Clyde W Cosper Texas State Veterans Home

1300 Seven Oaks Rd · Bonham, TX · 75418 · 9036408387

160 certified beds Government - State Chain: Texvet

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $196,105 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

Red flags

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

2 abuse-related citations at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$196,105 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

Score breakdown

Inspection record 30% of score 29
Serious harm & abuse 20% 60
Staffing 20% 68
Federal penalties 15% 22
Trend 10% 89
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.853.48 min · 4.1 strong
RN hours / resident-day0.510.55–0.75
Weekend hours / resident-day3.25≈ weekday level
Nursing turnover / year47%median 45%
Fines (3-yr window)2 · $216,749

Inspection citations (47 in the current record)

  • Potential for harm · D April 29, 2026

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected May 22, 2026 · Resident Rights

  • Potential for harm · E April 29, 2026

    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.

    Corrected May 22, 2026 · Resident Rights

  • Potential for harm · D April 29, 2026

    Ensure each resident receives an accurate assessment.

    Corrected May 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 29, 2026

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected May 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 29, 2026

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected May 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D April 29, 2026

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 22, 2026 · Quality of Life and Care

  • Potential for harm · E April 29, 2026

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected May 22, 2026 · Pharmacy Service

  • Potential for harm · E April 29, 2026

    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.

    Corrected May 22, 2026 · Pharmacy Service

  • Potential for harm · D April 29, 2026

    Provide timely, quality laboratory services/tests to meet the needs of residents.

    Corrected May 22, 2026 · Administration

  • Potential for harm · D April 29, 2026

    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.

    Corrected May 22, 2026 · Nutrition and Dietary

  • Potential for harm · D April 29, 2026

    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

    Corrected May 22, 2026 · Nutrition and Dietary

  • Potential for harm · E April 29, 2026

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 22, 2026 · Nutrition and Dietary

  • Potential for harm · D April 29, 2026

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected May 22, 2026 · Quality of Life and Care

  • Potential for harm · D April 29, 2026

    Provide and implement an infection prevention and control program.

    Corrected May 22, 2026 · Infection Control

  • Potential for harm · D April 7, 2026 · found via complaint

    Ensure each resident receives an accurate assessment.

    Corrected April 22, 2026 · Resident Assessment and Care Planning

  • Potential for harm · D March 12, 2026 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 31, 2026 · Quality of Life and Care

  • Potential for harm · D November 25, 2025 · found via complaint

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    Corrected December 19, 2025 · Nutrition and Dietary

  • Immediate jeopardy · K February 7, 2025

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected March 3, 2025 · Quality of Life and Care

  • Immediate jeopardy · J February 7, 2025

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected March 3, 2025 · Quality of Life and Care

  • Potential for harm · D February 7, 2025

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Corrected March 3, 2025 · Resident Rights

  • Potential for harm · D February 7, 2025

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Corrected March 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D February 7, 2025

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

    Corrected March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2025

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected March 3, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D February 7, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected March 3, 2025 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
February 7, 2025Fine$196,105
February 7, 2025Payment Denial13 days
December 8, 2023Fine$20,644

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675873 · certified since May 24, 2001. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.