North Star Ranch Rehabilitation and Healthcare Cen
Nursing Home · Bonham, TX
CMS certification number675471
Contact & location
709 W Fifth StBonham, TX 75418
Fannin County
- Phone
- (903) 583-8551
- ZIP code
- 75418 – all care providers
Facility details
- Certified beds
- 65
- Residents per day
- 43.5 (67% occupied)
- Ownership
- For profit - Corporation
- Legal name
- Fannin County Hospital Authority
- Chain
- Nexion Health (51 facilities, avg 2.2★)
- Medicare certified since
- March 30, 1995
- Participates in
- Medicare and Medicaid
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 3.46 (state 3.39 · U.S. 3.86)
- Registered nurses (RN)
- 0.21 (state 0.43 · U.S. 0.69)
- Licensed practical nurses
- 1.30 (state 0.95 · U.S. 0.86)
- Nurse aides
- 1.95 (state 2.00 · U.S. 2.32)
- Weekend total
- 3.23 (state 2.98 · U.S. 3.42)
- Nursing staff turnover
- 45.2 (state 55.3 · U.S. 45.8)%
- RN turnover
- —
- Administrators who left
- 1 in the last year
Inspections
- Last standard inspection
- July 2, 2026
- Health deficiencies (last cycle)
- 23.0 (state 9.3 · U.S. 9.3)
- From complaints
- 7
- Citations on record (3 years)
- 61 health · 15 fire safety · includes immediate jeopardy
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-07-02 | Keep residents' personal and medical records private and confidential. F0583 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. F0644 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-28 |
| 2026-07-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | 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. F0803 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. F0813 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Provide appropriate foot care. F0687 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | 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. F0693 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. F0806 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-07-02 | 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. F0849 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2026-07-27 |
| 2026-03-06 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628 · Resident Rights Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-03-09 |
| 2026-02-20 | Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2026-02-23 |
| 2025-12-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. F0725 · Nursing and Physician Services Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2025-12-02 |
| 2025-12-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755 · Pharmacy Service Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-12-02 |
| 2025-12-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-02 |
| 2025-12-01 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802 · Nutrition and Dietary Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-02 |
| 2025-12-01 | Provide or get specialized rehabilitative services as required for a resident. F0825 · Quality of Life and Care Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-12-02 |
| 2025-05-24 | 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. F0584 · Resident Rights Deficiencies · complaint inspection |
E No actual harm, potential for more than minimal harm |
Corrected 2025-05-25 |
| 2025-05-24 | 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. F0761 · Pharmacy Service Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-25 |
| 2025-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
K Immediate jeopardy to resident health or safety |
Corrected 2025-04-25 |
| 2025-04-24 | 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. F0761 · Pharmacy Service Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921 · Environmental Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Provide safe and appropriate respiratory care for a resident when needed. F0695 · Quality of Life and Care Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Ensure that residents are fully informed and understand their health status, care and treatments. F0552 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | 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. F0578 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Ensure each resident receives an accurate assessment. F0641 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Provide timely, quality laboratory services/tests to meet the needs of residents. F0770 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. F0773 · Administration Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | 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. F0803 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Have policies on smoking. F0926 · Environmental Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-04-25 |
| 2025-04-24 | Post nurse staffing information every day. F0732 · Nursing and Physician Services Deficiencies |
C No actual harm, potential for minimal harm |
Corrected 2025-04-25 |
| 2025-02-27 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies · complaint inspection |
J Immediate jeopardy to resident health or safety |
Corrected 2025-02-28 |
| 2025-02-27 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-28 |
| 2024-03-06 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies · complaint inspection |
F No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-06 | 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. F0584 · Resident Rights Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
| 2024-03-06 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies |
E No actual harm, potential for more than minimal harm |
Corrected 2024-03-28 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
2 penalties in the last three years, including $278,005 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-02-27 | Fine | $168,236 |
| 2024-01-12 | Fine | $109,769 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Fannin County Hospital Authority (organization) | 5%+ Direct Ownership Interest · 100% | |
| Correra, Kristy (individual) | Administrator · NOT APPLICABLE | |
| Fallon, John (individual) | Administrator · NOT APPLICABLE | |
| Fannin County Hospital Authority (organization) | Administrator · NOT APPLICABLE | |
| Kirley, Christopher (individual) | Administrator · NOT APPLICABLE | |
| Kirley, Francis (individual) | Administrator · NOT APPLICABLE | |
| Liberatore, Dante (individual) | Administrator · NOT APPLICABLE | |
| Mitchell, Ryan (individual) | Administrator · NOT APPLICABLE | |
| Nexion Health at Bonham, INC. (organization) | Administrator · NOT APPLICABLE | |
| Nexion Health Leasing, INC. (organization) | Administrator · NOT APPLICABLE | |
| Nexion Health of Ohi INC (organization) | Administrator · NOT APPLICABLE | |
| Nexion Health, INC. (organization) | Administrator · NOT APPLICABLE | |
| Pierce, Daniel (individual) | Administrator · NOT APPLICABLE | |
| Riner, Meera (individual) | Administrator · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Administrator · NOT APPLICABLE | |
| Shah, Jagdish (individual) | Administrator · NOT APPLICABLE | |
| Thomison, Isaac (individual) | Administrator · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Corporate Officer · NOT APPLICABLE | |
| Holt, Erin (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Keeton, Wendy (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Kissling, Monica (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Liberatore, Dante (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| McBean, Patricia (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Owens, Angela (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Riner, Meera (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Trompler, Kelly (individual) | Managing Control - Governing Body · NOT APPLICABLE | |
| Correra, Kristy (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Fallon, John (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Fannin County Hospital Authority (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Kirley, Christopher (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Kirley, Francis (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Liberatore, Dante (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Mitchell, Ryan (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health at Bonham, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health Leasing, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health of Ohi INC (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Nexion Health, INC. (organization) | Operational/managerial Control · NOT APPLICABLE | |
| Pierce, Daniel (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Riner, Meera (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Sanderson, Clark (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Shah, Jagdish (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Thomison, Isaac (individual) | Operational/managerial Control · NOT APPLICABLE |
Frequently asked questions
What is the rating of North Star Ranch Rehabilitation and Healthcare Cen?
North Star Ranch Rehabilitation and Healthcare Cen has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.6-star average in Texas.
How many beds does North Star Ranch Rehabilitation and Healthcare Cen have?
It has 65 certified beds and cares for about 44 residents per day.
Has North Star Ranch Rehabilitation and Healthcare Cen been fined?
Yes. CMS lists 2 penalties totaling $278,005 in the last three years.
Who owns North Star Ranch Rehabilitation and Healthcare Cen?
It is part of Nexion Health and is classified as for profit - corporation. See the ownership table above for all owners and managers reported to CMS.
What is the phone number of North Star Ranch Rehabilitation and Healthcare Cen?
(903) 583-8551. The facility is located at 709 W Fifth St, Bonham, TX 75418.
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Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.