North Star Ranch Rehabilitation and Healthcare Cen

709 W Fifth St, Bonham, TX 75418

Phone: 9035838551

CMS ratings and facility information

North Star Ranch Rehabilitation and Healthcare Cen is a Medicare-certified nursing facility in Bonham, Fannin County, Texas. CMS data for this profile was updated August 2026. Ratings and facility details can change; confirm current information with CMS and the facility.

CMS overall rating2 of 5 stars
Health inspection rating1 of 5
Staffing rating2 of 5
Quality measures rating5 of 5
Certified beds65
OwnershipFor profit - Corporation
CMS certification number675471

Staffing

Total nurse hours per resident day3.46
RN hours per resident day0.21
Nurse aide hours per resident day1.95
Total nursing staff turnover percent45.2

Resident outcome measures

MeasureValueUnitPeriod
HospitalizationsNot availableevents_per_1000_resident_days20250101-20251231
Emergency-department visitsNot availableevents_per_1000_resident_days20250101-20251231
Falls with major injury0percent2025Q2-2026Q1
Pressure ulcers3.36percent2025Q2-2026Q1
Urinary tract infections0percent2025Q2-2026Q1
Antipsychotic medication use12.04percent2025Q2-2026Q1

Health inspection citations

Survey dateTagCitationSeverity
2026-07-020583Keep residents' personal and medical records private and confidential.E
2026-07-020644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.E
2026-07-020656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2026-07-020695Provide safe and appropriate respiratory care for a resident when needed.E
2026-07-020755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.E
2026-07-020803Ensure 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.E
2026-07-020804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2026-07-020812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E
2026-07-020813Have a policy regarding use and storage of foods brought to residents by family and other visitors.E
2026-07-020687Provide appropriate foot care.D
2026-07-020689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2026-07-020693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.D
2026-07-020761Ensure 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.D
2026-07-020806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.D
2026-07-020842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.D
2026-07-020849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.D
2025-04-240689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.K
2025-04-240761Ensure 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.F
2025-04-240921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.F
2025-04-240695Provide safe and appropriate respiratory care for a resident when needed.E
2025-04-240804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.E
2025-04-240552Ensure that residents are fully informed and understand their health status, care and treatments.D
2025-04-240558Reasonably accommodate the needs and preferences of each resident.D
2025-04-240578Honor 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.D
2025-04-240582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.D
2025-04-240609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D
2025-04-240610Respond appropriately to all alleged violations.D
2025-04-240641Ensure each resident receives an accurate assessment.D
2025-04-240656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D
2025-04-240757Ensure each resident’s drug regimen must be free from unnecessary drugs.D
2025-04-240770Provide timely, quality laboratory services/tests to meet the needs of residents.D
2025-04-240773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.D
2025-04-240803Ensure 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.D
2025-04-240812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D
2025-04-240926Have policies on smoking.D
2025-04-240732Post nurse staffing information every day.C
2024-03-060812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F
2024-03-060584Honor 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.E
2024-03-060656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.E
2024-03-060695Provide safe and appropriate respiratory care for a resident when needed.E
2024-03-060726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.E
2024-03-060640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.D
2024-03-060689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.D
2024-03-060755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D
2024-03-060803Ensure 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.D
2024-03-060804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.D
2024-03-060880Provide and implement an infection prevention and control program.D

Penalties

DateTypeAmount
2025-02-27Fine8,236
2024-01-12Fine9,769

Ownership records

NameTypeRole
FANNIN COUNTY HOSPITAL AUTHORITYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST
HOLT, ERINIndividualMANAGING CONTROL - GOVERNING BODY
KEETON, WENDYIndividualMANAGING CONTROL - GOVERNING BODY
KISSLING, MONICAIndividualMANAGING CONTROL - GOVERNING BODY
LIBERATORE, DANTEIndividualMANAGING CONTROL - GOVERNING BODY
MCBEAN, PATRICIAIndividualMANAGING CONTROL - GOVERNING BODY
OWENS, ANGELAIndividualMANAGING CONTROL - GOVERNING BODY
RINER, MEERAIndividualMANAGING CONTROL - GOVERNING BODY
SANDERSON, CLARKIndividualMANAGING CONTROL - GOVERNING BODY
TROMPLER, KELLYIndividualMANAGING CONTROL - GOVERNING BODY
SANDERSON, CLARKIndividualCORPORATE OFFICER
FANNIN COUNTY HOSPITAL AUTHORITYOrganizationOPERATIONAL/MANAGERIAL CONTROL
NEXION HEALTH AT BONHAM, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL
NEXION HEALTH LEASING, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL
NEXION HEALTH OF OHI INCOrganizationOPERATIONAL/MANAGERIAL CONTROL
NEXION HEALTH, INC.OrganizationOPERATIONAL/MANAGERIAL CONTROL
CORRERA, KRISTYIndividualOPERATIONAL/MANAGERIAL CONTROL
FALLON, JOHNIndividualOPERATIONAL/MANAGERIAL CONTROL
KIRLEY, CHRISTOPHERIndividualOPERATIONAL/MANAGERIAL CONTROL
KIRLEY, FRANCISIndividualOPERATIONAL/MANAGERIAL CONTROL
LIBERATORE, DANTEIndividualOPERATIONAL/MANAGERIAL CONTROL
MITCHELL, RYANIndividualOPERATIONAL/MANAGERIAL CONTROL
PIERCE, DANIELIndividualOPERATIONAL/MANAGERIAL CONTROL
RINER, MEERAIndividualOPERATIONAL/MANAGERIAL CONTROL
SANDERSON, CLARKIndividualOPERATIONAL/MANAGERIAL CONTROL
SHAH, JAGDISHIndividualOPERATIONAL/MANAGERIAL CONTROL
THOMISON, ISAACIndividualOPERATIONAL/MANAGERIAL CONTROL
FANNIN COUNTY HOSPITAL AUTHORITYOrganizationADP OF THE SNF
NEXION HEALTH AT BONHAM, INC.OrganizationADP OF THE SNF
NEXION HEALTH LEASING, INC.OrganizationADP OF THE SNF
NEXION HEALTH OF OHI INCOrganizationADP OF THE SNF
NEXION HEALTH, INC.OrganizationADP OF THE SNF
CORRERA, KRISTYIndividualADP OF THE SNF
FALLON, JOHNIndividualADP OF THE SNF
KIRLEY, CHRISTOPHERIndividualADP OF THE SNF
KIRLEY, FRANCISIndividualADP OF THE SNF
LIBERATORE, DANTEIndividualADP OF THE SNF
MITCHELL, RYANIndividualADP OF THE SNF
PIERCE, DANIELIndividualADP OF THE SNF
RINER, MEERAIndividualADP OF THE SNF
SANDERSON, CLARKIndividualADP OF THE SNF
SHAH, JAGDISHIndividualADP OF THE SNF
THOMISON, ISAACIndividualADP OF THE SNF

Compare nursing homes in Fannin County, Texas.

Source: Centers for Medicare & Medicaid Services Care Compare data. Data snapshot: August 2026. Read Our Data & Methodology. This directory does not provide medical or legal advice.