ElderGrade
C

63/100

Average

Seven Oaks Nursing & Rehabilitation

901 Seven Oaks Rd, Bonham, TX 75418

CMS 4/5 stars #2 of 5 in Fannin County (903) 583-2191
Certified beds
108
Occupancy
38%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • Nursing staff turnover of 100%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 30/30 Staffing 8/30 Stability 0/15 Outcomes 15/15 Enforcement 10/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

30/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

Staffing

8/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3 total nurse hours per resident per day (national median 3.77)
  • 0.37 RN hours per resident per day
  • Weekend staffing drops 10% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 100% of nursing staff left in the last year

Resident outcomes

15/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 5 of 5 stars on the CMS quality-measure rating

Enforcement history

10/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • No federal fines on record

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.81 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.37 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.52 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 100.00%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 30 citations

Last standard health inspection: July 23, 2025 (1 year ago).

E Apr 24, 2026 F0812 From a complaint

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

No actual harm, potential for more than minimal harm

D Apr 24, 2026 F0921 From a complaint

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

No actual harm, potential for more than minimal harm

E Jul 23, 2025 F0806

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0585

Resident Rights Deficiencies

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0645

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0804

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0805

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

No actual harm, potential for more than minimal harm

D Jul 23, 2025 F0808

Nutrition and Dietary Deficiencies

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HUGGINS, LINDA Individual W-2 MANAGING EMPLOYEE
CREATIVE SOLUTIONS IN HEALTHCARE INC Organization OPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARY Individual OPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISA Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Seven Oaks Nursing & Rehabilitation

What is the ElderGrade for Seven Oaks Nursing & Rehabilitation? +

Seven Oaks Nursing & Rehabilitation holds an ElderGrade of C (63 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Seven Oaks Nursing & Rehabilitation? +

Residents receive an average of 2.81 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Seven Oaks Nursing & Rehabilitation been cited for harming residents? +

No. None of the 30 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.

Does Seven Oaks Nursing & Rehabilitation accept Medicaid? +

Yes, Seven Oaks Nursing & Rehabilitation is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.