Nursing homes › Texas › North Star Ranch Rehabilitation and Healthcare Cen
709 W Fifth St, Bonham, TX 75418 · (903) 583-8551 · 65 certified beds
Per CMS filings, this facility is affiliated with Nexion Health, a group operating 51 facilities in 3 states. Group record: average rating 2.2/5, 5 abuse citation icons, 2 facilities on the Special Focus list, $2,560,999 in federal fines. This facility rates below its group average (2.2/5).
Total nurse staffing: 3.46 (Texas median: 3.27). RN hours: 0.21. Weekend total: 3.23. Nursing staff turnover: 45%.
All-time on record: 61 deficiency citations, including 4 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | Status |
|---|---|---|---|---|
| 2026-07-02 | Keep residents' personal and medical records private and confidential. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Health | corrected 2026-07-28 |
| 2026-07-02 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | 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. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Health | corrected 2026-07-27 |
| 2026-07-02 | Provide appropriate foot care. | D | Health | corrected 2026-07-27 |
| 2026-07-02 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Health | corrected 2026-07-27 |
| 2026-07-02 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Health | corrected 2026-07-27 |
| 2026-07-02 | 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. | D | Health | corrected 2026-07-27 |
| 2026-07-02 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Health | corrected 2026-07-27 |
| 2026-07-02 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Health | corrected 2026-07-27 |
| 2026-07-02 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Health | corrected 2026-07-27 |
| 2026-03-06 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | complaint | corrected 2026-03-09 |
| 2026-02-20 | Provide enough food/fluids to maintain a resident's health. | E | complaint | corrected 2026-02-23 |
| 2025-12-01 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | complaint | corrected 2025-12-02 |
| 2025-12-01 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | complaint | corrected 2025-12-02 |
| 2025-12-01 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | complaint | corrected 2025-12-02 |
| 2025-12-01 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | D | complaint | corrected 2025-12-02 |
| 2025-12-01 | Provide or get specialized rehabilitative services as required for a resident. | D | complaint | corrected 2025-12-02 |
| 2025-05-24 | 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. | E | complaint | corrected 2025-05-25 |
| 2025-05-24 | 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. | D | complaint | corrected 2025-05-25 |
| 2025-04-24 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Health | corrected 2025-04-25 |
| 2025-04-24 | 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. | F | Health | corrected 2025-04-25 |
| 2025-04-24 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Health | corrected 2025-04-25 |
| 2025-04-24 | Provide safe and appropriate respiratory care for a resident when needed. | E | Health | corrected 2025-04-25 |
| 2025-04-24 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Health | corrected 2025-04-25 |
| 2025-04-24 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Reasonably accommodate the needs and preferences of each resident. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | 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. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Respond appropriately to all alleged violations. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Ensure each resident receives an accurate assessment. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Health | corrected 2025-04-25 |
| 2025-04-24 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Health | corrected 2025-04-25 |
| Date | Type | Amount |
|---|---|---|
| 2025-02-27 | Fine | $168,236 |
| 2024-01-12 | Fine | $109,769 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FANNIN COUNTY HOSPITAL AUTHORITY | 5% Or Greater Direct Ownership Interest | Organization | 100% | since 05/01/2025 |
| HOLT, ERIN | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/25/2020 |
| KEETON, WENDY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/29/2012 |
| KISSLING, MONICA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/21/2017 |
| LIBERATORE, DANTE | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 12/19/2022 |
| MCBEAN, PATRICIA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 08/30/2021 |
| OWENS, ANGELA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 06/22/2016 |
| RINER, MEERA | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/01/2012 |
| SANDERSON, CLARK | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 10/29/2012 |
| TROMPLER, KELLY | Managing Control - Governing Body | Individual | NOT APPLICABLE | since 02/22/2022 |
| SANDERSON, CLARK | Corporate Officer | Individual | NOT APPLICABLE | since 05/01/2025 |
| FANNIN COUNTY HOSPITAL AUTHORITY | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| NEXION HEALTH AT BONHAM, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| NEXION HEALTH LEASING, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| NEXION HEALTH OF OHI INC | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| NEXION HEALTH, INC. | Operational/Managerial Control | Organization | NOT APPLICABLE | since 05/01/2025 |
| CORRERA, KRISTY | Operational/Managerial Control | Individual | NOT APPLICABLE | since 11/17/2025 |
| FALLON, JOHN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| KIRLEY, CHRISTOPHER | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| KIRLEY, FRANCIS | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| LIBERATORE, DANTE | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| MITCHELL, RYAN | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| PIERCE, DANIEL | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| RINER, MEERA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
| SANDERSON, CLARK | Operational/Managerial Control | Individual | NOT APPLICABLE | since 05/01/2025 |
How to cite this page: CareRecords, “North Star Ranch Rehabilitation and Healthcare Cen — compliance, penalty and ownership record” (CCN 675471), compiled from the CMS Provider Data Catalog, July 2026 release. https://carerecords.org/nursing-home/north-star-ranch-rehabilitation-and-healthcare-cen-bonham-tx/
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 675471. Corrections: data@carerecords.org.