North Star Ranch Rehabilitation and Health Care Ce – Bonham, TX

CMS Verified | 2026-03-01

North Star Ranch Rehabilitation And Health Care Ce

709 W Fifth St, Bonham, TX 75418
(903) 583-8551
65 beds
All Bonham facilities
2.0*
Overall
1.0*
Health Inspection
5.0*
Quality Care
1.0*
Staffing
70.32
Score /100
#8134
National Rank

#8134
of 14703 facilities
National
44.7% position
#573
of 1177 in TX
State Rank
#4
of 5 in Fannin
County Rank
#3
of 3 in Bonham
City Rank
#3
of 3 in ZIP 75418
ZIP Rank






About North Star Ranch Rehabilitation And Health Care CeNorth Star Ranch Rehabilitation And Health Care Ce is located at 709 W Fifth St, Bonham, TX, reachable at (903) 583-8551. This For profit – Corporation facility operates 65.0 certified beds and serves an average of 49 residents per day. It is part of the Nexion Health network (52 facilities nationwide). Medicare and Medicaid services have been provided since 1995-03-30. The facility currently holds a below average (2-star) overall CMS rating — families are encouraged to review inspection reports carefully before making a decision.
Facility

North Star Ranch Rehabilitation And Health Care Ce

Address

709 W Fifth St, Bonham, TX 75418

Care Offered
  • Long-Term Care
  • Rehab / Short-Term Care
Medicare & Medicaid
  • Accepts Medicare
  • Accepts Medicaid
Facility Details
  • 65 Certified Beds
  • Ownership: For profit – Corporation
  • Automatic Sprinklers: Yes
  • Network: NEXION HEALTH

Quick Verdict

Overall Quality
⚠️ Below Average (2★) overall rating
Health Inspection
❌ Poor (1★) health inspection
Staffing
❌ Poor (1★) staffing rating
Quality of Care
✅ Excellent (5★) quality of care
Compliance
❌ 6 fine(s) over 5 years
5-Year Trend
Declining over 5 years
70.32
Composite quality score out of 100 – how we calculate this
0 – Poor50 – Average100 – Best

#8134 of 14703 nationally – #573 of 1177 in Texas

Who Is This Facility Best For?

North Star Ranch Rehabilitation And Health Care Ce may be considered for families with limited options in Bonham, TX, but its lower CMS ratings suggest careful due diligence is warranted. Families prioritizing high RN coverage should discuss staffing schedules directly with the facility, as registered nurse hours have trended downward in recent years.

Overall Rating 2022-2026

Total Nurse Hours/Day 2022-2026

Current Ratings (2026)

Overall Rating

2 / 5
Health Inspection

1 / 5
Staffing Rating

1 / 5
Quality Measures (QM)

5 / 5
Long-Stay QM Rating

5 / 5
Short-Stay QM Rating

N/A

5-Year Rating Trends

Overall Rating

Health Inspection Rating

Quality of Care (QM)

Staffing Rating

Average Residents per Day

Occupancy % (Residents / Beds)

Staffing InsightNorth Star Ranch Rehabilitation And Health Care Ce currently provides 3 hours 7 minutes of total nurse staffing per resident per day, including 18 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating of 1 out of 5 is below average — a point worth discussing with facility management before admission. RN hours per resident have declined from 44 min/day (2022) to 18 min/day (2026) — a trend families should be aware of. Total nursing staff turnover is high at 60.4%, which can affect care continuity.

Current Staffing Hours Per Resident Per Day (2026)

Total Nurse Staffing3 hours 7 minutes
Nurse Aide Hours1 hour 45 minutes
Licensed Practical Nurse (LPN) Hours1 hour 5 minutes
Registered Nurse (RN) Hours18 minutes
Physical Therapist Hours1 minute

National average total nurse staffing is approximately 3.5 hours per day

Weekend Staffing Hours Per Resident Per Day (2026)

Weekend Total Nurse Hours2 hours 41 minutes
Weekend Registered Nurse (RN) Hours13 minutes

Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.

