North Star Ranch Rehabilitation And Healthcare Cen
Bonham, TX · Medicare and Medicaid-certified nursing home (CCN 675471) · 65 certified beds
Health inspection: 1 · Quality measures: 5 · Staffing: 2
Federal fines: 2 totaling $278,005
Phone: (903) 583-8551 · Verify on Medicare Care Compare ↗
North Star Ranch Rehabilitation And Healthcare Cen has a CMS overall star rating of 2 out of 5, which is below the Texas state average of 2.65. Its health inspection rating is 1 out of 5 and its staffing rating is 2 out of 5.
North Star Ranch Rehabilitation And Healthcare Cen reports total nurse staffing of about 3.46 hours per resident per day, with only about 0.21 RN hours per resident per day, and a nursing staff turnover rate of 45.2%. Its CMS staffing star rating is 2 out of 5.
North Star Ranch Rehabilitation And Healthcare Cen has 2 federal fines on record totaling $278,005.00, with no payment denials listed. CMS data provided does not indicate an abuse icon or Special Focus status for this facility.
About this facility
North Star Ranch Rehabilitation And Healthcare Cen is a for-profit corporation-owned nursing home in Bonham, Fannin County, Texas, certified for Medicare and Medicaid since March 30, 1995. The facility is licensed for 65 beds and has an average daily census of 43.5 residents.
According to CMS Care Compare, the facility holds an overall star rating of 2 out of 5, below the Texas state average of 2.65. Its component ratings are mixed: the health inspection rating is 1 out of 5, the quality measure (QM) rating is 5 out of 5, and the staffing rating is 2 out of 5.
Nurse staffing data reported to CMS shows total nurse staffing of approximately 3.46 hours per resident per day, with registered nurse (RN) time at about 0.21 hours per resident per day. Nursing staff turnover is reported at 45.2%.
On penalties, CMS records show 2 federal fines totaling $278,005.00 for this facility. There are no payment denials on record. CMS does not list an abuse icon or Special Focus status for this facility in the provided data.
The facility is part of the Nexion Health chain, which operates 51 facilities nationally with an average CMS rating of 2.2. Ownership has not changed in the past 12 months, so current ratings reflect the present operator.
Source: CMS Medicare Care Compare.
Questions families ask
What is this nursing home's CMS overall star rating and how does it compare to the state average?
It has a CMS overall rating of 2 out of 5, which is below the Texas state average of 2.65.
Does this facility accept Medicare, Medicaid, or both?
Yes, it is certified for both Medicare and Medicaid.
How well is this facility staffed — nurse hours per resident and turnover?
Total nurse staffing is about 3.46 hours per resident per day, with about 0.21 RN hours per resident per day, and a 45.2% nursing turnover rate; the staffing star rating is 2 out of 5.
Does this facility have federal fines or penalties on record?
Yes, CMS records show 2 fines totaling $278,005.00 and no payment denials.
Has CMS flagged this facility for abuse or placed it in the Special Focus program?
The data provided does not show an abuse icon or Special Focus designation for this facility.
How large is this facility and how many residents live there?
It is certified for 65 beds and has an average daily census of 43.5 residents.
Who owns this facility — and is it part of a chain?
It is owned by a for-profit corporation and is part of the Nexion Health chain, which includes 51 facilities with an average CMS rating of 2.2.
How long has this facility been Medicare/Medicaid certified?
It has been certified since March 30, 1995.
What do the four different CMS star ratings mean?
CMS publishes an overall rating plus three component ratings — health inspections, staffing, and quality measures; this facility scores 2 overall, 1 for health inspections, 2 for staffing, and 5 for quality measures.
Does this facility offer short-term rehabilitation as well as long-term care?
The data provided does not specify service types; contact the facility at 9035838551 or verify on Medicare Care Compare.
What should I look for when touring this facility?
The data provided does not cover tour details; contact the facility at 9035838551 to arrange a visit and verify current conditions on Medicare Care Compare.
How do I verify this facility's current record on Medicare Care Compare?
You can review the facility's full record at https://www.medicare.gov/care-compare/details/nursing-home/675471?state=TX.
Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.