North Star Ranch Rehabilitation and Healthcare Cen
Nursing home in Bonham, Texas, CMS certification number 675471
709 W Fifth St, Bonham, TX 75418 · Fannin County
- CMS overall rating
- 2 of 5 stars
- Certified beds
- 65
- Certified for
- Medicare and Medicaid
- Last standard inspection
- July 2, 2026
- Deficiencies at that inspection
- 23
- Fines in 3 years
- $278,005 (2)
Does North Star Ranch Rehabilitation and Healthcare Cen take Medicare and Medicaid?
Yes to both. North Star Ranch Rehabilitation and Healthcare Cen is certified for Medicare and Medicaid. Medicare can pay for a short skilled stay after a qualifying hospital stay; Medicaid can pay for long-term care once you qualify.
Certification isn't a promise of an open bed. Ask how many Medicaid beds it has free and whether it keeps residents who move from Medicare to Medicaid. Our guide explains what Medicare pays for.
CMS star ratings
CMS rates every certified nursing home from 1 to 5 stars. The overall rating starts from health inspections, then moves up or down for staffing and quality. These come from the CMS Provider Information, October 2026 release.
| Measure | CMS stars |
|---|---|
| Overall | 2 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 2 of 5 |
| Quality of resident care | 5 of 5 |
| Long-stay quality | 5 of 5 |
| Short-stay quality | Not rated |
Nurse staffing hours and turnover
These are the hours North Star Ranch Rehabilitation and Healthcare Cen reported to CMS, split across residents and days. More hours per resident usually means more hands at the bedside.
- Total nurse hours per resident per day
- 3.48
- Registered nurse hours
- 0.23
- Licensed practical nurse hours
- 1.39
- Nurse aide hours
- 1.85
- Weekend total hours
- 2.94
- Nursing staff turnover
- 46.5%
- Administrators who left
- 1
Health inspections and complaints
Inspectors last made a standard visit on July 2, 2026 and cited 23 deficiencies, plus 7 from complaint visits.
The visit before, on April 24, 2025, found 20.
Read every citation on the CMS Care Compare page.
Fines and payment denials
CMS fined North Star Ranch Rehabilitation and Healthcare Cen 2 times in the past 3 years, for $278,005 in total.
Beds and residents
On an average day 43.1 residents live here, about 66% of its 65 certified beds.
- Certified beds
- 65
- Average residents per day
- 43.1
- Certified since
- March 30, 1995
Who owns North Star Ranch Rehabilitation and Healthcare Cen
- Legal business name
- Fannin County Hospital Authority
- Ownership type
- For profit - Corporation
- Chain
- 51 homes nationally under Nexion Health, 2.3-star chain average
Other nursing homes near North Star Ranch Rehabilitation and Healthcare Cen
- Seven Oaks Nursing & Rehabilitation901 Seven Oaks Rd, Bonham 75418
- Clyde W Cosper Texas State Veterans Home1300 Seven Oaks Rd, Bonham 75418
- Mullican Care Center105 North Main Street, Savoy 75479
- Honey Grove Nursing Center1303 E Main St, Honey Grove 75446
- Denison Nursing and Rehab601 E Hwy 69, Denison 75021
Who inspects nursing homes in Texas
Texas's state survey agency licenses nursing homes and carries out the federal inspections for CMS. A home must keep its state licence and meet the federal rules to take Medicare or Medicaid.
Compare all nursing homes in Texas, or see how assisted living and nursing homes differ.
Is this your facility?
If you run North Star Ranch Rehabilitation and Healthcare Cen, email contact@assistedlivingaccess.com from your work address. We can add your own rates, photos and contact details next to the state record, or take the listing down.
Questions about North Star Ranch Rehabilitation and Healthcare Cen
What is the CMS star rating of North Star Ranch Rehabilitation and Healthcare Cen?
2 out of 5 stars overall.
Does North Star Ranch Rehabilitation and Healthcare Cen accept Medicaid?
Yes, it is Medicaid certified.
What did inspectors find at North Star Ranch Rehabilitation and Healthcare Cen?
23 cited at the last standard visit.
Who owns North Star Ranch Rehabilitation and Healthcare Cen?
Fannin County Hospital Authority, for profit - corporation.
From the federal record: CMS Care Compare and the CMS Provider Information dataset, October 2026 release.