Texas › Fannin County › Bonham
Clyde W Cosper Texas State Veterans Home
1300 Seven Oaks Rd, Bonham, TX 75418
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Clyde W Cosper Texas State Veterans Home, in Bonham, Texas, is certified for 160 beds under government, state ownership and belongs to the Texvet chain.
CMS gives it 1 of 5 stars overall, below the Texas median of 3; the health inspection rating is 1, staffing 4 and quality measures 4.
Inspectors recorded 47 health deficiencies across the three most recent survey cycles (17, 13, 17 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 29.4 per 100 beds, more than the state median of 22.5.
CMS lists 3 penalties in the period covered: fines totalling $217K and 1 payment denial.
Reported nurse staffing is 3.6 hours per resident per day (0.5 RN), close to the Texas median of 3.3; nursing staff turnover is 48.3%.
Compared with county, state and nation
| Measure | This facility | Fannin Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 47 | 43 | 25 | 28.7 |
| Citations per 100 beds | 29.4 | 38.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.6 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.4 | 0.7 |
| Nursing staff turnover | 48.3% | 48.3% | 52.1% | 45.8% |
| Fines listed | $216,749 | $80,698 | $16,801 | — |
County and state figures are medians across facilities (5 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2026, 7 Feb 2025.
Severity mix: J ×3 K ×1 D ×27 E ×14 F ×1 C ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0584 | 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. | E | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0761 | Ensure 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. | E | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0803 | Ensure 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. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0808 | 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. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0825 | Provide or get specialized rehabilitative services as required for a resident. | D | Standard survey | 22 May 2026 |
| 29 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 May 2026 |
| 7 Apr 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 22 Apr 2026 |
| 12 Mar 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 31 Mar 2026 |
| 25 Nov 2025 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 19 Dec 2025 |
| 7 Feb 2025 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | K | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | E | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0761 | Ensure 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. | E | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | E | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 3 Mar 2025 |
| 7 Feb 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 3 Mar 2025 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | F | Complaint investigation | 1 Mar 2024 |
| 25 Jan 2024 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | E | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0761 | Ensure 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. | E | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0926 | Have policies on smoking. | E | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint investigation | 1 Mar 2024 |
| 25 Jan 2024 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0790 | Provide routine and 24-hour emergency dental care for each resident. | D | Standard survey | 1 Mar 2024 |
| 25 Jan 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Standard survey | 1 Mar 2024 |
| 8 Dec 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 28 Dec 2023 |
| 8 Dec 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | J | Complaint investigation | 28 Dec 2023 |
| 8 Dec 2023 | F0760 | Ensure that residents are free from significant medication errors. | E | Complaint investigation | 30 May 2023 |
| 8 Dec 2023 | F0837 | Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | C | Complaint investigation | 28 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 7 Feb 2025 | Payment denial | — | 13 days |
| 7 Feb 2025 | Fine | $196,105 | |
| 8 Dec 2023 | Fine | $20,644 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 48.3%, RNs 58.3%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 12.0% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.2% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.3% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.5% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 14.9% | 8.3% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, state. Legal business name: State Of Texas Veterans Land Board. Chain: Texvet (9 facilities).
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Fannin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Seven Oaks Nursing & Rehabilitation | Bonham | 108 | 4 | 4 | 1 | 30 | 27.8 | — | 24 Apr 2026 |
| Honey Grove Nursing Center | Honey Grove | 102 | 2 | 3 | 1 | 40 | 39.2 | $81K | 6 May 2026 |
| Mullican Care Center | Savoy | 112 | 2 | 3 | 1 | 43 | 38.4 | $5K | 4 Feb 2026 |
| North Star Ranch Rehabilitation and Healthcare Cen | Bonham | 65 | 2 | 1 | 2 | 61 | 93.8 | $278K | 2 Jul 2026 |
All 5 facilities in Fannin County
Questions and answers
How many deficiencies has Clyde W Cosper Texas State Veterans Home been cited for?
47 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Clyde W Cosper Texas State Veterans Home been fined?
Yes. CMS lists fines totalling $217K in the period covered, plus 1 payment denial.
How does staffing at Clyde W Cosper Texas State Veterans Home compare?
Reported total nurse staffing is 3.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Clyde W Cosper Texas State Veterans Home?
It is part of the Texvet chain. Ownership type is government, state. Individual owners and managers are not listed on this site.
When was Clyde W Cosper Texas State Veterans Home last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 29 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.