Nursing HomeInspections

North Star Ranch Rehabilitation and Healthcare Cen

Nursing home in Bonham, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (903) 583-8551Send a messageMap ↗

Public-record details

Address
709 W Fifth St, Bonham, TX 75418
Phone
(903) 583-8551
Listed under
For-profit
Medicare CCN
675471
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
1 of 5
Staffing rating
2 of 5
Quality measures rating
5 of 5
Certified beds
65
Average residents per day
44
Ownership
For-profit, corporation
Legal business name
Fannin County Hospital Authority
Chain
Nexion Health (51 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Mar 30, 1995
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Sprinklers in all required areas
Yes

CMS certification number 675471. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jul 2, 2026. CMS lists 61 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jan 12, 2024 to Jul 2, 2026): 16 from complaint inspections, 5 at the “actual harm” level or higher, including 4 at “immediate jeopardy”.

InspectionCitationSeverity
Jul 2, 2026Provide appropriate foot care.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 2, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 2, 2026Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Quality of Life and Care		D
Potential for more than minimal harm, isolated
Jul 2, 2026Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Jul 2, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Jul 2, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Jul 2, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Administration		D
Potential for more than minimal harm, isolated
Jul 2, 2026Keep residents' personal and medical records private and confidential.
Resident Rights		E
Potential for more than minimal harm, pattern
Jul 2, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jul 2, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning		E
Potential for more than minimal harm, pattern
Jul 2, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care		E
Potential for more than minimal harm, pattern
Jul 2, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service		E
Potential for more than minimal harm, pattern

Showing the 12 most recent of 61. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 2 fines totalling $278,005 in the last three years.

Feb 27, 2025Fine: $168,236
Jan 12, 2024Fine: $109,769

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
3.46 hours
Registered nurse (RN) time per resident per day
0.21 hours
Nurse aide time per resident per day
1.95 hours
Total nurse staffing on weekends
3.23 hours
Nursing staff turnover (yearly)
45%
Administrators who left in the past year
1

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Bonham

Seven Oaks Nursing & Rehabilitation901 Seven Oaks Rd · Bonham, TX 75418 · (903) 583-2191 · For-profit30 health citations in 3 inspection cycles · last standard inspection Jul 23, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified4★ overall (CMS)Clyde W Cosper Texas State Veterans Home1300 Seven Oaks Rd · Bonham, TX 75418 · (903) 640-8387 · Government-owned47 health citations in 3 inspection cycles · last standard inspection Apr 29, 2026 · $216,749 in CMS fines (3 yrs)Medicare & Medicaid certified1★ overall (CMS)

All 3 in Bonham →