Hofmann Mraz Care Home
State licensed1405 N Cedar St, Bonham, TX 75418
Assisted Living
Assisted livingState-licensed (Texas HHSC)24-hour personal care
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Medicare-certifiedSkilled Nursing
North Star Ranch Rehabilitation and Health Care Ce
Bonham, TexasMedicare inspection record
About North Star Ranch Rehabilitation and Health Care Ce
North Star Ranch Rehabilitation and Health Care Center brings skilled nursing and rehabilitation services to Bonham, Texas families navigating recovery and healing. Our dedicated team focuses on personalized care plans that support each resident's progress toward independence and wellness.
Community at a glance
Capacity
65 residents
Location
Bonham, TX
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
709 W Fifth St, Bonham, Texas 75418
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on July 2, 2026, state inspectors cited 23 health deficiencies (the Texas average is 9.4).
Nurses and nurse aides spend 3 hours 27 minutes with each resident a day, about the same as the Texas average.
Medicare fined North Star Ranch Rehabilitation and Health Care Ce 2 times in the last three years, $278,005 in total.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 3 hours 27 minutes |
| Registered nurse time per resident, per day | 13 minutesBelow the Texas average |
| Nursing staff who left in the past year | 45%Below the Texas average |
1 administrator has left the home in the past year.
Inspections
61 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
July 2, 2026 · Standard inspection · 16 citations
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 27, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceCorrected Jul 27, 2026Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 28, 2026Keep residents' personal and medical records private and confidential.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Jul 27, 2026Ensure 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.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 27, 2026Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jul 27, 2026Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jul 27, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 27, 2026Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Jul 27, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 27, 2026Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Jul 27, 2026Provide appropriate foot care.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 27, 2026Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Jul 27, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jul 27, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jul 27, 2026Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jul 27, 2026
March 6, 2026 · Complaint investigation · 1 citation
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Risk of harm, no one hurt, a few residents (level D)Resident RightsFrom a complaintCorrected Mar 9, 2026
February 20, 2026 · Complaint investigation · 1 citation+
Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected Feb 23, 2026
December 1, 2025 · Complaint investigation · 5 citations+
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Risk of harm, no one hurt, widespread (level F)Nursing and Physician ServicesFrom a complaintCorrected Dec 2, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a pattern (level E)Pharmacy ServiceFrom a complaintCorrected Dec 2, 2025Provide or get specialized rehabilitative services as required for a resident.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 2, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareFrom a complaintCorrected Dec 2, 2025Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Dec 2, 2025
May 24, 2025 · Complaint investigation · 2 citations+
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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsFrom a complaintCorrected May 25, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 25, 2025
April 24, 2025 · Standard inspection · 20 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a pattern (level K)Quality of Life and CareCorrected Apr 25, 2025Ensure 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.
Risk of harm, no one hurt, widespread (level F)Pharmacy ServiceCorrected Apr 25, 2025Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Risk of harm, no one hurt, widespread (level F)EnvironmentalCorrected Apr 25, 2025Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Apr 25, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Apr 25, 2025Honor 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.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 25, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 25, 2025Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 25, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 25, 2025Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 25, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 25, 2025Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 25, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Apr 25, 2025Ensure each resident’s drug regimen must be free from unnecessary drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Apr 25, 2025Provide timely, quality laboratory services/tests to meet the needs of residents.
Risk of harm, no one hurt, a few residents (level D)AdministrationCorrected Apr 25, 2025Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Apr 25, 2025Have policies on smoking.
Risk of harm, no one hurt, a few residents (level D)EnvironmentalCorrected Apr 25, 2025Respond appropriately to all alleged violations.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationCorrected Apr 25, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Apr 25, 2025Post nurse staffing information every day.
Minimal harm or risk, widespread (level C)Nursing and Physician ServicesCorrected Apr 25, 2025
February 27, 2025 · Complaint investigation · 2 citations+
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Feb 28, 2025Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Feb 28, 2025
March 6, 2024 · Standard inspection · 11 citations+
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryFrom a complaintCorrected Mar 28, 2024Honor 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.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Mar 28, 2024Provide safe and appropriate respiratory care for a resident when needed.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Mar 28, 2024Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Mar 28, 2024Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Risk of harm, no one hurt, a pattern (level E)Nursing and Physician ServicesCorrected Mar 28, 2024Ensure 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.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryCorrected Mar 28, 2024Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Mar 28, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Risk of harm, no one hurt, a few residents (level D)Nutrition and DietaryFrom a complaintCorrected Mar 28, 2024Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Mar 28, 2024Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Mar 28, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Mar 28, 2024
January 12, 2024 · Complaint investigation · 2 citations+
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 13, 2024Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Immediate danger to residents, a few residents (level J)Quality of Life and CareFrom a complaintCorrected Jan 13, 2024
Showing the 60 most recent. The full list is on Medicare.gov.
Fines and payment denials
2 fines totaling $278,005 in the last three years.
- February 27, 2025Fine: $168,236
- January 12, 2024Fine: $109,769
About the home, per Medicare
- Ownership
- For profit - Corporation
- Legal business name
- Fannin County Hospital Authority
- Medicare-certified beds
- 65
- Average residents per day
- 44
- Accepts
- Medicare and Medicaid
- First certified
- March 30, 1995
- Part of a chain
- Nexion Health, 51 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- None
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 675471
Location
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709 W Fifth StBonham, TX 75418
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Questions about North Star Ranch Rehabilitation and Health Care Ce
How did North Star Ranch Rehabilitation and Health Care Ce do on its last inspection?+
State inspectors visited on July 2, 2026 and cited 23 health deficiencies, 7 of them from complaint investigations. The Texas average is 9.4.
How much nursing care does each resident get at North Star Ranch Rehabilitation and Health Care Ce?+
Nurses and aides spend 3 hours 27 minutes with each resident per day, including 13 minutes from registered nurses. 45% of nursing staff left over the past year.
Has North Star Ranch Rehabilitation and Health Care Ce been fined by Medicare?+
Yes. Medicare fined North Star Ranch Rehabilitation and Health Care Ce 2 times in the last three years, totaling $278,005.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.