North Star Ranch Rehabilitation and Healthcare Cen: Staffing, Turnover, and Inspection Record
North Star Ranch Rehabilitation and Healthcare Cen is a 65-bed for-profit nursing home in Bonham, Texas, part of Nexion Health. In the CMS August 2026 release it reported 1.95 nurse aide hours per resident per day, 3% below the Texas average of 2.00, and 45.2% nursing staff turnover (Texas average 55.3%).
North Star Ranch Rehabilitation and Healthcare Cen
709 W Fifth StBonham, TX 75418
Fannin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At North Star Ranch Rehabilitation and Healthcare Cen, nurse aides logged 1.95 hours per resident per day, 3% below the Texas average. With about 44 residents a day, that works out to roughly 85 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 6% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.95 | 2.00 | 2.32 |
| Licensed practical nurses | 1.30 | 0.95 | 0.86 |
| Registered nurses | 0.21 | 0.43 | 0.69 |
| All nursing staff | 3.46 | 3.39 | 3.86 |
| All nursing staff, weekends | 3.23 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
45.2% of nursing staff at North Star Ranch Rehabilitation and Healthcare Cen left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. 1 administrator left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 2, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 23 health deficiencies (Texas average 9.3). CMS lists 2 fines totaling $278,005 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 27, 2025 | Fine | $168,236 |
| Jan 12, 2024 | Fine | $109,769 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. North Star Ranch Rehabilitation and Healthcare Cen holds 2 of 5 overall; the Texas average is 2.6.
About North Star Ranch Rehabilitation and Healthcare Cen
- Ownership: For profit - Corporation
- Chain: Nexion Health, 51 homes
- Legal name: Fannin County Hospital Authority
- Medicare and Medicaid certified since: Mar 30, 1995
- Area: rural
Nursing homes near North Star Ranch Rehabilitation and Healthcare Cen
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Seven Oaks Nursing & Rehabilitation Bonham | 1.2 | 108 | 1.54 | 2.81 | 100.0% | 4 | None |
| Clyde W Cosper Texas State Veterans Home Bonham | 1.2 | 160 | 2.16 | 3.59 | 48.3% | 1 | $216,749 |
| Mullican Care Center Savoy · staffing data not validated | 10.4 | 112 | — | — | — | 2 | $5,159 |
| Honey Grove Nursing Center Honey Grove | 16.4 | 102 | 1.72 | 3.50 | — | 2 | $80,698 |
| Denison Nursing and Rehab Denison · many days without an RN | 23.0 | 71 | 1.92 | 3.75 | 60.0% | 2 | $8,281 |
| Cedar Hollow Rehabilitation Center Sherman | 24.1 | 142 | 2.15 | 3.46 | 50.4% | 3 | $31,673 |
| Beacon Hill Denison | 24.2 | 150 | 1.69 | 3.27 | 34.9% | 4 | None |
| Woodlands Place Rehabilitation Suites Denison | 24.5 | 133 | 1.89 | 3.28 | 44.6% | 3 | $109,954 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.