Nursing home report
Bonham, TX · Medicare-certified · 65 beds
North Star Ranch Rehabilitation and Health Care Center in Bonham has a 2-star overall rating, with a 1-star health inspection rating and 2-star staffing rating; reported nurse staffing is 3.46 hours per resident per day versus the 4.1 federal benchmark. It also has $168,236 in fines in the last 24 months and a recent federal penalty, while its quality measures rating is 5 stars.
Health inspections
Staffing
3.458 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.458.
Hours per resident per day.
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the pneumonia vaccine
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited April 2025 — limited pattern, immediate jeopardy to residents.
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to ensure residents received the behavioral health care and services they needed. Cited January 2024 — isolated incident, immediate jeopardy to residents.
F-Tag 740 — 42 CFR §483.40 — S/S: J
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited December 2025 — widespread issue, potential for harm.
F-Tag 725 — 42 CFR §483.35 — S/S: F
The home failed to properly label and securely store medications and biologicals. Cited April 2025 — widespread issue, potential for harm.
F-Tag 761 — 42 CFR §483.45(g) — S/S: F
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 1 health deficiency.
Health inspection found 1 health deficiency.
Health inspection found 5 health deficiencies.
A federal fine of $168,236 was recorded.
On record with Medicare: 2 fines · $278,005 in total fines.
Federal fine
Feb 27, 2025
Federal fine
Jan 12, 2024
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.
