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Nursing HomeMemory CareMedicaid Investigative

Clyde W Cosper Texas State Veterans Home

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

1300 Seven Oaks Rd, Bonham, TX 75418160 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.9/5

based on 224 Google reviews

5
4
3
2
1

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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (14 vs median 8.0)
  • High RN turnover (61%)

Below average in Texas · Below recommended RN staffing · Above average staffing · Worst in TEXVET chain · $216,749 in fines

Source: Medicare data

What this means for your family

This facility is an excellent choice for veterans seeking a clean, respectful, and highly active environment. While the staff's compassion is a standout strength, families should maintain active communication regarding care plans to ensure the high standards of supervision seen in most reviews are maintained for your specific loved one.

Google Reviews

Google Reviews

224 reviews analyzed
Families considering Clyde W Cosper can expect a highly clean and welcoming environment where staff members are frequently praised for their compassion and respect toward veterans. While the vast majority of reviews are glowing, particularly regarding the memory care and rehabilitation services, there are isolated reports of serious lapses in supervision and specific maintenance issues in certain halls.

Quality Themes

Tap a score for details
Food9.0Staff9.5Clean9.5Activities9.0MedsN/AMemory10.0Comms8.0ValueN/A

Strengths

  • Extremely clean and well-maintained facility
  • Compassionate and respectful nursing staff
  • Engaging activities and community involvement
  • Welcoming and professional admissions process

Concerns

  • Occasional lapses in resident supervision (mentioned by 2 reviewers)
  • Maintenance issues with air conditioning in specific halls
  • Inconsistent housekeeping quality (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.02022(3)4.82023(45)4.92024(59)5.02025(84)4.52026(13)

Distribution

5
188
4
9
3
1
2
0
1
2

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1We've heard wonderful things about how clean and well-maintained the facility is; what are your current protocols for ensuring consistent housekeeping throughout all the halls?
  • 2Since the nursing staff is so highly regarded for being compassionate, how do you ensure that level of care and supervision remains consistent for residents during the night shifts?
  • 3With the recent health inspection findings, what specific steps has the facility taken to address the identified deficiencies and improve overall care standards?
  • 4Can you tell us more about the types of engaging activities available to help residents stay connected to the local community?
  • 5How does the facility manage medical emergencies or sudden changes in health status, especially during the after-hours period?
  • 6Are there any ongoing plans or recent improvements being made to the climate control and air conditioning systems in the resident hallways?

Personalized based on this facility's data


Key Review Excerpts

I visited with a friend today. He is in memory care and I was impressed with the level of care I witnessed.

Visitor to memory care · 2026★★★★★

I was so impressed with the patience and courtesy that the staff showed to patients and visitors. I really liked the cleanliness of the facility. I arrived to see my husband a little before lunch time. An aide helped my son take James outside. When lunch was served it was hot and one of my husbands favorites: fried fish fillet.

Family member of resident · 2025★★★★★

Instead of notifying us of our fathers behavior and letting us correct it. They packed him up and dumped him at a homeless shelter. The thought that they would treat a veteran like that without giving the family proper notice is insane.

Family member of resident · 2024☆☆☆☆
Source: 224 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
67%
Registered nurses for medical care
Total Nursing
3.85hrs
94%
All nurses + aides combined
Staff Turnover
47%
Lower is better (< 30% = good)
RN Turnover
57%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

1

measures

Mixed Results

8

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.2%
Better than Avg
Here
0.2%
US
12.1%
TX
2.5%
Fannin
1.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.3%
Mixed vs Avgs
Here
14.3%
US
15.4%
TX
9.4%
Fannin
4.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility12.8%
Better than Avg
Here
12.8%
US
14.4%
TX
16.1%
Fannin
20.1%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.8%
Better than Avg
Here
99.8%
US
93.4%
TX
96.9%
Fannin
99.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility11.5%
Better than Avg
Here
11.5%
US
15.3%
TX
14.9%
Fannin
17.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility17.6%
Mixed vs Avgs
Here
17.6%
US
19.5%
TX
18.4%
Fannin
12.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility92.9%
Better than Avg
Here
92.9%
US
81.8%
TX
89.2%
Fannin
83.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.4%
Worse than Avg
Here
4.4%
US
1.6%
TX
1.5%
Fannin
0.1%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

15deficiencies
3penalties
Well above state avg (9.1)
8 complaint-triggered
$216,749 in fines

Families have filed 7 complaints over the review period, raising concerns about abuse prevention, medication management, and care quality. The facility shows recurring issues with medication management, care planning, and safety supervision that persist across multiple surveys from 2022 through 2025. While all deficiencies have correction dates, the pattern of repeated problems in core care areas suggests ongoing quality challenges families should carefully evaluate.

Mar 12, 2026Complaint
1
0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Nov 25, 2025Complaint
1
0805MinorCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Feb 7, 2025Routine
14
0686SevereCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0689SevereCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0699ModerateCorrected

Quality of Life and Care Deficiencies

Provide care or services that was trauma informed and/or culturally competent.

0761ModerateCorrected

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.

0372ModerateCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0770ModerateCorrected

Administration Deficiencies

Provide timely, quality laboratory services/tests to meet the needs of residents.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0604MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

0644MinorCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0655MinorCorrected

Resident Assessment and Care Planning Deficiencies

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0695MinorCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Jan 25, 2024Complaint
2
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0677MinorCorrected

Quality of Life and Care Deficiencies

Provide care and assistance to perform activities of daily living for any resident who is unable.

Jan 25, 2024Routine
11
0926ModerateCorrected

Environmental Deficiencies

Have policies on smoking.

0644ModerateCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0695ModerateCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0761ModerateCorrected

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.

0636MinorCorrected

Resident Assessment and Care Planning Deficiencies

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0755MinorCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0760MinorCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0790MinorCorrected

Quality of Life and Care Deficiencies

Provide routine and 24-hour emergency dental care for each resident.

0940MinorCorrected

Administration Deficiencies

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

Dec 8, 2023Complaint
4
0600SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607SevereCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0760Moderate

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0837MinorCorrected

Administration Deficiencies

Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.

Federal Penalties

Fine

Feb 7, 2025

$196,105

Payment Denial

Feb 7, 2025

13-day denial

Fine

Dec 8, 2023

$20,644

Ownership & Operations

Who Operates This Facility

Owner / Operator

State of Texas Veterans Land Board

Organization Type

government

Management Company

TEXAS VSI, LLC

Administrator

JON FULKERSON

Chain Affiliation

Chain Name

Texvet

Chain Size

9 facilities nationwide

Chain avg rating: 3.7/5 · Rank 9 of 9 (Worst)

Ownership & Management

Key personnel

Berkely, JohnW-2 Managing EmployeeMclemore, WilliamW-2 Managing EmployeeBerkely, JohnOfficer / DirectorMclemore, WilliamOfficer / DirectorBerkely, JohnManager
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 4 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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