North Star Ranch Rehabilitation and Health Care Ce

709 W Fifth St, Bonham, TX 75418 · CCN 675471 · 65 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections1 of 5CMS staffing2 of 5CMS quality5 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

Serious inspection findings

2025-04-24 IMMEDIATE JEOPARDY (tag F0689, severity K)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-02-27 IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-12 IMMEDIATE JEOPARDY (tag F0740, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
2024-01-12 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-01-12 IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

2.50

state median 2.67

Weekend staffing gap

+0%

more nursing hours on weekends · state median −7%

RN hours / resident / day

0.04

registered nurses only

Contract (agency) staff

0%

share of all nursing hours

Days with zero RN hours reported

72

with residents present

Nursing staff turnover

45%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $278,005 in fines.

DateTypeAmount
2025-02-27Fine$168,236
2024-01-12Fine$109,769

Ownership

Ownership type: For profit - Corporation. Part of the NEXION HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 1 · Potential for more than minimal harm: 55 · Immediate jeopardy: 4

Survey dateTagCategorySeverityCorrected
2026-03-06F0628Resident Rights DeficienciesDnot recorded
2026-02-20F0692Quality of Life and Care DeficienciesEnot recorded
2025-12-01F0677Quality of Life and Care DeficienciesDnot recorded
2025-12-01F0725Nursing and Physician Services DeficienciesFnot recorded
2025-12-01F0755Pharmacy Service DeficienciesEnot recorded
2025-12-01F0802Nutrition and Dietary DeficienciesDnot recorded
2025-12-01F0825Quality of Life and Care DeficienciesDnot recorded
2025-05-24F0584Resident Rights DeficienciesEnot recorded
2025-05-24F0761Pharmacy Service DeficienciesDnot recorded
2025-04-24F0552Resident Rights DeficienciesDnot recorded
2025-04-24F0558Resident Rights DeficienciesDnot recorded
2025-04-24F0578Resident Rights DeficienciesDnot recorded
2025-04-24F0582Resident Rights DeficienciesDnot recorded
2025-04-24F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-24F0610Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-04-24F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-24F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2025-04-24F0689Quality of Life and Care DeficienciesKnot recorded
2025-04-24F0695Quality of Life and Care DeficienciesEnot recorded
2025-04-24F0732Nursing and Physician Services DeficienciesCnot recorded
2025-04-24F0757Pharmacy Service DeficienciesDnot recorded
2025-04-24F0761Pharmacy Service DeficienciesFnot recorded
2025-04-24F0770Administration DeficienciesDnot recorded
2025-04-24F0773Administration DeficienciesDnot recorded
2025-04-24F0803Nutrition and Dietary DeficienciesDnot recorded
2025-04-24F0804Nutrition and Dietary DeficienciesEnot recorded
2025-04-24F0812Nutrition and Dietary DeficienciesDnot recorded
2025-04-24F0921Environmental DeficienciesFnot recorded
2025-04-24F0926Environmental DeficienciesDnot recorded
2025-02-27F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-02-27F0689Quality of Life and Care DeficienciesJnot recorded
2024-03-06F0584Resident Rights DeficienciesEnot recorded
2024-03-06F0640Resident Assessment and Care Planning DeficienciesDnot recorded
2024-03-06F0656Resident Assessment and Care Planning DeficienciesEnot recorded
2024-03-06F0689Quality of Life and Care DeficienciesDnot recorded
2024-03-06F0695Quality of Life and Care DeficienciesEnot recorded
2024-03-06F0726Nursing and Physician Services DeficienciesEnot recorded
2024-03-06F0755Pharmacy Service DeficienciesDnot recorded
2024-03-06F0803Nutrition and Dietary DeficienciesDnot recorded
2024-03-06F0804Nutrition and Dietary DeficienciesDnot recorded
2024-03-06F0812Nutrition and Dietary DeficienciesFnot recorded
2024-03-06F0880Infection Control DeficienciesDnot recorded
2024-01-12F0684Quality of Life and Care DeficienciesJnot recorded
2024-01-12F0689Quality of Life and Care DeficienciesGnot recorded
2024-01-12F0740Quality of Life and Care DeficienciesJnot recorded
2022-12-01F0565Resident Rights DeficienciesEnot recorded
2022-12-01F0583Resident Rights DeficienciesDnot recorded
2022-12-01F0607Freedom from Abuse, Neglect, and Exploitation DeficienciesEnot recorded
2022-12-01F0638Resident Assessment and Care Planning DeficienciesDnot recorded
2022-12-01F0641Resident Assessment and Care Planning DeficienciesDnot recorded
2022-12-01F0656Resident Assessment and Care Planning DeficienciesDnot recorded
2022-12-01F0689Quality of Life and Care DeficienciesEnot recorded
2022-12-01F0695Quality of Life and Care DeficienciesDnot recorded
2022-12-01F0755Pharmacy Service DeficienciesEnot recorded
2022-12-01F0756Pharmacy Service DeficienciesDnot recorded
2022-12-01F0761Pharmacy Service DeficienciesDnot recorded
2022-12-01F0770Administration DeficienciesEnot recorded
2022-12-01F0812Nutrition and Dietary DeficienciesEnot recorded
2022-12-01F0842Resident Assessment and Care Planning DeficienciesEnot recorded
2022-12-01F0880Infection Control DeficienciesDnot recorded
2022-12-01F0921Environmental DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “North Star Ranch Rehabilitation and Health Care Ce, Bonham” at medicare.gov/care-compare.