North Star Ranch Rehabilitation and Healthcare Cen
Bonham, Texas
Skilled nursing facility in Bonham, TX with 65 certified beds and a 2-star CMS overall rating.
North Star Ranch Rehabilitation and Healthcare Cen is a skilled nursing facility in Bonham, Texas (Fannin County), with 65 Medicare/Medicaid-certified beds.
Address: 709 W Fifth St, Bonham, TX 75418. Phone: (903) 583-8551.
Ownership: For profit - Corporation. Certified for Medicare and Medicaid. Automatic sprinkler systems in all required areas. Part of the Nexion Health chain.
CMS Five-Star ratings (source: Medicare Care Compare): overall 2 of 5, health inspections 1, staffing 2, quality measures 5.
Levels of care
- Skilled nursing
Facility details
- Street address
- 709 W Fifth St
- City
- Bonham
- State
- Texas
- ZIP code
- 75418
- Phone
- (903) 583-8551
- Levels of care
- Skilled nursing
- Payment options accepted
- Medicare, Medicaid
- Cms Ccn
- 675471
- County
- Fannin
- Ownership Type
- For profit - Corporation
- Provider Type
- Medicare and Medicaid
- Certified Beds
- 65
- Avg Daily Residents
- 43.5
- Continuing Care Community
- No
- Resident Family Council
- None
- Sprinklers All Areas
- Yes
- Medicare Medicaid Approved Date
- 1995-03-30
- Chain Name
- Nexion Health
- Overall Rating
- 2
- Health Inspection Rating
- 1
- Staffing Rating
- 2
- Quality Measure Rating
- 5
- Total Nurse Hours Per Resident Day
- 3.45802
- Rn Hours Per Resident Day
- 0.21031
- Latitude
- 33.5783
- Longitude
- -96.186
Medicare & Medicaid quality data
Published by the Centers for Medicare & Medicaid Services (CMS) [1] , data as of October 1, 2026. CMS ID 675471. Ratings compare this home with other nursing homes; they are not a pass or fail.
CMS overall rating
2 / 5
Below average- Certified beds
- 65
- Residents per day
- 43
- Ownership
- For profit - Corporation
- Health citations (latest)
- 23
- Fines
- 2 ($278,005)
Star ratings
CMS rates every certified nursing home from 1 to 5 stars in three areas and combines them into an overall rating. The ratings compare homes with each other: 5 is much above average, 3 is average, 1 is much below average.
Overall rating
Below averageThe headline score, from 1 to 5 stars.
✗ Worse than the state average. State 2.8 · National 3.0
How is this scored?
Three steps: start with the health inspection stars; add one star if staffing is 5 stars (subtract one if it is 1 star); then add one star if quality measures are 5 stars (subtract one if 1 star). It never goes above 5 or below 1, and a home with 1 health inspection star can gain at most one star from the other two. It compares homes with each other; it is not a pass/fail grade. [11]
Health inspections
Much below averageHow the home did in recent state inspections and complaint investigations.
✗ Worse than the state average. State 2.8 · National 2.8
How is this scored?
Based on the two most recent annual inspections plus 36 months of complaint and infection-control inspections, and on how many revisits were needed to confirm fixes. Each citation is weighted by scope and severity. Homes are then ranked within their own state: the best 10% (lowest scores) earn 5 stars, the middle 70% earn 2, 3 or 4 stars in equal shares, and the worst 20% earn 1 star. [11]
Staffing
Below averageHow many nurses care for each resident, and how stable the nursing team is.
✓ Better than the state average. State 1.9 · National 3.0
How is this scored?
Six measures: three of staffing level (total nurse, registered nurse and weekend nurse hours per resident per day, adjusted for how much care residents need) and three of turnover (nursing staff, RNs and administrators). The hours come from payroll records submitted to CMS each quarter; turnover uses six quarters of that data. [11]
Quality measures
Much above averageHow residents are actually doing.
✓ Better than the state average. State 3.8 · National 3.7
How is this scored?
Scores 15 quality measures drawn from resident assessments (the Minimum Data Set) and Medicare claims, such as falls with major injury, pressure ulcers, rehospitalizations and medication use. Long-stay and short-stay residents are rated separately and combined. [11]
This home State average National average
- Long-stay quality
- Residents who live in the home: outcomes such as falls, pressure ulcers and medication use.
