nursing home in Bonham, TX
Clyde W Cosper Texas State Veterans Home
1300 Seven Oaks Rd, Bonham, TX 75418 · (903) 640-8387
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Clyde W Cosper Texas State Veterans Home at a glance
Clyde W Cosper Texas State Veterans Home is a 160-bed government nursing home in Bonham, Texas (Fannin County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Texas average of 2.7.
Residents receive about 3.6 hours of nursing care per day (0.5 of them from registered nurses), better than the state average of 3.4 hours.
Its most recent standard health inspection (April 29, 2026) found 19 health citations. The Texas average is 9.4.
Federal regulators fined it 2 times in the past three years, totaling $216,749.
Nursing staff turnover is 48.3% per year (state average 55.3%).
Facility details
- Type
- Nursing home
- Ownership
- Government - State
- Beds
- 160
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Texvet
- Medicare-certified since
- May 24, 2001
- Resident/family council
- Resident
- County
- Fannin County
- CMS Certification Number
- 675873
Ratings
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 1.9 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 3.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 4 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.59 hrs | 3.39 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.43 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.16 hrs | 2.01 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 3.11 hrs | 2.98 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 48.3% | 55.3% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 58.3% | 54.6% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 1 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 19 | 9 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 5 | 4 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 181.5 | 102 | 80.6 | Worse |
Penalties
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $216,749 | $44,141 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 160 | 113 | 107 | |
| Average residents per day | 155 | 76 | 86 | |
| Occupancy | 97.1% | 67.6% | 80.9% |
Long-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.1% | 3.3% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.7% | 3.8% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 14.9% | 9.6% | 15.4% | Average |
| Long-stay residents with a urinary tract infection (lower is better) | 1.2% | 0.8% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.4% | 0.3% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 12% | 15.8% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.5% | 14% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 1.7% | 3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.2% | 2.4% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.3% | 18% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 14.9% | 13.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 96.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | Texas avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 3.3% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 100% | 88% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 94.7% | 88.9% | 82% | Better |
Inspection citations
State inspectors cited this home for 49 health deficiencies and 4 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm, including 4 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 28, 2026 Complaint | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected August 30, 2026 |
| July 28, 2026 Complaint | 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. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected August 30, 2026 |
| April 29, 2026 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | B No harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Standard | 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected May 22, 2026 |
| April 29, 2026 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0808 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Tag F0825 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | 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. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 29, 2026 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected May 22, 2026 |
| April 7, 2026 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected April 22, 2026 |
| March 12, 2026 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected March 31, 2026 |
| November 25, 2025 Complaint | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Tag F0805 | D Potential harm, isolated | Corrected December 19, 2025 |
| February 7, 2025 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | E Potential harm, pattern | Corrected March 21, 2025 |
| February 7, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | K Immediate jeopardy, pattern | Corrected March 3, 2025 |
| February 7, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Provide timely, quality laboratory services/tests to meet the needs of residents. Administration Deficiencies · Tag F0770 | E Potential harm, pattern | Corrected March 3, 2025 |
| February 7, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | E Potential harm, pattern | Corrected March 3, 2025 |
| February 7, 2025 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 3, 2025 |
| February 7, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 3, 2025 |
| February 7, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 3, 2025 |
| February 7, 2025 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | D Potential harm, isolated | Corrected March 3, 2025 |
| January 25, 2024 Complaint | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 1, 2024 |
| January 25, 2024 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | E Potential harm, pattern | Corrected March 1, 2024 |
| January 25, 2024 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | E Potential harm, pattern | Corrected March 1, 2024 |
| January 25, 2024 Standard | 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. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected March 1, 2024 |
| January 25, 2024 Standard | Have policies on smoking. Environmental Deficiencies · Tag F0926 | E Potential harm, pattern | Corrected March 1, 2024 |
| January 25, 2024 Standard | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Resident Assessment and Care Planning Deficiencies · Tag F0644 | E Potential harm, pattern | Corrected March 1, 2024 |
| January 25, 2024 Standard | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Standard | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Standard | Provide routine and 24-hour emergency dental care for each resident. Quality of Life and Care Deficiencies · Tag F0790 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Complaint | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Tag F0677 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected March 1, 2024 |
| January 25, 2024 Standard | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Resident Assessment and Care Planning Deficiencies · Tag F0636 | D Potential harm, isolated | Corrected March 1, 2024 |
| December 8, 2023 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | J Immediate jeopardy, isolated | Corrected December 28, 2023 |
| December 8, 2023 Complaint | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | J Immediate jeopardy, isolated | Corrected December 28, 2023 |
| December 8, 2023 Complaint | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Tag F0760 | E Potential harm, pattern | Corrected May 30, 2023 |
| December 8, 2023 Complaint | 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. Administration Deficiencies · Tag F0837 | C No harm, widespread | Corrected December 28, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $216,749 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| February 7, 2025 | Payment Denial | 13 days from March 8, 2025 |
| February 7, 2025 | Fine | $196,105 |
| December 8, 2023 | Fine | $20,644 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BERKELY, JOHN Individual | corporate officer | NOT APPLICABLE | 02/23/2015 |
| MCLEMORE, WILLIAM Individual | corporate officer | NOT APPLICABLE | 12/16/2014 |
| BERKELY, JOHN Individual | operational/managerial control | NOT APPLICABLE | 06/01/2004 |
| MCLEMORE, WILLIAM Individual | operational/managerial control | NOT APPLICABLE | 12/05/2014 |
| BERKELY, JOHN Individual | w-2 managing employee | NOT APPLICABLE | 12/01/2015 |
| MCLEMORE, WILLIAM Individual | w-2 managing employee | NOT APPLICABLE | 10/16/2014 |
Other nursing homes near Clyde W Cosper Texas State Veterans Home
Seven Oaks Nursing & Rehabilitation
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★★★★★4Above averageNorth Star Ranch Rehabilitation and Healthcare Cen
709 W Fifth St, Bonham, TX 75418 · 1.2 mi
For-profit · 65 beds · Part of Nexion Health
★★★★★2Below averageMullican Care Center
105 North Main Street, Savoy, TX 75479 · 11.4 mi
For-profit · 112 beds · Part of Creative Solutions in Healthcare
★★★★★2Below averageHoney Grove Nursing Center
1303 E Main St, Honey Grove, TX 75446 · 15.4 mi
For-profit · 102 beds · Part of Creative Solutions in Healthcare
★★★★★2Below average- ★★★★★2Below average
Beacon Hill
3515 S Park Ave, Denison, TX 75020 · 24.9 mi
For-profit · 150 beds · Part of Cantex Continuing Care
★★★★★4Above average
Frequently asked questions
What is Clyde W Cosper Texas State Veterans Home's rating?
Clyde W Cosper Texas State Veterans Home has 1 out of 5 stars on the CMS overall star rating. The average for Texas nursing homes is 2.7 stars.
How many inspection citations did Clyde W Cosper Texas State Veterans Home receive?
Its most recent standard health inspection found 19 citations, compared with a Texas average of 9.4. Every citation is listed on this page with its severity.
Does Clyde W Cosper Texas State Veterans Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Clyde W Cosper Texas State Veterans Home?
It is government - state and part of Texvet. The ownership section on this page lists the owners and managers reported to CMS.
Where is Clyde W Cosper Texas State Veterans Home and how do I contact it?
Clyde W Cosper Texas State Veterans Home is at 1300 Seven Oaks Rd, Bonham, TX 75418. Phone: (903) 640-8387.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.