Clyde W Cosper Texas State Veterans Home
1300 SEVEN OAKS RD, Bonham, TX, 75418
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Corporation · Chain: Texvet
- Certified beds
- 160 · avg 154 residents/day
- Total nursing staff turnover
- 46.9% — near the Texas averageTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 60.9% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 1 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $216,749 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 149725
- Service type
- Medicare/medicaid
- Licensed capacity
- 160 beds
- Memory-care capacity
- 32 beds · state-certified
- Bed type breakdown
- 20 Medicare-only · 140 Medicaid/Medicare
- Current license effective
- August 31, 2024
- Current license expires
- August 31, 2027
- Initial license date
- September 1, 2001
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- State Of Texas Veterans Land Board (STATE)
- Operator / manager
- Texas Vsi, Llc
- Administrator
- Jon Fulkerson
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Texvet chain — 9 facilities. Chain-wide average overall rating 3.7 / 5.
Disclosed owners (2 on record)
- John Berkely
W-2 Managing Employee · since 2015
- William Mclemore
Corporate Officer · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 37)
- D0805·Nov 25, 2025Complaint
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- E0880·Feb 7, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0770·Feb 7, 2025
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
- E0761·Feb 7, 2025
Pharmacy Service Deficiencies
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.
- D0755·Feb 7, 2025
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E0699·Feb 7, 2025
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
- D0695·Feb 7, 2025
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
- J0689·Feb 7, 2025
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Federal penalties
By year
- 20251 fine · $196K · 1 payment denial
- 20231 fine · $21K
Most recent events
- Feb 7, 2025Payment denial · 13 days · starting Mar 8, 2025
- Feb 7, 2025Fine · $196K
- Dec 8, 2023Fine · $21K
Largest single fine on record: $196K.
Fire-safety citations
3 Life-Safety-Code citations on file. Most recent: Feb 7, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Clyde W Cosper Texas State Veterans Home is a 160-bed nursing home in Bonham, TX, licensed to the State of Texas Veterans Land Board and managed by Texas Vsi, Llc. It holds a 2-star overall CMS rating — driven by a 1-star health inspection score — despite 4-star staffing and 5-star quality measures. Two CMS fines total $216,749. The facility is operating at 96% of licensed capacity, and 32 certified memory-care beds are available, certified through October 2026.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing 4 stars here — in roughly the top 9% of Texas nursing homes on staffing. Each resident receives about 240 minutes of nursing care per day. The facility's residents require less hands-on care than at a typical facility, so those staffing hours go further than the raw number already suggests.
One administrator left in the past year. A single change in leadership can disrupt care routines and staff continuity; it is worth asking how long the current administrator has been in place and what operational changes followed the transition.
Two CMS fines total $216,749 — more than ten times the Texas median fine amount of $20,699, and about 70% of Texas nursing homes have received no fines at all. Fine amounts at this scale typically follow a serious deficiency finding; the underlying inspection reports, publicly available on CMS Care Compare, describe what specifically triggered each penalty.
At 96% of its 160 licensed beds occupied, the facility is effectively full. A waitlist is likely; families should ask about current wait times and what the admission process looks like.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
What triggered the two CMS fines
Two fines totaling $216,749 were issued — ask what specific deficiencies led to each penalty and what corrective steps were taken.
How long has the current administrator served
One administrator left in the past year; understanding how long the current administrator has been in place helps gauge leadership stability.
Current waitlist for admission
The facility is operating at 96% capacity across 160 beds, so ask directly whether there is a waitlist and the typical wait time.
Memory care unit staffing and programming
32 memory-care beds are state-certified through October 2026; ask what dedicated staffing and daily programming are in place specifically for that unit.
How the 1-star inspection score is being addressed
The facility rates 5 stars on quality measures but 1 star on health inspections — ask what the most recent inspection found and what the facility has done in response.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.