5-Year Staffing Trends

Total Nurse Hours/Day

Registered Nurse (RN) Hours/Day

Licensed Practical Nurse (LPN) Hours/Day

Nurse Aide Hours/Day

Total Staff Turnover %

Registered Nurse (RN) Turnover %

Compliance SummaryIn the current reporting period, the facility received 2 fine(s) totaling $278,005. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings.
Number of Fines (current period) 2
Total Fines Amount $278005.0
Payment Denials 0
Total Penalties 2
Abuse Flag on Record N
Total Weighted Health Survey Score 281.75 (lower = better)

Substantiated Complaints / Year

Fines Issued ($) / Year

Composite Quality Rankings

#8,134
of 14,703
National
Bottom 45%
#573
TX State
Top 49% in TX
#4
of 5
️ Fannin County
#4 of 5
#3
of 3
️ Bonham
#3 of 3
#3
of 3
ZIP 75418
#3 of 3

Nationally, North Star Ranch Rehabilitation And Health Care Ce ranks 8134th out of 14,703 facilities (composite score: 70.3/100), placing it in the below average nationwide. Within TX, it ranks 573rd out of 1,177 nursing homes. In Bonham, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #12,580 nationally and RN hours rank #12,809 nationally (#805 in TX).

How do we calculate these rankings?

Total Nurse Staffing – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 4.95 #1,210 / 14,703 #46 / 1,177 Top 10%
2023 3.83 #5,224 / 14,703 #190 / 1,177 Above average
2024 3.05 #12,164 / 14,703 #705 / 1,177 ⚠️ Bottom 25%
2025 3.22 #11,526 / 14,703 #594 / 1,177 ⚠️ Bottom 25%
2026 3.11 #12,580 / 14,703 #779 / 1,177 ⚠️ Bottom 25%

Registered Nurse (RN) Hours – Year-by-Year National and State Ranks

Year Hours/Day National Rank TX State Rank Note
2022 0.73 #4,655 / 14,703 #79 / 1,177 Above average
2023 0.69 #4,695 / 14,703 #63 / 1,177 Above average
2024 0.56 #6,888 / 14,703 #125 / 1,177 Above average
2025 0.42 #10,162 / 14,703 #384 / 1,177 Below average
2026 0.30 #12,809 / 14,703 #805 / 1,177 ⚠️ Bottom 25%

Total Nurse Rank – National (lower number = better)

Registered Nurse Rank – National (lower number = better)

Frequently Asked Questions

North Star Ranch Rehabilitation And Health Care Ce is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1995-03-30. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (903) 583-8551 or your local Medicaid office to verify current eligibility.

North Star Ranch Rehabilitation And Health Care Ce holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (1★), Staffing (1★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 70.3/100, placing it #8134 of 14703 facilities nationally and #573 of 1177 in Texas. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at North Star Ranch Rehabilitation And Health Care Ce receives a reported average of 3 hours 7 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 18 minutes; Licensed Practical Nurse (LPN) — 1 hour 5 minutes; Nurse Aide — 1 hour 45 minutes. On weekends, total nurse staffing is 2 hours 41 minutes per resident per day. The CMS Staffing Rating for this facility is 1 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 60.4%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $278,005. 3 substantiated complaints were recorded across the 5-year period — families should request details from the facility or review CMS inspection findings. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $278,005, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 281.75 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, North Star Ranch Rehabilitation And Health Care Ce ranks 8134th out of 14,703 facilities (composite score: 70.3/100), placing it in the below average nationwide. Within TX, it ranks 573rd out of 1,177 nursing homes. In Bonham, it ranks 3rd out of 3 facilities. Among facilities sharing its ZIP code, it ranks 3rd of 3. For 2026 staffing: total nurse hours rank #12,580 nationally and RN hours rank #12,809 nationally (#805 in TX). Our composite quality score of 70.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Bonham, visit: https://nursinghomesnearme.org/texas/bonham/

Contact and Location

ADR
Address

709 W Fifth St, Bonham, TX 75418
Get directions on Google Maps

TEL
LLC
Legal Name

Legal Business Name Not Available

MAP
Browse by Location

All Texas ·
Fannin County ·
Bonham ·
ZIP 75418

Facility Details

Number of Certified Beds 65
Average Residents / Day 49 (76% occupancy)
Ownership Type For profit – Corporation
Provider Type Medicare and Medicaid
County Fannin County, TX
City Bonham, TX
ZIP Code 75418
Approved Since March 30, 1995
Resident Council nan
Automatic Sprinklers ✅ All required areas
Ownership Changed (12 mo.) No
CMS Certification Number 675471
Data Processing Date March 1, 2026
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.
Data: CMS Nursing Home Compare – Processing Date: 2026-03-01 –
Rankings across 14703 U.S. facilities –
Ranking Methodology
NursingHomesNearMe.org

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