Nursing home / skilled nursing
North Star Ranch Rehabilitation And Healthcare Cen
Nursing home / skilled nursing in Bonham, Texas
| Provider details | |
|---|---|
| Address | 709 W Fifth St |
| City | Bonham |
| State | Texas |
| ZIP code | 75418 |
| County | Fannin |
| Phone | 903-583-8551 |
| Website | https://www.nexion-health.com/northstarranch/ |
| CMS certification number (CCN) | 675471 |
| Ownership | For profit - Corporation |
| Certified beds | 65 |
| Certification | Medicare and Medicaid |
| First approved for Medicare/Medicaid | March 30, 1995 |
| Located in a hospital | N |
| Continuing care retirement community | N |
| Care types | skilled nursing, rehab services |
| Services offered | skilled nursing care, rehabilitation services, wound care, long-term care, Alzheimer's and dementia care |
North Star Ranch Rehabilitation And Healthcare Cen is in 709 W Fifth St, Bonham, TX 75418. Phone: 903-583-8551. Ownership: For profit - Corporation. CMS rates it 2 out of 5 stars overall (health inspection 1, staffing 2, quality measures 5). CMS inspection and staffing detail: total weighted health survey score 232.250; 2 federal fines totaling $278005.00; total nursing staff turnover 46.5%.
North Star Ranch Rehabilitation and Healthcare Center in Bonham provides nursing and rehabilitation care for both short stays and long-term living, with admissions accepted 24 hours a day. Its care team helps people who are not yet ready to go home safely after a medical procedure or a sudden medical problem, and it also cares for residents living with Alzheimer's disease and other dementias. The center runs a wound management program for pressure ulcers, diabetic ulcers, and other wounds that are slow to heal.
More about this provider
| North Star Ranch Rehabilitation and Healthcare Center in Bonham, TX provides nursing and rehabilitation services for short-term and long-term stays, including a wound management program and care for residents with dementia. | |
| Services and programs | Nursing and rehabilitation services in Bonham, TX for short-term and long-term needs, with admissions 24 hours a day, 7 days a week, around-the-clock nursing care, and daily specialized rehabilitation services. The site describes a wound management program treating pressure ulcers, diabetic ulcers, venous stasis and other non-healing wounds, with treatments including debridement, specialized dressings, nutrition therapy, and negative pressure wound therapy, and care for residents with Alzheimer's disease and other dementias. |
| Who it serves | People with chronic and acute conditions who are not yet ready to return home safely after a planned medical procedure or an unexpected medical complication, people who choose the facility as a permanent residence, and residents living with Alzheimer's disease and other dementias. |
| Visiting and contact details | 709 West Fifth Street, Bonham, TX 75418. Tel: 903-583-8551; Fax: 903-583-9456. For referrals, eFax: 903-505-5507. Admissions are accepted 24 hours a day, 7 days a week. |
| Website | https://www.nexion-health.com/northstarranch/ |
Quality measures
Source: CMS · CMS processing date: 2026-10-01
| Star ratings and staffing hours | |
|---|---|
| Overall rating | 2 of 5 |
| Health inspection rating | 1 of 5 |
| Staffing rating | 2 of 5 |
| Quality measure rating | 5 of 5 |
| Long-stay quality rating | 5 of 5 |
| RN staffing hours per resident per day | 0.23 |
| Total nurse staffing hours per resident per day | 3.48 |
Inspection results
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Rating Cycle 1 Total Health Score | 148 |
| Total Weighted Health Survey Score | 232.250 |
| Rating Cycle 2/3 Total Health Score | 485 |
| Rating Cycle 1 Health Deficiency Score | 148 |
| Rating Cycle 2/3 Health Deficiency Score | 485 |
| Rating Cycle 1 Standard Survey Health Date | 2026-07-02 |
| Rating Cycle 1 Total Number of Health Deficiencies | 23 |
| Rating Cycle 2/3 Total Number of Health Deficiencies | 29 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 16 |
| Rating Cycle 1 Number of Complaint Health Deficiencies | 7 |
| Rating Cycle 2/3 Number of Complaint Health Deficiencies | 9 |
Staffing
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Nursing Case-Mix Index | 1.24612 |
| Nursing Case-Mix Index Ratio | 0.88362 |
| Total nursing staff turnover | 46.5 |
