| LIBERATORE, DANTE | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| MITCHELL, RYAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| PIERCE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| RINER, MEERA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| SANDERSON, CLARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| SHAH, JAGDISH | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| THOMISON, ISAAC | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | May 1, 2025 |
| FANNIN COUNTY HOSPITAL AUTHORITY | ADP OF THE SNF | Organization | N/A | May 1, 2025 |
| NEXION HEALTH AT BONHAM, INC. | ADP OF THE SNF | Organization | N/A | May 1, 2025 |
| NEXION HEALTH LEASING, INC. | ADP OF THE SNF | Organization | N/A | May 1, 2025 |
| NEXION HEALTH OF OHI INC | ADP OF THE SNF | Organization | N/A | May 1, 2025 |
| NEXION HEALTH, INC. | ADP OF THE SNF | Organization | N/A | May 1, 2025 |
| CORRERA, KRISTY | ADP OF THE SNF | Individual | N/A | Nov 17, 2025 |
| FALLON, JOHN | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| KIRLEY, CHRISTOPHER | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| KIRLEY, FRANCIS | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| LIBERATORE, DANTE | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| MITCHELL, RYAN | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| PIERCE, DANIEL | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| RINER, MEERA | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| SANDERSON, CLARK | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| SHAH, JAGDISH | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
| THOMISON, ISAAC | ADP OF THE SNF | Individual | N/A | May 1, 2025 |
Compare CMS ratings and recorded fines for North Star Ranch Rehabilitation and Health Care Ce and nearby alternatives.
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.
This chain operates 53 facilities. View all →