How to read the numbers on this page
- Star ratings — 1 to 5 (no stars = not rated)
- 5 is much above average and 1 is much below average, compared with other nursing homes. A home with too little data may have no rating.
- Health inspection score — 0 and up, lower is better
- Points added up from citations (see the scope and severity grid) and revisits. 0 means a clean record; the state table shows which scores earn which stars.
- Quality measure percentages — 0 to 100%
- The share of residents with an outcome, such as a fall with major injury. For most measures a lower percentage is better; for vaccination measures a higher percentage is better.
- Nurse hours per resident per day — Hours, higher is better
- Paid nursing time divided by residents. For example 4.0 means each resident gets about four hours of nursing care a day, shared across all shifts.
- Staff turnover — 0 to 100%, lower is better
- The share of nursing staff who left during the year. High turnover can mean less continuity of care.
- Case-mix index — Around 1.0 is typical
- How much care the residents need. Above 1 means sicker or more dependent residents who need more staff time.
- Fines — Dollars; payment denials in days
- Penalties CMS imposed for serious or repeated problems. A payment denial stops Medicare/Medicaid payment for new admissions.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Staffing & turnover
More nursing time per resident and a steadier team are both signs of better care. Hours come from payroll records the home submits to CMS each quarter.
Nurse hours per resident per day, by role
A resident's day is 24 hours; this is how much paid nursing time each resident gets, shared across all shifts.
RN 0.23 · LPN 1.39 · Nurse aide 1.85. What the home's payroll records show.
RN 0.61 · LPN 0.76 · Nurse aide 2.07. What CMS predicts a home with these residents' needs would staff.
RN 0.26 · LPN 1.57 · Nurse aide 2.08. The reported hours rescaled so homes with sicker or healthier residents can be compared fairly.
Compared with TX and the nation
This home State average National average
- Total nurse hours (hrs/resident/day, higher is better)
- 3.48
≈ About the state average. State 3.42 · National 3.90
- Registered nurse (RN) hours (hrs/resident/day, higher is better)
- 0.23
✗ Worse than the state average. State 0.44 · National 0.69
- Licensed nurse hours (RN + LPN) (hrs/resident/day, higher is better)
- 1.63
✓ Better than the state average. State 1.39 · National 1.55
- Nurse aide hours (hrs/resident/day, higher is better)
- 1.85
✗ Worse than the state average. State 2.03 · National 2.35
- Weekend total nurse hours (hrs/resident/day, higher is better)
- 2.94
≈ About the state average. State 2.99 · National 3.43
- Weekend RN hours (hrs/resident/day, higher is better)
- 0.23
✗ Worse than the state average. State 0.35 · National 0.48
- Physical therapist hours (hrs/resident/day, higher is better)
- 0.01
✗ Worse than the state average. State 0.07 · National 0.07
- Nursing staff turnover (%, lower is better)
- 46.5%
✓ Better than the state average. State 50.8% · National 45.3%
- Administrators who left (people, lower is better)
- 1
✗ Worse than the state average. State 1 · National 1
- Nursing case-mix index (index)
- 1.25
State 1.40 · National 1.41
Turnover is the share of nursing staff who left over the year. The case-mix index shows how much care residents need: about 1.0 is typical, higher means more dependent residents.
Sources: Nursing Home Provider Information [1] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Inspections
State inspectors visit each home about once a year and investigate complaints. Every problem they cite is a deficiency, lettered A to L by how serious and how widespread it was.
Health inspection score
232.3 points — in TX that earns (Much below average).
Lower is better. The score adds up points for every citation (more for serious, widespread problems) and for revisits needed to confirm fixes, then weights recent inspections most. [11]
Score needed for each star in TX [10]
- 5 ★
- 0.000-26.000
- 4 ★
- 26.001-51.000
- 3 ★
- 51.001-85.000
- 2 ★
- 85.001-145.750
- 1 ★ (this home)
- >145.750
| Period | Inspection | Citations (complaint) | Citation points | Revisits | Revisit points | Total |
|---|---|---|---|---|---|---|
| Most recent cycle | Jul 2, 2026 | 23 (7) | 148 | 1 | 0 | 148 |
| Prior cycles (2 and 3) | Apr 24, 2025 | 29 (9) | 485 | 1 | 0 | 485 |
Health citations per inspection
Jul 2, 2026
Apr 24, 2025
Mar 6, 2024
State average for that cycle. Fewer is better.