| Reported LPN Staffing Hours per Resident per Day | 1.39477 |
| Reported Licensed Staffing Hours per Resident per Day | 1.62755 |
| Number of administrators who have left the nursing home | 1 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.85368 |
| Registered Nurse hours per resident per day on the weekend | 0.23205 |
| Total number of nurse staff hours per resident per day on the weekend | 2.93633 |
Penalties
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Number of Fines | 2 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 2 |
| Total Amount of Fines in Dollars | 278005.00 |
Ownership
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Chain ID | 370 |
| Chain Name | NEXION HEALTH |
| Legal Business Name | FANNIN COUNTY HOSPITAL AUTHORITY |
| Chain Average QM Rating | 2.7 |
| Chain Average Staffing Rating | 2.7 |
| Number of Facilities in Chain | 51 |
| Chain Average Overall 5-star Rating | 2.3 |
| Chain Average Health Inspection Rating | 2.3 |
| Provider Changed Ownership in Last 12 Months | N |
Occupancy and payer mix
| Source: CMS · processing date 2026-10-01 | |
|---|---|
| Abuse Icon | N |
| High Performing Icon | N |
| With a Resident and Family Council | None |
| Average Number of Residents per Day | 43.1 |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Most Recent Health Inspection More Than 2 Years Ago | N |
Who pays for nursing home / skilled nursing?
What this care costs, and who pays — Medicare, Medicaid, or the family — is covered in these guides:
Nursing home / skilled nursing guide · Paying for care
Other nursing home / skilled nursing in Fannin County
- Clyde W Cosper Texas State Veterans Home — Bonham
- Seven Oaks Nursing & Rehabilitation — Bonham
- Honey Grove Nursing Center — Honey Grove
Common questions about North Star Ranch Rehabilitation And Healthcare Cen
Where is North Star Ranch Rehabilitation And Healthcare Cen located?
North Star Ranch Rehabilitation And Healthcare Cen is at 709 W Fifth St, Bonham, Texas 75418.
What care and services does North Star Ranch Rehabilitation And Healthcare Cen offer?
North Star Ranch Rehabilitation And Healthcare Cen offers skilled nursing, rehab services, skilled nursing care, rehabilitation services, wound care, long-term care, Alzheimer's and dementia care.
Is North Star Ranch Rehabilitation And Healthcare Cen Medicare-certified?
Yes. North Star Ranch Rehabilitation And Healthcare Cen is certified for both Medicare and Medicaid.
What is North Star Ranch Rehabilitation And Healthcare Cen's quality rating?
CMS gives North Star Ranch Rehabilitation And Healthcare Cen an overall star rating of 2 out of 5.
How do I contact North Star Ranch Rehabilitation And Healthcare Cen?
Call North Star Ranch Rehabilitation And Healthcare Cen at 903-583-8551.
How much does a nursing home cost?
The national median cost of a nursing home is $9,581 a month for a semi-private room and $10,798 a month for a private room (CareScout Cost of Care Survey, 2025). Costs in Texas can be higher or lower. See our guide to nursing home costs and who pays for the full picture.
Does Medicare pay for a nursing home?
Medicare Part A pays for skilled nursing care in a certified nursing home for up to 100 days in each benefit period. You need a hospital stay of at least 3 days first. You pay $0 a day for days 1 to 20, then $217 a day for days 21 to 100 (2026). After day 100, Medicare pays $0. Medicare does not pay for long-term care that only helps with daily tasks. Medicare Advantage plans cover skilled nursing too, with their own costs and rules. A Medigap plan can pay the daily cost share toward the Original Medicare benefit.
What is the difference between a nursing home and assisted living?
A nursing home gives skilled nursing care and rehab around the clock. Assisted living gives a room, meals, and help with daily tasks like bathing and dressing. It does not give round-the-clock nursing care. People who need daily medical care often need a nursing home. People who need help but not daily medical care often pick assisted living.
Who else pays for a nursing home besides Medicare?
Medicaid pays for nursing home care for people who meet its income and asset rules. It is the main payer for long stays. The VA pays for some veterans in VA or contract nursing homes. Long-term care insurance can pay for part of the cost. Most other costs are paid out of pocket.