North Star Ranch Rehabilitation And Healthcare Center
709 W FIFTH ST, 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: Nexion Health
- Certified beds
- 65 · avg 49 residents/day
- Total nursing staff turnover
- 60.4% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 87.5% — 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 · $278,005 total
State licensing & capacity
- License number
- 312438
- Service type
- Medicare/medicaid
- Licensed capacity
- 65 beds
- Bed type breakdown
- 18 Medicare-only · 47 Medicaid/Medicare
- Current license effective
- May 1, 2025
- Current license expires
- May 1, 2028
- Initial license date
- May 1, 1975
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Fannin County Hospital Authority (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Nexion Health At Bonham, Inc
- Administrator
- Isaac Thomison
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Nexion Health chain — 52 facilities across 3 states. Chain-wide average overall rating 2.3 / 5.
Disclosed owners (22 on record)
- Kristy Lee Correra
Operational/managerial Control · since 2025
- Christopher b Kirley
Operational/managerial Control · since 2025
- Clark r Sanderson
Operational/managerial Control · since 2025
- Daniel Pierce
Operational/managerial Control · since 2025
- Dante Liberatore
Operational/managerial Control · since 2025
- Fannin County Hospital Authority
5% or Greater Direct Ownership Interest · 100% · since 2025
+ 16 additional owners on the federal record.
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 59)
- D0825·Dec 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
- D0802·Dec 1, 2025Complaint
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
- E0755·Dec 1, 2025Complaint
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- F0725·Dec 1, 2025Complaint
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- D0677·Dec 1, 2025Complaint
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D0761·May 24, 2025Complaint
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.
- E0584·May 24, 2025Complaint
Resident Rights Deficiencies
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.
- D0926·Apr 24, 2025
Environmental Deficiencies
Have policies on smoking.
Federal penalties
By year
- 20251 fine · $168K
- 20241 fine · $110K
Most recent events
- Feb 27, 2025Fine · $168K
- Jan 12, 2024Fine · $110K
Largest single fine on record: $168K.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Apr 24, 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
North Star Ranch Rehabilitation And Healthcare Center is a 65-bed nursing home in Bonham, TX, managed by Nexion Health, that holds a 2-star overall CMS rating. Health inspection and staffing each rate 1 star — the lowest tier. Quality measures rate 5 stars. Two CMS fines totaling $278,005 have been assessed; the Texas median across fined facilities is $20,699. The license is active through May 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates this facility 1 star on staffing — the bottom tier, shared by about 38% of Texas nursing homes. Each resident receives roughly 187 minutes of total nursing care per day, about 54 minutes less than at a 4-star-staffing facility in Texas. Of that, only 18 minutes comes from a registered nurse, compared to 37 minutes at the 4-star threshold.
RN turnover is in the very-high tier: approximately 9 in 10 registered nurses left in the past year. A long-stay resident will likely cycle through multiple primary RN caregivers. Total nursing staff turnover sits at 60.4%, at the 75th-percentile cutoff for Texas — meaning three-quarters of Texas nursing homes have lower turnover.
The facility's administrator count has seen one departure in the past year, placing it in an elevated tier for administrative change. This sits alongside the staffing and turnover figures above.
Two CMS fines totaling $278,005 have been issued. The Texas median fine amount among fined facilities is $20,699; this facility's total is roughly 13 times that figure. About 30% of Texas nursing homes have received no fines at all.
Quality measures — which track outcomes like pressure wounds, falls, and pain management for long-stay residents — rate 5 stars, the highest tier. The facility's reported nursing hours fall below the case-mix-adjusted benchmark (3.114 reported versus 3.644 adjusted), meaning residents here require more hands-on care than a typical facility's population, so the raw staffing minutes stretch thinner than they appear.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
RN staffing on a typical day
With an RN turnover rate of roughly 9 in 10 over the past year, ask how many registered nurses are on the floor per shift and how vacancies are currently being covered.
Background on the two CMS fines
Two fines totaling $278,005 have been assessed — ask what the citations were for and what specific changes were made in response.
Current administrator tenure
The facility recorded one administrator departure in the past year; ask how long the current administrator has been in the role and who oversees operations day-to-day.
How 5-star outcomes are maintained
Quality measures rate 5 stars despite 1-star staffing — ask how care plans and outcome monitoring are structured given current staffing levels.
Resident and family input channels
No resident or family council is listed in CMS records; ask whether any formal feedback process exists for residents and families to raise concerns.
Waitlist and current bed availability
With 49 of 65 beds occupied on average, ask whether the specific bed type you need — Medicare or Medicaid — is currently available or has a wait.
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.