North Star Ranch Rehabilitation And Health Care Ce
709 W Fifth St, Bonham, TX 75418 · Fannin County
For-profit · 65 certified beds · 67% occupancy · (903) 583-8551
The U.S. government (CMS) rates North Star Ranch Rehabilitation And Health Care Ce 2 out of 5 stars overall — below average. Its nurse staffing is at or above the Texas median. Inspectors cited it for 4 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality — and the number pay-to-play referral sites rarely show you.
3.46 nurse hours per resident per day. 6% above the Texas median of 3.27.
Nursing staff turnover: 45.2%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited — the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Immediate jeopardyTag F0689 · Apr 24, 2025Corrected Apr 25, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0725 · Dec 1, 2025ComplaintCorrected Dec 2, 2025
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0761 · Apr 24, 2025Corrected Apr 25, 2025
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.
Pharmacy Service Deficiencies
- Potential for harmTag F0921 · Apr 24, 2025Corrected Apr 25, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies
- Potential for harmTag F0692 · Feb 20, 2026ComplaintCorrected Feb 23, 2026
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
- Potential for harmTag F0755 · Dec 1, 2025ComplaintCorrected Dec 2, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
- Potential for harmTag F0695 · Apr 24, 2025Corrected Apr 25, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies
- Potential for harmTag F0804 · Apr 24, 2025Corrected Apr 25, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0628 · Mar 6, 2026ComplaintCorrected Mar 9, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies
- Potential for harmTag F0677 · Dec 1, 2025ComplaintCorrected Dec 2, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Showing the 10 most recent and serious of 61 findings. See the full inspection history on Medicare.gov.
Ownership
Part of the Nexion Health chain (53 facilities), chain average overall rating 2.3★.