Fire-safety citations per inspection
Jul 2, 2026
Apr 24, 2025
Mar 6, 2024
State average for that cycle. Fewer is better.
What the latest health inspection cited
- Quality of Life and Care 7
- Nutrition and Dietary 6
- Resident Assessment and Care Planning 3
- Pharmacy Service 3
- Resident Rights 2
- Nursing and Physician Services 1
- Administration 1
What the latest fire-safety inspection cited
- Smoke 3
- Services 1
- Egress 1
How serious were the citations?
Each health citation gets a letter. The number in each cell is how many of this home's citations got that letter; the points show what each letter adds to the health inspection score. Citations where care was substandard score higher than shown. [11]
| Isolated (a few residents) | Pattern (some residents) | Widespread (many residents) | |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J · 50 pts 3 | K · 100 pts 1 | L · 150 pts 0 |
| Actual harm, not immediate jeopardy | G · 20 pts 1 | H · 35 pts 0 | I · 45 pts 0 |
| No actual harm, potential for more than minimal harm | D · 4 pts 33 | E · 8 pts 18 | F · 16 pts 4 |
| No actual harm, potential for minimal harm only | A · 0 pts 0 | B · 0 pts 0 | C · 0 pts 1 |
Darker cells mean more citations. Counts cover every health citation CMS lists for this home.
All health citations (61) [2]
Inspection on Jul 2, 2026 · 16 citations
-
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
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.
F0849 · Administration Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
F0806 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
Provide appropriate foot care.
F0687 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
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.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
F0813 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
F0644 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 28, 2026)
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
D
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.
F0693 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
E
Keep residents' personal and medical records private and confidential.
F0583 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
Inspection on Mar 6, 2026 · 1 citation
-
D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
F0628 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 9, 2026) · From a complaint
Inspection on Feb 20, 2026 · 1 citation
-
E
Provide enough food/fluids to maintain a resident's health.
F0692 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 23, 2026) · From a complaint
Inspection on Dec 1, 2025 · 5 citations
-
F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F0725 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Dec 2, 2025) · From a complaint
-
D
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Dec 2, 2025) · From a complaint
-
D
Provide care and assistance to perform activities of daily living for any resident who is unable.
F0677 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 2, 2025) · From a complaint
-
D
Provide or get specialized rehabilitative services as required for a resident.
F0825 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Dec 2, 2025) · From a complaint
-
E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Dec 2, 2025) · From a complaint
Inspection on May 24, 2025 · 2 citations
-
D
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (May 25, 2025) · From a complaint
-
E
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (May 25, 2025) · From a complaint
Inspection on Apr 24, 2025 · 20 citations
-
D
Respond appropriately to all alleged violations.
F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
F0582 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
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.
F0578 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Ensure each resident receives an accurate assessment.
F0641 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
F
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.
F0761 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Ensure each resident’s drug regimen must be free from unnecessary drugs.
F0757 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
K
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Provide timely, quality laboratory services/tests to meet the needs of residents.
F0770 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
C
Post nurse staffing information every day.
F0732 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Have policies on smoking.
F0926 · Environmental Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Reasonably accommodate the needs and preferences of each resident.
F0558 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
F
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
F0773 · Administration Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Ensure that residents are fully informed and understand their health status, care and treatments.
F0552 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
-
D
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.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Apr 25, 2025)
Inspection on Feb 27, 2025 · 2 citations
-
D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025) · From a complaint
-
J
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Feb 28, 2025) · From a complaint
Inspection on Mar 6, 2024 · 11 citations
-
E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
F0726 · Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024) · From a complaint
-
E
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.
F0584 · Resident Rights Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
D
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.
F0803 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
E
Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
F0804 · Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024) · From a complaint
-
D
Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
E
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
F0656 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
F0640 · Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
Inspection on Jan 12, 2024 · 3 citations
-
G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
F0689 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2024) · From a complaint
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
F0684 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2024) · From a complaint
-
J
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
F0740 · Quality of Life and Care Deficiencies · Deficient, Provider has date of correction (Jan 13, 2024) · From a complaint
All fire-safety citations (15) [3]
Inspection on Jul 2, 2026 · 5 citations
-
E
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
F
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
-
C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · No revisit needed
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · No revisit needed
-
F
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Jul 27, 2026)
Inspection on Apr 24, 2025 · 6 citations
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Deficient, Provider has no plan of correction
-
D
Have properly installed electrical wiring and gas equipment.
