Nursing Home in Bonham, TX · CMS Data August 2026

North Star Ranch Rehabilitation and Healthcare Cen

How Does North Star Ranch Rehabilitation and Healthcare Cen Rate?

North Star Ranch Rehabilitation and Healthcare Cen is a 65-bed for-profit nursing home in Bonham, TX. CMS rates it 2 out of 5 stars overall (August 2026), with 1 for health inspections, 2 for staffing and 5 for quality measures. Residents got an average of 3.5 hours of nursing care per resident per day, against a national median of 3.7 hours. Its last standard health inspection, on July 2, 2026, cited 23 health deficiencies.

CMS overall rating: 2 of 5
Nursing per resident per day: 3.5 hours
Deficiencies at last inspection: 23
Certified beds: 65

Reviewed by Senior Care Help Editorial Team ·October 6, 2026

709 W Fifth St
Bonham, TX 75418

2 of 5 CMS overall · Below average

From CMS Care Compare, data processed August 1, 2026. A listing is not an endorsement, and no home pays to appear.

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Nursing home (CMS listing)This facility

CMS Star Ratings

CMS star ratings for North Star Ranch Rehabilitation and Healthcare Cen
Rating	Stars	CMS label
Overall rating	2 of 5	Below average
Health inspections	1 of 5	Much below average
Staffing	2 of 5	Below average
Quality measures	5 of 5	Much above average
Quality for long-stay residents	5 of 5	Much above average

CMS compares each home with others in its state for the inspection rating. See how CMS star ratings work.

Staffing and Turnover

Staffing at North Star Ranch Rehabilitation and Healthcare Cen and the national median
Measure	This home	National median
Total nursing hours per resident per day	3.5 hours	3.7 hours
Registered nurse hours per resident per day	0.2 hours	0.6 hours
Nurse aide hours per resident per day	1.9 hours	2.2 hours
Total nursing hours per resident on weekends	3.2 hours	3.3 hours
Nursing staff turnover (past year)	45%	45%

Hours are reported by the home through CMS's payroll-based staffing data. Turnover is the share of nursing staff who left over the year. Why staffing matters.

Inspections and Penalties

Inspections and penalties for North Star Ranch Rehabilitation and Healthcare Cen
Last standard health inspection	July 2, 2026
Health deficiencies cited at that inspection	23
Deficiencies from complaint inspections (same rating cycle)	7
Fines in the past 3 years	2 totaling $278,005
Payment denials in the past 3 years	0

The full inspection reports, with each deficiency described, are on the home's Medicare Care Compare page.

Quality Measures for Long-Stay Residents

The share of residents in long-term care (101 days or more) at North Star Ranch Rehabilitation and Healthcare Cen who, according to CMS's resident assessments (2025Q2 to 2026Q1):

Long-stay quality measures for North Star Ranch Rehabilitation and Healthcare Cen
Residents who	This home	National median	Compared
Received an antipsychotic medication	12%	13%	Lower than the national median
Received an antianxiety or hypnotic medication	17%	18%	Lower than the national median
Had a fall with major injury	0.0%	2.8%	Lower than the national median
Have pressure ulcers	3.4%	4.2%	Lower than the national median
Lost too much weight	4.4%	4.7%	Lower than the national median
Were physically restrained	0.0%	0.0%	At the national median
Have depressive symptoms	0.6%	3.6%	Lower than the national median
Needed more help with daily activities over time	23%	13%	Higher than the national median

Lower is better for each measure. Antipsychotic use matters most for residents with dementia: what families should know.

About the Home

Facts about North Star Ranch Rehabilitation and Healthcare Cen
Certified beds	65
Average residents per day	44
Ownership	For profit - Corporation
Legal business name	FANNIN COUNTY HOSPITAL AUTHORITY
Chain or affiliated group	NEXION HEALTH (51 homes)
Certified for	Medicare and Medicaid
First certified	March 1995

Before you choose, visit at different times of day and ask about openings, costs and Medicaid beds. How to choose a nursing home has CMS's checklist, and Texas's State Long-Term Care Ombudsman (800-252-2412) can answer questions about residents' rights. See all nursing homes and senior care in Texas.