Bonham, TX

Clyde W Cosper Texas State Veterans Home

2-star overall rating with 1-star inspections with $216,749 in total fines with 14 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

1300 Seven Oaks Rd, Bonham, TX

(903) 640-8387

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

160

Certified beds

Average residents

154

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Texvet

Operator or chain grouping

Approved since

2001-05-24

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

9 facilities

Chain averages 4 overall / 3 health / 3 staffing / 5 quality stars

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.56

Registered nurse staffing · state 0.44 · national 0.68

LPN hours / resident day

0.92

Licensed practical nurse staffing · state 0.95 · national 0.87

Aide hours / resident day

2.52

Nurse aide staffing · state 2.01 · national 2.35

Total nurse hours

4.00

All reported nurse hours · state 3.40 · national 3.89

Licensed hours

1.48

RN + LPN hours · state 1.38 · national 1.54

Weekend hours

3.27

Weekend nurse staffing · state 2.99 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.34 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.07 · national 0.07

Adjusted RN hours

0.78

CMS adjusted RN staffing hours

Adjusted total hours

5.58

CMS adjusted total nurse staffing hours

Case-mix index

0.98

Higher values indicate more complex resident acuity

RN turnover

61%

Annual RN turnover · state 52% · national 45%

Total nurse turnover

47%

Annual nurse turnover · state 52% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,588

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

39.37

Composite VBP score used to determine payment impact.

Payment multiplier

0.9924

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.05

Baseline 48.74% · Performance 55.31% · Measure score 2.05 · Achievement 2.05 · Improvement 0

Adjusted total nurse staffing

5.83

Baseline 4.52 hours · Performance 4.74 hours · Measure score 5.83 · Achievement 5.83 · Improvement 1.19

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	9.78%	10.72% 0.9 pts better	No Different than the National Rate · Eligible stays 35 · Observed rate 5.71% · Lower 95% interval 5.76%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	1.03	1.02 About the same
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 62 · Denominator 62
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 62
Discharge self-care score	38.64%	53.69% 15 pts worse	Numerator 17 · Denominator 44
Discharge mobility score	43.18%	50.94% 7.8 pts worse	Numerator 19 · Denominator 44
Pressure ulcers or injuries, new or worsened	3.23%	2.29% 0.9 pts worse	Numerator 2 · Denominator 62 · Adjusted rate 2.76%
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 22 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0.54%	8.2% 7.7 pts worse	Numerator 1 · Denominator 186
Staff flu vaccination coverage	38.2%	42% 3.8 pts worse	Numerator 102 · Denominator 267
Discharge function score	54.55%	56.45% 1.9 pts worse	Numerator 24 · Denominator 44
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	19.23%	25.2% 6 pts worse	Numerator 5 · Denominator 26

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.9 · Expected 2.1 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	2.1 0.9 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.3 · Expected 1.8 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.8%	97.1% 2.7 pts better	93.4% 6.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 99.3% · Q3 100.0% · Q4 100.0% · 4Q avg 99.8%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	97.9% 2.1 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.0%	3.3% 0.7 pts worse	3.3% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 4.6% · Q3 5.4% · Q4 3.3% · 4Q avg 4.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.2%	2.7% 2.5 pts better	11.4% 11.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.8% · Q4 0.0% · 4Q avg 0.2%
Percentage of long-stay residents who lose too much weight	4.6%	3.3% 1.3 pts worse	5.4% 0.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 7.8% · Q3 2.2% · Q4 2.9% · 4Q avg 4.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	16.8%	18.9% 2.1 pts better	19.6% 2.8 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.9% · Q2 18.7% · Q3 17.3% · Q4 15.6% · 4Q avg 16.8%
Percentage of long-stay residents who received an antipsychotic medication	12.3%	10.8% 1.5 pts worse	16.7% 4.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 11.8% · Q3 9.1% · Q4 13.3% · 4Q avg 12.3% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.0% About the same	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	13.9%	15.4% 1.5 pts better	16.3% 2.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.2% · Q2 16.1% · Q3 11.9% · Q4 11.3% · 4Q avg 13.9% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	16.5%	16.1% 0.4 pts worse	14.9% 1.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 16.7% · Q3 10.9% · Q4 12.9% · 4Q avg 16.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.9%	0.5% 0.4 pts worse	1.0% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 1.5% · Q3 0.7% · Q4 0.7% · 4Q avg 0.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.0%	0.8% 0.2 pts worse	1.7% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.0% · Q3 0.7% · Q4 1.3% · 4Q avg 1.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	16.7%	15.0% 1.7 pts worse	19.8% 3.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 16.6% · Q2 24.2% · Q3 14.6% · Q4 11.7% · 4Q avg 16.7%
Percentage of long-stay residents with pressure ulcers	5.0%	4.2% 0.8 pts worse	5.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 6.1% · Q3 3.0% · Q4 4.7% · 4Q avg 5.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	94.5%	89.7% 4.8 pts better	81.7% 12.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 91.4% · Q3 91.4% · Q4 96.4% · 4Q avg 94.5%
Percentage of short-stay residents who had an outpatient emergency department visit	3.3%	12.0% 8.7 pts better	12.0% 8.7 pts better	Short Stay · 20240701-20250630 · Adjusted 3.3% · Observed 3.4% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	6.2%	1.5% 4.7 pts worse	1.6% 4.6 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 6.2% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	100.0%	88.0% 12 pts better	79.7% 20.3 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	13.3%	25.9% 12.6 pts better	23.9% 10.6 pts better	Short Stay · 20240701-20250630 · Adjusted 13.3% · Observed 13.8% · Expected 24.8% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-07 · Fire 2025-02-07

14 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-11-02 · Fire 2022-11-02

10 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-02-07

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-21

F · Potential for more than minimal harm 2022-11-02

K344 · Smoke Deficiencies

Fire Safety

Have an alternate power supply for its alarm system.

Corrected 2023-01-21

D · Potential for more than minimal harm 2022-11-02

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-01-21

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-25

F805 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2025-12-19

K · Immediate jeopardy 2025-02-07

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-03-03

J · Immediate jeopardy 2025-02-07

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-03

E · Potential for more than minimal harm 2025-02-07

F699 · Quality of Life and Care Deficiencies

Health

Provide care or services that was trauma informed and/or culturally competent.

Corrected 2025-03-03

E · Potential for more than minimal harm 2025-02-07

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2025-03-03

E · Potential for more than minimal harm 2025-02-07

F770 · Administration Deficiencies

Health

Provide timely, quality laboratory services/tests to meet the needs of residents.

Corrected 2025-03-03

E · Potential for more than minimal harm 2025-02-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-03

D · Potential for more than minimal harm 2025-02-07

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-03-03

F · Potential for more than minimal harm 2024-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-25

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-25

F761 · Pharmacy Service Deficiencies

Health

Corrected 2024-03-01

E · Potential for more than minimal harm 2024-01-25