K0511 · Services Deficiencies · Deficient, Provider has date of correction (Apr 24, 2025)
-
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 24, 2025)
-
E
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
K0929 · Gas, Vacuum, and Electrical Systems Deficiencies · Deficient, Provider has date of correction (Apr 24, 2025)
-
E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
K0321 · Smoke Deficiencies · Deficient, Provider has date of correction (Apr 24, 2025)
-
C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Deficient, Provider has no plan of correction
Inspection on Mar 6, 2024 · 4 citations
-
C
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
K0521 · Services Deficiencies · Waiver has been granted
-
C
Keep aisles, corridors, and exits free of obstruction in case of emergency.
K0211 · Egress Deficiencies · Waiver has been granted
-
D
Provide properly protected cooking facilities.
K0324 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
-
D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
K0372 · Smoke Deficiencies · Deficient, Provider has date of correction (Mar 28, 2024)
Sources: Nursing Home Provider Information [1] ; Nursing Home Survey Summary [4] ; Nursing Home Health Deficiencies [2] ; Nursing Home Fire Safety Deficiencies [3] ; Nursing Home Health Inspection Cut Points [10] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Fines & penalties
CMS can fine a home or stop Medicare and Medicaid payments for new admissions when problems are serious or keep recurring. Most homes have none.
- Fines
- 2 State avg 1.4 · National 0.9
- Total fined
- $278,005 State avg 42,987 · National 30,351
- Payment denials
- 0 Periods with no Medicare/Medicaid payment for new admissions
Fines by year
| Date | Type | Amount | Payment denial |
|---|---|---|---|
| Feb 27, 2025 | Fine | $168,236 | — |
| Jan 12, 2024 | Fine | $109,769 | — |
Sources: Nursing Home Provider Information [1] ; Nursing Home Penalties [5] ; Nursing Home State & National Averages [9]
Resident quality measures
These measure what actually happens to residents, as a percentage from 0 to 100 (or events per 1,000 resident days). For almost all of them a lower number is better; the vaccination measures are the exception and are marked. A star means the measure counts toward the quality star rating.
This home State average National average
Long-stay residents (14) [7]
Residents who live in the home. From their regular health assessments (the Minimum Data Set), averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 99.4
✓ Better than the state average. State 96.4 · National 93.7
- Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Higher is better
- 100.0
✓ Better than the state average. State 97.0 · National 95.3
- Percentage of long-stay residents experiencing one or more falls with major injury ★ Lower is better
- 0.0
✓ Better than the state average. State 3.2 · National 3.2
- Percentage of long-stay residents who have depressive symptoms Lower is better
- 0.6
✓ Better than the state average. State 2.3 · National 13.5
- Percentage of long-stay residents who lose too much weight Lower is better
- 2.7
✓ Better than the state average. State 2.9 · National 5.1
- Percentage of long-stay residents who received an antianxiety or hypnotic medication Lower is better
- 16.9
✓ Better than the state average. State 17.8 · National 19.5
- Percentage of long-stay residents who received an antipsychotic medication ★ Lower is better
- 13.7
✗ Worse than the state average. State 9.8 · National 15.4
- Percentage of long-stay residents who were physically restrained Lower is better
- 0.0
✓ Better than the state average. State 0.0 · National 0.1
- Percentage of long-stay residents whose ability to walk independently worsened ★ Lower is better
- 22.4
✗ Worse than the state average. State 12.9 · National 12.7
- Percentage of long-stay residents whose need for help with daily activities has increased ★ Lower is better
- 22.4
✗ Worse than the state average. State 15.8 · National 13.5
- Percentage of long-stay residents with a catheter inserted and left in their bladder ★ Lower is better
- 0.0
✓ Better than the state average. State 0.3 · National 0.7
- Percentage of long-stay residents with a urinary tract infection ★ Lower is better
- 0.0
✓ Better than the state average. State 0.8 · National 1.5
- Percentage of long-stay residents with new or worsened bowel or bladder incontinence Lower is better
- 11.6
✓ Better than the state average. State 12.5 · National 18.3
- Percentage of long-stay residents with pressure ulcers ★ Lower is better
- 2.1
✓ Better than the state average. State 3.7 · National 4.5
Short-stay residents (3) [7]
Residents staying for rehab or recovery. From their health assessments, averaged over four quarters. Period: 2025Q3-2026Q2.
- Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Higher is better
- 86.0
✗ Worse than the state average. State 88.7 · National 82.3
- Percentage of short-stay residents who newly received an antipsychotic medication ★ Lower is better
- 0.0
✓ Better than the state average. State 1.4 · National 1.5
Long-stay residents: hospital use (2) [8]
Hospital stays and emergency visits found in Medicare claims, adjusted for how sick residents were. Period: 20250401-20260331.
Short-stay residents: hospital use (2) [8]
Rehospitalizations and emergency visits after admission, found in Medicare claims and adjusted for how sick residents were. Period: 20250401-20260331.
Sources: Nursing Home MDS Quality Measures [7] ; Nursing Home Medicare Claims Quality Measures [8] ; Nursing Home State & National Averages [9] ; Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide [11]
Ownership & operator
Who owns and runs a home can matter: for-profit, non-profit and chain-owned homes tend to differ on staffing and inspection results.
- Ownership type
- For profit - Corporation
- Legal business name
- FANNIN COUNTY HOSPITAL AUTHORITY
- Certified for
- Medicare and Medicaid
- Certified beds
- 65
- Residents per day (average)
- 43.1
- In Medicare/Medicaid since
- Mar 30, 1995
- Resident and family council
- None
- Sprinklers in all required areas
- Yes
- County
- Fannin
- Located in a hospital
- No
Company profiles: Fannin County Hospital Authority (54 homes, average 2.8 stars), Nexion Health (51 homes, average 2.3 stars), Nexion Health Leasing, Inc. (33 homes, average 1.9 stars), Nexion Health, Inc. (33 homes, average 1.9 stars), Nexion Health Of Ohi Inc (31 homes, average 1.9 stars)
Part of NEXION HEALTH
One of 51 homes in this chain. Average star ratings across the chain (1 to 5):
- Overall
- 2.3
- Health inspections
- 2.3
- Staffing
- 2.7
- Quality
- 2.7
Owners, officers and managers (43) [6]
Operational/Managerial Control
- CORRERA, KRISTY (individual, NOT APPLICABLE, since 11/17/2025)
- FALLON, JOHN (individual, NOT APPLICABLE, since 05/01/2025)
- FANNIN COUNTY HOSPITAL AUTHORITY (organization, NOT APPLICABLE, since 05/01/2025)
- KERSTEN, CHRISTOPHER (individual, NOT APPLICABLE, since 05/01/2025)
- KIRLEY, FRANCIS (individual, NOT APPLICABLE, since 05/01/2025)
- LIBERATORE, DANTE (individual, NOT APPLICABLE, since 05/01/2025)
- MITCHELL, RYAN (individual, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH AT BONHAM, INC. (organization, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH LEASING, INC. (organization, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH OF OHI INC (organization, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH, INC. (organization, NOT APPLICABLE, since 05/01/2025)
- PIERCE, DANIEL (individual, NOT APPLICABLE, since 05/01/2025)
- RINER, MEERA (individual, NOT APPLICABLE, since 05/01/2025)
- SANDERSON, CLARK (individual, NOT APPLICABLE, since 05/01/2025)
- SHAH, JAGDISH (individual, NOT APPLICABLE, since 05/01/2025)
- THOMISON, ISAAC (individual, NOT APPLICABLE, since 05/01/2025)
Adp Of The Snf
- CORRERA, KRISTY (individual, NOT APPLICABLE, since 11/17/2025)
- FALLON, JOHN (individual, NOT APPLICABLE, since 05/01/2025)
- FANNIN COUNTY HOSPITAL AUTHORITY (organization, NOT APPLICABLE, since 05/01/2025)
- KERSTEN, CHRISTOPHER (individual, NOT APPLICABLE, since 05/01/2025)
- KIRLEY, FRANCIS (individual, NOT APPLICABLE, since 05/01/2025)
- LIBERATORE, DANTE (individual, NOT APPLICABLE, since 05/01/2025)
- MITCHELL, RYAN (individual, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH AT BONHAM, INC. (organization, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH LEASING, INC. (organization, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH OF OHI INC (organization, NOT APPLICABLE, since 05/01/2025)
- NEXION HEALTH, INC. (organization, NOT APPLICABLE, since 05/01/2025)
- PIERCE, DANIEL (individual, NOT APPLICABLE, since 05/01/2025)
- RINER, MEERA (individual, NOT APPLICABLE, since 05/01/2025)
