North Star Ranch Rehabilitation and Healthcare Center
Nursing Home Facility
709 W Fifth St, Bonham, TX 75418
North Star Ranch Rehabilitation and Healthcare Center is a senior care community located in Bonham, TX. It provides nursing home care and senior living for older adults in the Bonham area. To learn more or schedule a tour, call (903) 583-8551.
Operated by Nexion Health, which runs 46 communities in our directory.
North Star Ranch Rehabilitation and Healthcare Center is licensed for 65 beds, about typical for the area, where senior care communities in Bonham average about 84 beds.
Federal reporting puts occupancy at about 67% of its licensed beds.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. Its most recent standard health inspection was in July 2026 and recorded 23 deficiencies.
Residents receive about 3.5 hours of nursing care per day on average, including 0.2 hours from a registered nurse. Nursing staff turnover over the past year was about 45%.
The community is located in Fannin County, TX.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 61 problems at North Star Ranch Rehabilitation and Healthcare Center. 5 findings involved harm to a resident, including 4 that put residents in immediate danger. 16 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $278,005.
Findings from the most recent inspection cycle
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Could cause more than minimal harm, a pattern
Resident Rights
Keep residents' personal and medical records private and confidential.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
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Could cause more than minimal harm, a pattern
Resident Assessment and Care Planning
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide safe and appropriate respiratory care for a resident when needed.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
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.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Show 15 more
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Could cause more than minimal harm, a pattern
Nutrition and Dietary
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide appropriate foot care.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
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.
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Could cause more than minimal harm, one or a few residents
Pharmacy Service
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.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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Could cause more than minimal harm, one or a few residents
Resident Assessment and Care Planning
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
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Could cause more than minimal harm, one or a few residents
Administration
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.
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Could cause more than minimal harm, one or a few residents
Resident Rights
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
Provide enough food/fluids to maintain a resident's health.
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Could cause more than minimal harm, widespread
Nursing and Physician Services
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
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Could cause more than minimal harm, a pattern
Pharmacy Service
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide care and assistance to perform activities of daily living for any resident who is unable.
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Could cause more than minimal harm, one or a few residents
Nutrition and Dietary
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
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Could cause more than minimal harm, one or a few residents
Quality of Life and Care
Provide or get specialized rehabilitative services as required for a resident.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
North Star Ranch Rehabilitation and Healthcare Center offers nursing home care and senior living.
Facility details
- Organization type For profit - Partnership
- Beds / units 65
- Occupancy 67%
- Nursing hours per resident/day 3.5
- Annual staff turnover 45%
- Last health inspection July 2026
Resident & family reviews
No one has shared a review of North Star Ranch Rehabilitation and Healthcare Center yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.