North Star Ranch Rehabilitation and Healthcare Cen
North Star Ranch Rehabilitation and Healthcare Cen is a 65-bed nursing home in Bonham, Texas. CMS has certified it for Medicare and Medicaid since 1995-03-30. It averages 43.5 residents a day.
What harm was found in the violations cited at North Star Ranch Rehabilitation and Healthcare Cen?
CMS lists 61 health-inspection deficiencies for North Star Ranch Rehabilitation and Healthcare Cen, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is K; the most recent health inspection was 2026-07-02.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-07-02 | F0583, F0644, F0656, F0695, F0755, F0803, F0804, F0812, F0813 | Keep residents' personal and medical records private and confidential. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E |
| 2026-07-02 | F0687, F0689, F0693, F0761, F0806, F0842, F0849 | Provide appropriate foot care. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure 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. / Ensure 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. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Arrange 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 |
| 2026-03-06 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D |
| 2026-02-20 | F0692 | Provide enough food/fluids to maintain a resident's health. | E |
| 2025-12-01 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F |
| 2025-12-01 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E |
| 2025-12-01 | F0677, F0802, F0825 | Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. / Provide or get specialized rehabilitative services as required for a resident. | D |
| 2025-05-24 | F0584 | Honor 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 |
| 2025-05-24 | F0761 | Ensure 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 |
| 2025-04-24 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K |
| 2025-04-24 | F0761, F0921 | Ensure 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. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F |
| 2025-04-24 | F0695, F0804 | Provide safe and appropriate respiratory care for a resident when needed. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E |
| 2025-04-24 | F0552, F0558, F0578, F0582, F0609, F0610, F0641, F0656, F0757, F0770, F0773, F0803, F0812, F0926 | Ensure that residents are fully informed and understand their health status, care and treatments. / Reasonably accommodate the needs and preferences of each resident. / Honor 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. / Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Respond appropriately to all alleged violations. / Ensure each resident receives an accurate assessment. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure each resident’s drug regimen must be free from unnecessary drugs. / Provide timely, quality laboratory services/tests to meet the needs of residents. / Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. / Ensure 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. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have policies on smoking. | D |
| 2025-04-24 | F0732 | Post nurse staffing information every day. | C |
| 2025-02-27 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-02-27 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2024-03-06 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F |
| 2024-03-06 | F0584, F0656, F0695, F0726 | Honor 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Provide safe and appropriate respiratory care for a resident when needed. / Ensure 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 |
| 2024-03-06 | F0640, F0689, F0755, F0803, F0804, F0880 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. / Ensure 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. / Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. / Provide and implement an infection prevention and control program. | D |
| 2024-01-12 | F0684, F0740 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J |
| 2024-01-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
Why was North Star Ranch Rehabilitation and Healthcare Cen fined 2 times?
| Date | Type | Amount |
|---|---|---|
| 2025-02-27 | Fine | $168,236 |
| 2024-01-12 | Fine | $109,769 |
How is North Star Ranch Rehabilitation and Healthcare Cen staffed?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.45802 | 3.38539 |
| Total nursing staff turnover (%) | 45.2 | 55.3 |
| Average number of residents per day | 43.5 | 75.8 |
Who owns North Star Ranch Rehabilitation and Healthcare Cen, and what chain is it in?
North Star Ranch Rehabilitation and Healthcare Cen is registered with CMS as For profit - Corporation, operates under the legal business name FANNIN COUNTY HOSPITAL AUTHORITY and belongs to the NEXION HEALTH chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | FANNIN COUNTY HOSPITAL AUTHORITY | since 05/01/2025 |
| MANAGING CONTROL - GOVERNING BODY | HOLT, ERIN, KEETON, WENDY, KISSLING, MONICA, LIBERATORE, DANTE, MCBEAN, PATRICIA, OWENS, ANGELA, RINER, MEERA, SANDERSON, CLARK, TROMPLER, KELLY | since 02/01/2012 |
| CORPORATE OFFICER | SANDERSON, CLARK | since 05/01/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | FANNIN COUNTY HOSPITAL AUTHORITY, NEXION HEALTH AT BONHAM, INC., NEXION HEALTH LEASING, INC., NEXION HEALTH OF OHI INC, NEXION HEALTH, INC., CORRERA, KRISTY, FALLON, JOHN, KIRLEY, CHRISTOPHER, KIRLEY, FRANCIS, LIBERATORE, DANTE, MITCHELL, RYAN, PIERCE, DANIEL, RINER, MEERA, SANDERSON, CLARK, SHAH, JAGDISH, THOMISON, ISAAC | since 05/01/2025 |
| ADP OF THE SNF | FANNIN COUNTY HOSPITAL AUTHORITY, NEXION HEALTH AT BONHAM, INC., NEXION HEALTH LEASING, INC., NEXION HEALTH OF OHI INC, NEXION HEALTH, INC., CORRERA, KRISTY, FALLON, JOHN, KIRLEY, CHRISTOPHER, KIRLEY, FRANCIS, LIBERATORE, DANTE, MITCHELL, RYAN, PIERCE, DANIEL, RINER, MEERA, SANDERSON, CLARK, SHAH, JAGDISH, THOMISON, ISAAC | since 05/01/2025 |
Were you or a family member harmed at North Star Ranch Rehabilitation and Healthcare Cen?