North Star Ranch Rehabilitation And Health Care Ce has received an F grade based on CMS data, with a score of 20/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Bonham facility should carefully review its inspection history and quality metrics.
With 3.11 total nurse hours per resident per day, North Star Ranch Rehabilitation And Health Care Ce falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 59 deficiencies at North Star Ranch Rehabilitation And Health Care Ce, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.11 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.30 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 1.08 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.74 | 2.4 | Below Average |
| Weekend Total Nursing | 2.68 | 3.8 | Below Average |
| Weekend RN Hours | 0.22 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0725 Severity FProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.Nov 30, 2025 · Nursing and Physician Services Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Nov 30, 2025 · Pharmacy Service Deficiencies
- Tag 0677 Severity DProvide care and assistance to perform activities of daily living for any resident who is unable.Nov 30, 2025 · Quality of Life and Care Deficiencies
- Tag 0802 Severity DProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.Nov 30, 2025 · Nutrition and Dietary Deficiencies
- Tag 0825 Severity DProvide or get specialized rehabilitative services as required for a resident.Nov 30, 2025 · Quality of Life and Care Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 4.1% | 4.5% | Average |
| Falls with major injury | 0.0% | 3.0% | Better |
| On antipsychotic medication | 6.4% | 14.5% | Better |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 25.6% | 14.0% | Worse |
| Excessive weight loss | 4.3% | 7.5% | Better |
| New/worsened incontinence | 23.7% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $278,005
How This Grade Was Calculated
This facility's grade of F is based on a score of 20 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 5★ → 15 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in Texas
- FAvir at BeaumontBEAUMONT
- FAvir at New BraunfelsNew Braunfels
- A
- BKNOPP HEALTHCARE AND REHAB CENTER INCFREDERICKSBURG
- B