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    Nursing home · Bonham, TX

    North Star Ranch Rehabilitation and Healthcare Cen

    709 W Fifth St, Bonham, TX 75418

    CMS certification number: 675471 · Updated October 1, 2026

    Request care assistance9035838551Directions

    At a glance

    Official CMS profile

    CMS overall rating

    2 / 5

    Certified beds

    65

    Residents / day

    43.1

    Ownership

    For profit - Corporation

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    For profit - Corporation
    County
    Fannin
    Certified beds
    65
    Average residents per day
    43.1
    First certified
    March 30, 1995

    CMS quality ratings

    Overall
    2 / 5
    Health inspections
    1 / 5
    Staffing
    2 / 5
    Quality measures
    5 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Fannin, Texas. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    2.00
    County peers
    2.25
    n=4
    State peers
    2.76

    Nurse hours / resident / day

    This home
    3.48
    County peers
    3.30
    n=3
    State peers
    3.42
    n=1151

    Weekend nurse hours / resident / day

    This home
    2.94
    County peers
    2.81
    n=3
    State peers
    2.99
    n=1151

    Nursing staff turnover (%)

    This home
    46.50
    County peers
    49.52
    n=4
    State peers
    50.81
    n=1095

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 15.7% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 46.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    15
    Health citations
    61
    Resident measures
    17
    Ownership records
    43
    Penalties
    2
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.48123
    Reported RN Staffing Hours per Resident per Day
    0.23278
    Reported LPN Staffing Hours per Resident per Day
    1.39477
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.85368
    Total number of nurse staff hours per resident per day on the weekend
    2.93633
    Registered Nurse hours per resident per day on the weekend
    0.23205
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01156
    Total nursing staff turnover
    46.5
    Registered Nurse turnover
    Not reported
    Number of administrators who have left the nursing home
    1
    Chain Name
    NEXION HEALTH
    Number of Facilities in Chain
    51
    Chain Average Overall 5-star Rating
    2.3
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    None
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    TX
    Urban
    N
    Chain ID
    370
    Latitude
    33.5783
    Location
    709 W Fifth St,Bonham,TX,75418
    ZIP Code
    75418
    City/Town
    Bonham
    Longitude
    -96.186
    QM Rating
    5
    Abuse Icon
    N
    Chain Name
    NEXION HEALTH
    County/Parish
    Fannin
    Provider Name
    North Star Ranch Rehabilitation and Healthcare Cen
    Provider Type
    Medicare and Medicaid
    Overall Rating
    2
    Ownership Type
    For profit - Corporation
    Number of Fines
    2
    Processing Date
    2026-10-01
    Staffing Rating
    2
    Provider Address
    709 W Fifth St
    Telephone Number
    9035838551
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    FANNIN COUNTY HOSPITAL AUTHORITY
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.24612
    Chain Average QM Rating
    2.7
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    1
    Number of Certified Beds
    65
    Provider SSA County Code
    510
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    Not reported
    Total Number of Penalties
    2
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.88362
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    46.5
    Chain Average Staffing Rating
    2.7
    Number of Facilities in Chain
    51
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    675471
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    278005.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    148
    Registered Nurse turnover footnote
    27
    Total Weighted Health Survey Score
    232.250
    With a Resident and Family Council
    None
    Average Number of Residents per Day
    43.1
    Chain Average Overall 5-star Rating
    2.3
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    485
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    2.3
    Rating Cycle 1 Health Deficiency Score
    148
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    485
    Rating Cycle 1 Standard Survey Health Date
    2026-07-02
    Rating Cycle 2 Standard Health Survey Date
    2025-04-24
    Rating Cycle 2/3 Number of Health Revisits
    1
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.26137
    Case-Mix RN Staffing Hours per Resident per Day
    0.61114
    Reported RN Staffing Hours per Resident per Day
    0.23278
    Adjusted LPN Staffing Hours per Resident per Day
    1.56610
    Case-Mix LPN Staffing Hours per Resident per Day
    0.76156
    Reported LPN Staffing Hours per Resident per Day
    1.39477
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    23
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    29
    Rating Cycle 1 Number of Standard Health Deficiencies
    16
    Rating Cycle 2 Number of Standard Health Deficiencies
    20
    Reported Licensed Staffing Hours per Resident per Day
    1.62755
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    7
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.08137
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.07416
    Number of administrators who have left the nursing home
    1
    Reported Nurse Aide Staffing Hours per Resident per Day
    1.85368
    Adjusted Total Nurse Staffing Hours per Resident per Day
    3.90884
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.44686
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    9
    Reported Total Nurse Staffing Hours per Resident per Day
    3.48123
    Registered Nurse hours per resident per day on the weekend
    0.23205
    Date First Approved to Provide Medicare and Medicaid Services
    1995-03-30
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.01156
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.29700
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    3.03349
    Total number of nurse staff hours per resident per day on the weekend
    2.93633

    COMMUNITY EXPERIENCE

    Reviews of North Star Ranch Rehabilitation and Healthcare Cen

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026