Nursing home report
Bonham, TX · Medicare-certified · 65 beds
North Star Ranch Rehabilitation and Health Care Ce in Bonham, TX has a 2-star overall rating, with a 1-star health inspection rating and 1-star staffing rating, despite 5-star quality measures. It also has a recent federal penalty, $168,236 in fines over the last 24 months, and reported nurse staffing of 3.66 hours per resident per day, below the federal benchmark of 4.1.
Health inspections
Staffing
3.6645 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6645.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
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
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.
