Data / Nursing homes / Texas / North Star Ranch Rehabilitation and Healthcare Cen
North Star Ranch Rehabilitation and Healthcare Cen, Bonham, TX: 2 star rating, fined $278,005 across 2 fines
North Star Ranch Rehabilitation and Healthcare Cen in Bonham, TX is owned by Fannin County Hospital Authority, is rated 2 of 5 stars by Medicare, and was fined $278,005 across 2 fines in the three years to October 1, 2026. CMS lists 61 health citations from inspections in that time, the latest survey on July 2, 2026, and 5 of them found actual harm or immediate jeopardy.
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- Address
- 709 W Fifth St, Bonham, TX 75418
- Overall rating
- 2 of 5 stars
- Health inspection rating
- 1 of 5
- Staffing rating
- 2 of 5
- Quality measure rating
- 5 of 5
- Certified beds
- 65
- Residents per day
- 43 on average
- Ownership type
- For profit, corporation
- Legal business name
- Fannin County Hospital Authority
- Chain
- Nexion Health, 51 facilities
- Fines
- $278,005 across 2 fines, three years to October 1, 2026
- Payment denials
- 0
- Health citations
- 61, of which 5 with actual harm or immediate jeopardy
- Latest survey
- July 2, 2026
- CMS Certification Number
- 675471
- On Care Compare
- Medicare Care Compare
Fines and payment denials
Every fine and payment denial CMS lists for this facility in the three years, newest first.
| Date | Type | Fine amount | Denial starts | Denial days | Source |
|---|---|---|---|---|---|
| February 27, 2025 | Fine | $168,236 | Not listed | data.cms.gov | |
| January 12, 2024 | Fine | $109,769 | Not listed | data.cms.gov |
Recent health citations
Citations from health inspections, newest first.
| Survey date | Tag | What CMS cited | Scope and severity | Status | Corrected on | Source |
|---|---|---|---|---|---|---|
| July 2, 2026 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F803 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F693 | Ensure 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F687 | Provide appropriate foot care. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| July 2, 2026 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 28, 2026 | data.cms.gov |
| July 2, 2026 | F583 | Keep residents' personal and medical records private and confidential. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | July 27, 2026 | data.cms.gov |
| March 6, 2026 | F628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 9, 2026 | data.cms.gov |
| February 20, 2026 | F692 | Provide enough food/fluids to maintain a resident's health. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | February 23, 2026 | data.cms.gov |
| December 1, 2025 | F825 | Provide or get specialized rehabilitative services as required for a resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 2, 2025 | data.cms.gov |
| December 1, 2025 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 2, 2025 | data.cms.gov |
| December 1, 2025 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | December 2, 2025 | data.cms.gov |
| December 1, 2025 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | December 2, 2025 | data.cms.gov |
| December 1, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | December 2, 2025 | data.cms.gov |
| May 24, 2025 | F761 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | May 25, 2025 | data.cms.gov |
| May 24, 2025 | F584 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | May 25, 2025 | data.cms.gov |
| April 24, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K: pattern, immediate jeopardy | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F926 | Have policies on smoking. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F803 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F761 | 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. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F732 | Post nurse staffing information every day. | C: widespread, minimal harm potential | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F641 | Ensure each resident receives an accurate assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F610 | Respond appropriately to all alleged violations. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F578 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F558 | Reasonably accommodate the needs and preferences of each resident. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| April 24, 2025 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | April 25, 2025 | data.cms.gov |
| February 27, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J: isolated, immediate jeopardy | Corrected | February 28, 2025 | data.cms.gov |
| February 27, 2025 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | February 28, 2025 | data.cms.gov |
| March 6, 2024 | F880 | Provide and implement an infection prevention and control program. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F: widespread, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F803 | 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. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D: isolated, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| March 6, 2024 | F584 | 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. | E: pattern, no actual harm, potential for more than minimal harm | Corrected | March 28, 2024 | data.cms.gov |
| January 12, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J: isolated, immediate jeopardy | Corrected | January 13, 2024 | data.cms.gov |
| January 12, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G: isolated, actual harm | Corrected | January 13, 2024 | data.cms.gov |
| January 12, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J: isolated, immediate jeopardy | Corrected | January 13, 2024 | data.cms.gov |
Owners and managers
Organizations CMS lists as owners or managers of this facility, as CMS names them. CMS also lists 32 individual or personal trusts (20 managers, 1 officers, directors or trustees, 11 other disclosable parties). Their names are not shown on this page.
| Organization | Role | Share | Since | Source |
|---|---|---|---|---|
| Fannin County Hospital Authority | Direct owner | 100% | May 1, 2025 | data.cms.gov |
| Fannin County Hospital Authority | Operational or managerial control | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health at Bonham, Inc. | Operational or managerial control | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health Leasing, Inc. | Operational or managerial control | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health of Ohi Inc | Operational or managerial control | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health, Inc. | Operational or managerial control | Not listed | May 1, 2025 | data.cms.gov |
| Fannin County Hospital Authority | Additional disclosable party | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health at Bonham, Inc. | Additional disclosable party | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health Leasing, Inc. | Additional disclosable party | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health of Ohi Inc | Additional disclosable party | Not listed | May 1, 2025 | data.cms.gov |
| Nexion Health, Inc. | Additional disclosable party | Not listed | May 1, 2025 | data.cms.gov |
Also on SpecStream
- All nursing homes in Texas
- Every nursing home Fannin County Hospital Authority owns or manages
- Every nursing home Nexion Health Leasing, Inc. owns or manages
- Every nursing home Nexion Health of Ohi Inc owns or manages
- Every nursing home Nexion Health, Inc. owns or manages
- This facility on Medicare Care Compare
Updated November 7, 2026. Read from CMS Provider Data Catalog, nursing homes. Open data from the Centers for Medicare & Medicaid Services (US government work). Fines and citations are as CMS lists them on the date this page was read and can change after an appeal. The CMS files are joined on the CMS Certification Number. CMS gives owners no ID, so an owner page groups facilities by the owner name as CMS spells it. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.