Nursing home
North Star Ranch Rehabilitation and Health Care Center
709 W Fifth St, Bonham, TX 75418 · Map
For profit - Corporation · Part of Nexion Health (52 facilities) · 65 certified beds
North Star Ranch Rehabilitation and Health Care Center is a Medicare-certified nursing home in Bonham, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.11 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 24, 2025 cited 27 deficiencies.
- 2 fines totaling $278,005In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How North Star Ranch Rehabilitation and Health Care Center compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Texas avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.11 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.30 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.74 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 60.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 27.0 | 9.1 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $278,005, 2 total penalties.
What inspectors found at North Star Ranch Rehabilitation and Health Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Mar 6, 2026 · Full report (PDF) - Potential for harm
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · Feb 20, 2026 · Full report (PDF) - Potential for harm
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 · Dec 1, 2025 · Full report (PDF) - Potential for harm
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · Dec 1, 2025 · Full report (PDF) - Potential for harm
Provide or get specialized rehabilitative services as required for a resident.
Quality of Life and Care Deficiencies · Dec 1, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Dec 1, 2025 · Full report (PDF) - Potential for harm
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · Dec 1, 2025 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · May 24, 2025 · Full report (PDF) - Potential for harm
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 · May 24, 2025 · Full report (PDF) - Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Environmental Deficiencies · Apr 24, 2025 · Full report (PDF) - Potential for harm
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 · Apr 24, 2025 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 709 W Fifth St
Bonham, TX 75418 - CMS certification #
- 675471
- Ownership
- For profit - Corporation
- Certified beds
- 65
- Avg residents/day
- 49.4
- Provider type
- Medicare and Medicaid
- First certified
- 1995-03-30
- Chain
- Nexion Health (52 facilities)
- Setting
- Rural
Part of Nexion Health
Nexion Health operates 52 nursing facilities across the United States. View all Nexion Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around North Star Ranch Rehabilitation and Health Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Tmc- Bonham Hospital, Bonham. 1.1 miles away, straight line.
- Nearest Medicare nursing home
- Seven Oaks Nursing & Rehabilitation, Bonham. 1.2 miles away, straight line.
- Nearest home health agency office
- Angels Of Care Pediatric Home Health, Sherman. 21.0 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire's. 1.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75418 as rural (rural area).
- Hospice
- 23 Medicare hospices tell CMS they serve ZIP code 75418.
Home Hospice, office in Sherman, 24.8 miles away, straight line (CMS family survey rating 5 of 5 stars)
Centric Hospice, office in Sherman, 24.9 miles away, straight line (CMS family survey rating 4 of 5 stars)
Heart To Heart Hospice Of North Texas LLC, office in Sherman, 24.9 miles away, straight line (CMS family survey rating 3 of 5 stars) - Nearest geriatric medicine practice
- Century Integrated Partners, Inc, Mckinney. 37.8 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively low, wildfire relatively low, tornado very high, heat wave very high, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is North Star Ranch Rehabilitation and Health Care Center a good nursing home?
CMS gives North Star Ranch Rehabilitation and Health Care Center an overall rating of 2 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is North Star Ranch Rehabilitation and Health Care Center staffed?
North Star Ranch Rehabilitation and Health Care Center reports 3.11 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has North Star Ranch Rehabilitation and Health Care Center had inspection problems?
Its most recent CMS inspection cited 27 deficiencies.
How many beds does North Star Ranch Rehabilitation and Health Care Center have?
North Star Ranch Rehabilitation and Health Care Center is certified for 65 beds.