North Star Ranch Rehabilitation and Healthcare Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 53 Google reviews
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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)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (27 vs median 8.0)
- High staff turnover (60%)
- High RN turnover (88%)
Below average in Texas · Critically understaffed (RN) · Below chain average · $278,005 in fines
What this means for your family
This facility is an excellent choice if you are looking for a small, 'homey' environment where the staff treats residents like family. The therapy and nursing teams are highly rated, but since the facility is noted as being older, you may want to visit in person to ensure the physical space meets your specific needs.
Google Reviews
Google Reviews
53 reviews analyzed“Families considering North Star Ranch can expect a warm, home-like environment characterized by an exceptionally kind and professional nursing and therapy team. Reviewers frequently highlight the smooth admissions process and the facility's clean, pleasant atmosphere, though it is noted as a smaller, older building.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Excellent rehabilitation and therapy services
- Smooth and helpful admissions process
- Clean and well-maintained environment
- Friendly, family-oriented culture
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard wonderful things about the compassion of your nursing team; how do you ensure that same level of attentive care is maintained during busy shifts?
- 2With such great feedback regarding your rehabilitation and therapy services, could you tell us more about how a personalized therapy plan is developed for a new resident?
- 3What specific steps are in place to ensure consistent staffing levels and high-quality care throughout the day and night?
- 4How does the facility handle medical emergencies or sudden changes in a resident's health after regular business hours?
- 5We noticed how much you value resident care in your communications; what kind of daily activities or social events do you have planned to keep residents engaged?
- 6The facility looks very well-maintained; how often are the resident rooms and common areas deep-cleaned to ensure a comfortable environment?
Personalized based on this facility's data
Key Review Excerpts
“The staff is phenomenal, ALL of them. They are friendly, extremely competent from a medical standpoint and they truly treat my brother like family. Oh! And the food! It is so good!”
“I stayed for 2 full weeks on the surgical rehab side. My care was great! All my nurses, therapist and aids were supre caring and attended to my wants or needs immediately.”
“The therapy department is absolutely amazing! They helped my grandma reach all her goals. I’m so thankful for this facility and the loving staff.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both 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 · 16 measures
6
measures
4
measures
6
measures
Residents needing more daily help over time
Residents with depression symptoms
Residents on antipsychotic medication
Residents who fell and were seriously hurt
Residents whose bladder or bowel control got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows recurring deficiencies across multiple care areas, with families filing 14 complaint-triggered reports highlighting serious concerns. The most persistent problems involve accident prevention and safety supervision, medication management, and food service quality - issues that have appeared repeatedly across surveys from 2022 through 2025. While the facility reports correcting deficiencies, the pattern of recurring violations in critical safety areas, combined with recent uncorrected building safety issues, suggests ongoing operational challenges that families should carefully consider.
Mar 6, 2026Complaint1
Resident Rights Deficiencies
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Feb 20, 2026Complaint1
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Dec 1, 2025Complaint5
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.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nutrition and Dietary Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
May 24, 2025Complaint2
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.
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.
Apr 24, 2025Routine26
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Respond appropriately to all alleged violations.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
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.
Pharmacy Service Deficiencies
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Administration Deficiencies
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental Deficiencies
Have policies on smoking.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Egress Deficiencies
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Feb 27, 2025Complaint2
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Federal Penalties
Fine
Feb 27, 2025
$168,236
Fine
Jan 12, 2024
$109,769
Ownership & Operations
Who Operates This Facility
Fannin County Hospital Authority
for profit
NEXION HEALTH AT BONHAM, INC
ISAAC THOMISON
Chain Affiliation
Nexion Health
52 facilities nationwide
Chain avg rating: 2.9/5 · Rank 17 of 26
Ownership & Management
Owners
Fannin County Hospital Authority
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
53 reviews from families & visitors
Official Website
Visit nexion-health.com
Medicare data downloads
Original nursing home datasets
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