North Star Ranch Rehabilitation and Health Care Ce
709 W Fifth St · Bonham, TX · 75418 · 9035838551
65 certified beds For profit - Corporation Chain: Nexion Health
Why this verdict
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $168,236 in fines in the last 24 months.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
$168,236 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
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: 1 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 3.21 | ≈ weekday level |
| Nursing turnover / year | 55% | median 45% |
| Fines (3-yr window) | 2 · $278,005 |
Inspection citations (61 in the current record)
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Potential for harm · D March 6, 2026 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected March 9, 2026 · Resident Rights
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Potential for harm · E February 20, 2026 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected February 23, 2026 · Quality of Life and Care
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Potential for harm · D December 1, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · F December 1, 2025 · found via complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 2, 2025 · Nursing and Physician Services
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Potential for harm · E December 1, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected December 2, 2025 · Pharmacy Service
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Potential for harm · D December 1, 2025 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected December 2, 2025 · Nutrition and Dietary
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Potential for harm · D December 1, 2025 · found via complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected December 2, 2025 · Quality of Life and Care
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Potential for harm · E May 24, 2025 · found via complaint
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 25, 2025 · Resident Rights
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Potential for harm · D May 24, 2025 · found via complaint
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 25, 2025 · Pharmacy Service
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Immediate jeopardy · K April 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
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.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 25, 2025 · Resident Rights
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Potential for harm · D April 24, 2025
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2025
Respond appropriately to all alleged violations.
Corrected April 25, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 24, 2025
Ensure each resident receives an accurate assessment.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · D April 24, 2025
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 25, 2025 · Resident Assessment and Care Planning
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Potential for harm · E April 24, 2025
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 25, 2025 · Quality of Life and Care
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Potential for harm · D April 24, 2025
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 25, 2025 · Pharmacy Service
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Potential for harm · F April 24, 2025
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 April 25, 2025 · Pharmacy Service
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Potential for harm · D April 24, 2025
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected April 25, 2025 · Administration
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Potential for harm · D April 24, 2025
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected April 25, 2025 · Administration
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Potential for harm · D April 24, 2025
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 April 25, 2025 · Nutrition and Dietary
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Potential for harm · E April 24, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected April 25, 2025 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 27, 2025 | Fine | $168,236 |
| January 12, 2024 | Fine | $109,769 |
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 675471 · certified since March 30, 1995. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.