★☆☆☆☆CMS 1/5160 bedsGovernmentMedicaid
- Nurse hours
- 3.59 /day
- Staff turnover
- 48%
- Serious cites
- 0
The Clyde W Cosper Texas State Veterans Home in Bonham runs 160 certified beds under state government ownership, and its numbers pull in different directions. Staffing sits at 3.59 nurse hours per resident day, about 7% under the national average, and weekends run roughly 13% thinner than weekdays, a pattern families often feel before they see it on paper. Turnover is 48.3%, a few points above the national rate.
What stands out more is the inspection record: 47 deficiencies, four at harm or jeopardy level, three tied to abuse, and two fines totaling $216,749. The last inspection was April 2026. Quality and staffing both score 4 out of 5, but a 1-out-of-5 health inspection rating with that deficiency history is the part worth asking about directly.
★★☆☆☆CMS 2/565 bedsFor-profitMedicaid
- Nurse hours
- 3.46 /day
- Staff turnover
- 45%
- Serious cites
- 0
North Star Ranch runs 3.46 nurse hours per resident day, about 10% under the national average of 3.86, and weekends dip roughly 6% below its own weekday staffing. That thinner coverage sits behind a 2-out-of-5 staffing rating, while turnover of 45.2% is essentially at the national figure of 45.8%.
The inspection record is where this home separates from the pack: 61 deficiencies, including 5 at the harm or jeopardy level and 4 abuse-related, with two fines totaling $278,005. Its last inspection was April 24, 2025, so that record is recent. Quality measure scores look strong at 5 out of 5, but that stands against a 1-out-of-5 health inspection rating at a 65-bed for-profit.
★★★★☆CMS 4/5108 bedsFor-profitMedicaid
- Nurse hours
- 2.81 /day
- Staff turnover
- 100%
- Serious cites
- 0
Seven Oaks runs on 2.81 nurse hours per resident per day, roughly 27% under the national average of 3.86, and weekends dip about 10% below its own weekday staffing. That thin coverage lines up with a 100% annual turnover rate, more than double the national 45.8%, so the aide or nurse your family meets in January may be gone by summer. Inspections tell a different story: a 4/5 health inspection rating, a clean record on harm and abuse, and a visit as recent as July 2025, though 30 deficiencies sit on file. Ownership is corporate, for-profit. Strong clinical quality marks and weak staffing don't cancel each other out; they describe two different parts of the same building.