- SANDERSON, CLARK (individual, NOT APPLICABLE, since 05/01/2025)
- SHAH, JAGDISH (individual, NOT APPLICABLE, since 05/01/2025)
- THOMISON, ISAAC (individual, NOT APPLICABLE, since 05/01/2025)
5% Or Greater Direct Ownership Interest
- FANNIN COUNTY HOSPITAL AUTHORITY (organization, 100%, since 05/01/2025)
Managing Control - Governing Body
- HOLT, ERIN (individual, NOT APPLICABLE, since 02/25/2020)
- KEETON, WENDY (individual, NOT APPLICABLE, since 10/29/2012)
- KISSLING, MONICA (individual, NOT APPLICABLE, since 06/21/2017)
- LIBERATORE, DANTE (individual, NOT APPLICABLE, since 12/19/2022)
- MCBEAN, PATRICIA (individual, NOT APPLICABLE, since 08/30/2021)
- OWENS, ANGELA (individual, NOT APPLICABLE, since 06/22/2016)
- RINER, MEERA (individual, NOT APPLICABLE, since 02/01/2012)
- SANDERSON, CLARK (individual, NOT APPLICABLE, since 10/29/2012)
- TROMPLER, KELLY (individual, NOT APPLICABLE, since 02/22/2022)
Corporate Officer
- SANDERSON, CLARK (individual, NOT APPLICABLE, since 05/01/2025)
Sources: Nursing Home Provider Information [1] ; Nursing Home Ownership [6]
Sources
All figures on this page come from the U.S. government's published nursing home data, as of October 1, 2026. We reproduce them without change except for rounding and layout; ratings, scores and flags are CMS's, not ours. Averages and comparisons use the state and national figures CMS publishes in the same release.
- 1. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Provider Information. Star ratings, staffing, turnover, inspection scores, fines, chain and flag data. https://data.cms.gov/provider-data/dataset/4pq5-n9py
- 2. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Deficiencies. Each health deficiency cited, with scope and severity. https://data.cms.gov/provider-data/dataset/r5ix-sfxw
- 3. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Fire Safety Deficiencies. Each fire-safety deficiency cited. https://data.cms.gov/provider-data/dataset/ifjz-ge4w
- 4. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Survey Summary. Deficiency totals by inspection cycle and category. https://data.cms.gov/provider-data/dataset/tbry-pc2d
- 5. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Penalties. Fines and payment denials. https://data.cms.gov/provider-data/dataset/g6vv-u9sr
- 6. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Ownership. Owners, officers, directors and managers. https://data.cms.gov/provider-data/dataset/y2hd-n93e
- 7. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home MDS Quality Measures. Quarterly quality measure scores from resident assessments. https://data.cms.gov/provider-data/dataset/djen-97ju
- 8. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Medicare Claims Quality Measures. Risk-adjusted quality measures from Medicare claims. https://data.cms.gov/provider-data/dataset/ijh5-nb2v
- 9. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home State & National Averages. State and national averages used for comparison. https://data.cms.gov/provider-data/dataset/xcdc-v8bm
- 10. Centers for Medicare & Medicaid Services, Provider Data Catalog. Nursing Home Health Inspection Cut Points. Score ranges that earn each health inspection star in a state. https://data.cms.gov/provider-data/dataset/hicp-9999
- 11. Centers for Medicare & Medicaid Services. Design for Care Compare Nursing Home Five-Star Quality Rating System: Technical Users' Guide. How the star ratings, scope and severity points, and abuse and Special Focus flags are defined. https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf
- 12. Centers for Medicare & Medicaid Services. Medicare Care Compare. CMS's own consumer site, with the latest figures. https://www.medicare.gov/care-compare/
Attendant Homes is not affiliated with or endorsed by CMS. The data describes past inspections and reported figures and can be out of date or contain errors; it is not a recommendation. Confirm current information with the facility and on Medicare Care Compare [12] .
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