Starfile / Texas

North Star Ranch Rehabilitation and Health Care Ce

709 W Fifth St, Bonham, TX 75418 · CCN 675471

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$278,005

Number of fines

2

Number of penalties

2

Payment denials

0

Chain

Chain

NEXION HEALTH

Facilities in chain

52

Chain avg overall

2.30 / 5

Inspection citations (59)4 immediate jeopardy1 actual harm

1. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-12-01 · Health · corrected 2025-12-02

   Potential for more than minimal harm

2. FF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2025-12-01 · Health · corrected 2025-12-02

   Potential for more than minimal harm

3. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-12-01 · Health · corrected 2025-12-02

   Potential for more than minimal harm

4. DF0802Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.2025-12-01 · Health · corrected 2025-12-02

   Potential for more than minimal harm

5. DF0825Provide or get specialized rehabilitative services as required for a resident.2025-12-01 · Health · corrected 2025-12-02

   Potential for more than minimal harm

6. EF0584Honor 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.2025-05-24 · Health · corrected 2025-05-25

   Potential for more than minimal harm

7. DF0761Ensure 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.2025-05-24 · Health · corrected 2025-05-25

   Potential for more than minimal harm

8. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-04-24 · Health · corrected 2025-04-25

   Potential for more than minimal harm

9. DF0558Reasonably accommodate the needs and preferences of each resident.2025-04-24 · Health · corrected 2025-04-25

   Potential for more than minimal harm

10. DF0578Honor 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.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

11. DF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

12. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

13. DF0610Respond appropriately to all alleged violations.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

14. DF0641Ensure each resident receives an accurate assessment.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

15. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

16. KF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-04-24 · Health · corrected 2025-04-25

    Immediate jeopardy

17. EF0695Provide safe and appropriate respiratory care for a resident when needed.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

18. CF0732Post nurse staffing information every day.2025-04-24 · Health · corrected 2025-04-25

    Potential for minimal harm

19. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

20. FF0761Ensure 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.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

21. DF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

22. DF0773Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

23. DF0803Ensure 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.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

24. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

25. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

26. FF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

27. DF0926Have policies on smoking.2025-04-24 · Health · corrected 2025-04-25

    Potential for more than minimal harm

28. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-02-27 · Health · corrected 2025-02-28

    Potential for more than minimal harm

29. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-27 · Health · corrected 2025-02-28

    Immediate jeopardy

30. EF0584Honor 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.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

31. DF0640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

32. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

33. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

34. EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

35. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

36. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

37. DF0803Ensure 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.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

38. DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

39. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

40. DF0880Provide and implement an infection prevention and control program.2024-03-06 · Health · corrected 2024-03-28

    Potential for more than minimal harm

41. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-01-12 · Health · corrected 2024-01-13

    Immediate jeopardy

42. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-01-12 · Health · corrected 2024-01-13

    Actual harm

43. JF0740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.2024-01-12 · Health · corrected 2024-01-13

    Immediate jeopardy

44. EF0565Honor the resident's right to organize and participate in resident/family groups in the facility.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

45. DF0583Keep residents' personal and medical records private and confidential.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

46. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

47. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

48. DF0641Ensure each resident receives an accurate assessment.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

49. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

50. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

51. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

52. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

53. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

54. DF0761Ensure 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.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

55. EF0770Provide timely, quality laboratory services/tests to meet the needs of residents.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

56. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

57. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

58. DF0880Provide and implement an infection prevention and control program.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

59. DF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2022-12-01 · Health · corrected 2022-12-23

    Potential for more than minimal harm

Ownership

No ownership records.

Other facilities in Bonham

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.