Seven Oaks Nursing & Rehabilitation
901 SEVEN OAKS ROAD, 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: Creative Solutions In Healthcare
- Certified beds
- 108 · avg 42 residents/day
- Total nursing staff turnover
- 23.1% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
State licensing & capacity
- License number
- 308122
- Service type
- Medicare/medicaid
- Licensed capacity
- 108 beds
- Bed type breakdown
- 48 Medicare-only · 60 Medicaid/Medicare
- Current license effective
- January 1, 2025
- Current license expires
- January 1, 2028
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bonham I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Crystal J Langham Abner
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Creative Solutions in Healthcare Inc
Operational/managerial Control · since 2021
- Gary r Blake
5% or Greater Indirect Ownership Interest · since 2021
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · 100% · since 2021
- Linda f Huggins
W-2 Managing Employee · since 2021
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2021
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 28)
- D0812·Jul 23, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0808·Jul 23, 2025
Nutrition and Dietary Deficiencies
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
- E0806·Jul 23, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D0805·Jul 23, 2025
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- D0804·Jul 23, 2025
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- B0689·Jul 23, 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.
- D0645·Jul 23, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- D0585·Jul 23, 2025
Resident Rights Deficiencies
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Fire-safety citations
12 Life-Safety-Code citations on file. Most recent: Jul 23, 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
Seven Oaks Nursing & Rehabilitation is a 108-bed nursing home in Bonham, Fannin County, accepting Medicare and Medicaid residents. CMS rates it 4 stars overall, with a 5-star long-stay quality-of-care rating and a 4-star health inspection rating. Staffing rates 3 stars, and the facility is currently operating at roughly 39% of its licensed beds — about 42 residents out of 108. Managed by Creative Solutions in Healthcare, Inc., the license runs through January 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 3 stars — residents receive about 174 minutes of nursing care per day, roughly 67 minutes less than at a 4-star-staffing facility in Texas. That gap is partly explained by occupancy: with only about 42 residents in a 108-bed building, raw hours per resident can look thinner than actual staffing levels on the floor. About 19% of Texas nursing homes share this staffing rating.
Nursing staff turnover is exceptionally low — roughly 2 in 10 nursing staff left in the past year, below the 25th-percentile cutoff for Texas. That means fewer than about three-quarters of nursing homes in the state can match this retention rate. For a long-stay resident, it translates to consistent caregivers over time rather than a rotating roster.
The facility is operating at roughly 39% of its licensed beds — about 42 residents in a building certified for 108. Low occupancy at a nursing home can reflect many things: a facility rebuilding census after a disruption, a competitive local market, or selective admissions. The long-stay quality-of-care rating is 5 stars and the overall CMS rating is 4 stars.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Reason for low occupancy
With roughly 42 residents in a 108-bed building, ask what's driving the low census and whether staffing levels adjust as occupancy changes.
Staffing on weekends
CMS records weekend nursing hours at about 2.69 hours per resident per day — below the weekday figure; ask how many nurses and aides are on each shift Saturday and Sunday.
RN coverage and hours
Reported RN hours average about 22 minutes per resident per day; ask when a registered nurse is physically present in the building and how after-hours RN needs are handled.
Resident and Family Council activity
Both a Resident Council and Family Council are listed; ask how often each meets and how concerns raised there get documented and addressed.
Management company's role
Creative Solutions in Healthcare manages the facility for licensee Bonham I Enterprises, LLC; ask what decisions rest with on-site leadership versus the management company.
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.