North Star Ranch Rehabilitation and Healthcare Cen

709 W Fifth St, Bonham, TX 75418 · (903) 583-8551
For profit - Corporation · 65 certified beds

North Star Ranch Rehabilitation and Healthcare Cen has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2026, found 16 citations (the Texas average is 9.4). It was fined 2 times in the last three years, $278,005 in all.

Medicare ratings

How to read a nursing home's star ratings

Most recent health inspection

The standard health inspection on July 2, 2026 found 16 citations. What an inspection citation means

• Keep residents' personal and medical records private and confidential.July 2, 2026 · F0583 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.July 2, 2026 · F0644 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.July 2, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide safe and appropriate respiratory care for a resident when needed.July 2, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.July 2, 2026 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.July 2, 2026 · F0803 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.July 2, 2026 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 2, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Have a policy regarding use and storage of foods brought to residents by family and other visitors.July 2, 2026 · F0813 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide appropriate foot care.July 2, 2026 · F0687 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.July 2, 2026 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 2, 2026 · F0693 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 2, 2026 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.July 2, 2026 · F0806 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.July 2, 2026 · F0842 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.July 2, 2026 · F0849 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few

Complaint inspections, last three years

Inspections after complaints found 16 citations.

• Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.March 6, 2026 · F0628 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough food/fluids to maintain a resident's health.February 20, 2026 · F0692 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide care and assistance to perform activities of daily living for any resident who is unable.December 1, 2025 · F0677 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.December 1, 2025 · F0725 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.December 1, 2025 · F0755 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.December 1, 2025 · F0802 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Provide or get specialized rehabilitative services as required for a resident.December 1, 2025 · F0825 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• 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.May 24, 2025 · F0584 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
• 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.May 24, 2025 · F0761 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.February 27, 2025 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 27, 2025 · F0689 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.March 6, 2024 · F0804 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
• Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.March 6, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
• Provide appropriate treatment and care according to orders, resident’s preferences and goals.January 12, 2024 · F0684 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
• Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.January 12, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
• Ensure each resident must receive and the facility must provide necessary behavioral health care and services.January 12, 2024 · F0740 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few

Fines and payment denials

• Fine of $168,236February 27, 2025
• Fine of $109,769January 12, 2024

Nurse staffing

Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.

About this home