Nursing homeFAID #14123
North Star Ranch Rehabilitation and Healthcare Cen
709 W FIFTH ST, BONHAM, TX, 75418
(903) 583-8551
65 licensed beds
★★★★★2/5CMS Five-Star overall1/5 health inspections2/5 staffing5/5 quality measuresSource: CMS Care Compare
Public record summary
What we can show you for free.
Bed capacity
65
CMS facility ID
675471
Care type
Nursing home
County
Fannin
Facility name
North Star Ranch Rehabilitation and Healthcare Cen
Street address
709 W FIFTH ST
City / state / ZIP
Bonham, TX 75418
Phone
(903) 583-8551
About this facility — North Star Ranch Rehabilitation and Healthcare Cen
North Star Ranch Rehabilitation and Healthcare Cen is a Medicare/Medicaid-certified skilled nursing facility in Bonham, Texas. It is licensed for 65 beds — below the median for skilled nursing facilities in Texas (120 beds).
It is one of 6 senior care facilities in Bonham and 1,178 skilled nursing facilities across Texas. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.
Federal inspectors have cited North Star Ranch Rehabilitation and Healthcare Cen 76 times across 13 inspections in the last three years, including 12 food-safety citations, and CMS has imposed $278,005 in fines. Every citation is listed, dated, and graded in the inspection record below.
This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.
Facility background
What the public record shows.
Ownership & operator
Parent company
Nexion Health
Ownership type
For profit - Corporation
Registered owners & officers
Fannin County Hospital Authority
Direct owner · Operational control · Additional disclosable party — 100% stake — since 2025
Correra, Kristy
Operational control · Additional disclosable party — since 2025
Fallon, John
Operational control · Additional disclosable party — since 2025
Holt, Erin
Governing body — since 2020
Keeton, Wendy
Governing body — since 2012
Kirley, Christopher
Operational control · Additional disclosable party — since 2025
Kirley, Francis
Operational control · Additional disclosable party — since 2025
Kissling, Monica
Governing body — since 2017
Liberatore, Dante
Governing body · Operational control · Additional disclosable party — since 2022
Mcbean, Patricia
Governing body — since 2021
Mitchell, Ryan
Operational control · Additional disclosable party — since 2025
Nexion Health At Bonham, Inc.
Operational control · Additional disclosable party — since 2025
Nexion Health Leasing, Inc.
Operational control · Additional disclosable party — since 2025
Nexion Health of Ohi Inc
Operational control · Additional disclosable party — since 2025
Nexion Health, Inc.
Operational control · Additional disclosable party — since 2025
Owens, Angela
Governing body — since 2016
Pierce, Daniel
Operational control · Additional disclosable party — since 2025
Riner, Meera
Governing body · Operational control · Additional disclosable party — since 2012
Sanderson, Clark
Governing body · Officer · Operational control · Additional disclosable party — since 2012
Shah, Jagdish
Operational control · Additional disclosable party — since 2025
Thomison, Isaac
Operational control · Additional disclosable party — since 2025
Trompler, Kelly
Governing body — since 2022
Regulatory standing
Federal court records
20 naming its parent company — view the cases (a listed case is not a finding of wrongdoing)
Licensed / certified since
1995-03-30
CMS overall rating
2 of 5 stars
Health deficiencies
23 at the last standard inspection
Federal fines
$278,005 total
Last standard inspection
2026-07-02
Nurse staffing
3.5 hours per resident per day
Cost & payer profile (FY2023 cost report)
Average billed charges
$340 per day (≈ $10,340/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
67% Medicaid · 5% Medicare · 28% private/other
Occupancy
70% (fiscal year 2023)
Vs. state median
23% above the TX median of $277/day — full state cost breakdown
Services & coverage
Licensed beds
65
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Inspection record
Every citation, dated and graded.
Kitchen & food safety
Federal surveyors inspect the kitchen at every standard visit. This facility has 12 food-safety citations on its three-year record — flagged below among the inspections.
2026-07-02Health inspection16 citations
F-0583
E · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2026-07-27
F-0644
E · No harm found
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2026-07-28
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2026-07-27
F-0687
D · No harm found
Provide appropriate foot care.
Corrected 2026-07-27
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2026-07-27
F-0693
D · No harm found
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.
