North Star Ranch Rehabilitation And Healthcare Cen
North Star Ranch Rehabilitation and Healthcare Cen in Bonham, TX — inspection on February 20, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview on 02/23/2026 at 12:08 p.m., the physician for Resident #1, Resident #2, Resident #3 and Resident #4 stated he was not notified of the dietary recommendations completed by the RD on 01/30/2026.
The physician stated the nursing staff placed recommendations in his folder that was left at the nurse's stations for his review or sometimes would fax them to his office if the recommendation pertained to a significant weight loss or gain. In review of the recommendations for the identified residents, the physician stated no adverse effects were identified for these residents, noting Resident #1's weight was within normal limits and resident was on diuretic therapy and weight fluctuations would be expected; Resident # 2 was morbidly obese and was on diuretic therapy, with expected weight fluctuations; Resident #3 was already receiving a nutritional supplement twice daily and the foot wound was a chronic condition, noting delay in starting Prostat would not significantly affect the wound healing process; and Resident #4 received his primary nutrition via a feeding tube and the Med pass twice daily was a supplement due to poor oral intake.
Record review of the facility's policy titled Consultant Recommendations and Follow Up, reviewed 06/23/2025, revealed 4.
The recommendations will be followed up on within 72 hours, and 6. If a physician does not respond or choose to follow the recommendations, this must be documents in the nurse's notes and on the recommendation sheet.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.