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
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)
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.
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).
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/
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.