Corrected 2026-07-27
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-07-27
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2026-07-27
F-0761
D · No harm found
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.
Corrected 2026-07-27
F-0803
E · No harm foundFood safety
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.
Corrected 2026-07-27
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2026-07-27
F-0806
D · No harm foundFood safety
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2026-07-27
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-07-27
F-0813
E · No harm foundFood safety
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Corrected 2026-07-27
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-07-27
F-0849
D · No harm found
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.
Corrected 2026-07-27
2026-03-06Health inspectionComplaint-triggered1 citation
F-0628
D · No harm foundFrom a complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected 2026-03-09
10 earlier / fire-safety inspections (59 citations)
2026-02-20Health inspectionComplaint-triggered1 citation
F-0692
E · No harm foundFrom a complaint
Provide enough food/fluids to maintain a resident's health.
Corrected 2026-02-23
2025-12-01Health inspectionComplaint-triggered5 citations
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-12-02
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-12-02
F-0755
E · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-12-02
F-0802
D · No harm foundFood safetyFrom a complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-12-02
F-0825
D · No harm foundFrom a complaint
Provide or get specialized rehabilitative services as required for a resident.
Corrected 2025-12-02
2025-05-24Health inspectionComplaint-triggered2 citations
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2025-05-25
F-0761
D · No harm foundFrom a complaint
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.
Corrected 2025-05-25
2025-04-24Health inspection20 citations
F-0552
D · No harm found
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2025-04-25
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-04-25
F-0578
D · No harm found
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.
Corrected 2025-04-25
F-0582
D · No harm found
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2025-04-25
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-04-25
F-0610
D · No harm found
Respond appropriately to all alleged violations.
Corrected 2025-04-25
F-0641
D · No harm found
Ensure each resident receives an accurate assessment.
Corrected 2025-04-25
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-04-25
F-0689
K · Immediate jeopardy
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-04-25
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-04-25
F-0732
C · No harm found
Post nurse staffing information every day.
Corrected 2025-04-25
F-0757
D · No harm found
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2025-04-25
F-0761
F · No harm found
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.
Corrected 2025-04-25
F-0770
D · No harm found
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2025-04-25
F-0773
D · No harm found
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Corrected 2025-04-25
F-0803
D · No harm foundFood safety
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.
Corrected 2025-04-25
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-04-25
F-0812
D · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-04-25
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-04-25
F-0926
D · No harm found
Have policies on smoking.
Corrected 2025-04-25
2025-02-27Health inspectionComplaint-triggered2 citations
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-02-28
F-0689
J · Immediate jeopardyFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-02-28
2024-03-06Health inspectionComplaint-triggered11 citations
F-0584
E · No harm found
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.
Corrected 2024-03-28
F-0640
D · No harm found
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2024-03-28
F-0656
E · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-03-28
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-28
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-03-28
F-0726
E · No harm found
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.
Corrected 2024-03-28
F-0755
D · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2024-03-28
F-0803
D · No harm foundFood safety
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.
Corrected 2024-03-28
F-0804
D · No harm foundFood safetyFrom a complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-28
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-28
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-28
2024-01-12Health inspectionComplaint-triggered3 citations
F-0684
J · Immediate jeopardyFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-13
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-01-13
F-0740
J · Immediate jeopardyFrom a complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2024-01-13
2026-07-02Fire-safety inspection5 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0321
F · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-07-27
K-0324
E · No harm found
Provide properly protected cooking facilities.
Corrected 2026-07-27
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-07-27
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
2025-04-24Fire-safety inspection6 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-04-24
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-04-24
K-0511
D · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-04-24
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K-0929
E · No harm found
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2025-04-24
2024-03-06Fire-safety inspection4 citations
K-0211
C · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K-0324
D · No harm found
Provide properly protected cooking facilities.
Corrected 2024-03-28
K-0372
D · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-03-28
K-0521
C · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Federal penalties
2025-02-27Fine$168,236
2024-01-12Fine$109,769
Total fines$278,005
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 675471.
Inside your report
What unlocks when you order.
Ownership & corporate history
Primary tierPrior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more
Inspection citations — last 5 years
LockedThe 76 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.
Civil & criminal lawsuits
Advanced tier onlyActive civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Original records
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered