Nursing home in Jacksonville, Texas
Twin Oaks Health & Rehabilitation Center
Medicare and Medicaid
1123 North Bolton Street, Jacksonville, TX 75766
(903) 586-9031
CMS star ratings
CMS gives this nursing home an overall star rating of 2 out of 5. Each rating is compared with the mean of rated nursing homes in Texas (1,165 for the overall rating) and in the U.S. (14,565). How to read an inspection report.
Overall rating
- This nursing home2
- Texas average2.7 (1,165 rated)
- U.S. average3.0 (14,565 rated)
Health inspections
- This nursing home3
- Texas average2.8 (1,165 rated)
- U.S. average2.8 (14,565 rated)
Staffing
- This nursing home1
- Texas average1.9 (1,163 rated)
- U.S. average2.9 (14,494 rated)
Quality measures
- This nursing home3
- Texas average3.7 (1,162 rated)
- U.S. average3.6 (14,495 rated)
Health inspections
Most recent standard health inspection (rating cycle 1): Dec 31, 2025. CMS counts 5 health deficiencies in rating cycle 1.
- This nursing home5
- Texas average9.4 (1,171 with data)
- U.S. average9.2 (14,652 with data)
Rating cycle 1 health deficiencies. Averages include every nursing home with a count in the CMS file; fewer is better.
Deficiencies since Sep 30, 2023
Inspectors cited 24 health deficiencies on 5 inspection dates since Sep 30, 2023. By level of harm: 2 immediate jeopardy, 21 potential for harm, 1 minimal harm potential.
- 2 Immediate jeopardy to resident health or safety
- 0 Actual harm
- 21 No actual harm, potential for more than minimal harm
- 1 No actual harm, potential for minimal harm
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Dec 31, 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 5, 2026 |
| Dec 31, 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Jan 5, 2026 |
| Dec 31, 2025 | F0641 | Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2026 |
| Dec 31, 2025 | F0645 | PASARR screening for Mental disorders or Intellectual DisabilitiesResident Assessment and Care Planning Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Jan 5, 2026 |
| Dec 31, 2025 | F0732 | Post nurse staffing information every day.Nursing and Physician Services Deficiencies | C Minimal harm potential, widespread | Standard | Deficient, Provider has date of correction Jan 5, 2026 |
| Apr 15, 2025 | F0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.Resident Rights Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction May 4, 2025 |
| Sep 25, 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies | F Potential for harm, widespread | Standard, Complaint | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0926 | Have policies on smoking.Environmental Deficiencies | F Potential for harm, widespread | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident.Resident Rights Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
Show the other 14 deficiencies
| Date | Tag | Deficiency | Scope and severity | Inspection type | Status |
|---|---|---|---|---|---|
| Sep 25, 2024 | F0880 | Provide and implement an infection prevention and control program.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.Infection Control Deficiencies | E Potential for harm, pattern | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Resident Rights Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0760 | Ensure that residents are free from significant medication errors.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 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.Pharmacy Service Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0924 | Put firmly secured handrails on each side of hallways.Environmental Deficiencies | D Potential for harm, isolated | Standard | Deficient, Provider has date of correction Sep 26, 2024 |
| Sep 25, 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.Environmental Deficiencies | D Potential for harm, isolated | Standard, Complaint | Deficient, Provider has date of correction Sep 26, 2024 |
| Jan 18, 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Resident Rights Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Jan 19, 2024 |
| Jan 18, 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services.Quality of Life and Care Deficiencies | J Immediate jeopardy, isolated | Complaint | Deficient, Provider has date of correction Jan 19, 2024 |
| Jan 18, 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Freedom from Abuse, Neglect, and Exploitation Deficiencies | D Potential for harm, isolated | Complaint | Deficient, Provider has date of correction Jan 19, 2024 |
| Oct 29, 2023 | F0600 | 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 | E Potential for harm, pattern | Complaint | Past Non-Compliance Sep 14, 2023 |
| Oct 29, 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft.Freedom from Abuse, Neglect, and Exploitation Deficiencies | E Potential for harm, pattern | Complaint | Past Non-Compliance Sep 14, 2023 |
Staffing
Total nurse staffing
Reported hours per resident per day.
- This nursing home2.97 hours
- Texas average3.39 hours (1,148 with data)
- U.S. average3.86 hours (14,351 with data)
Registered nurse staffing
Reported hours per resident per day.
- This nursing home0.39 hours
- Texas average0.43 hours (1,148 with data)
- U.S. average0.69 hours (14,351 with data)
Nursing staff turnover
Share of nursing staff who left during the year, as reported to CMS.
- This nursing home98.0%
- Texas average55.3% (1,051 with data)
- U.S. average45.8% (13,538 with data)
Penalties
CMS lists 1 penalty for this nursing home: 1 fine totaling $174,431, and 0 payment denials. CMS counts penalties from the last 3 years.
Facility details
| Certified beds | 116 |
|---|---|
| Average residents per day | 61.0 |
| Ownership | For profit - Corporation |
| Provider type | Medicare and Medicaid |
| Inside a hospital | No |
| Continuing care retirement community | No |
| Resident and family council | Resident |
| Automatic sprinklers in all required areas | Yes |
| Chain | Creative Solutions in Healthcare (149 facilities) |
| Legal business name | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 |
| First approved for Medicare and Medicaid | Jan 7, 1999 |
| County | Cherokee |
| CMS certification number | 675183 |
Also in Jacksonville
| Nursing home | CMS overall rating | Health inspection rating | Certified beds | Ownership |
|---|---|---|---|---|
| Avir at Jacksonville | 53 | For profit - Limited Liability company | ||
| Legacy at Jacksonville | 101 | For profit - Corporation |
| Hospital | CMS overall rating | Type | Emergency services |
|---|---|---|---|
| CHRISTUS Mother Frances Hospital- Jacksonville | Not available | Critical Access Hospitals | Yes |
| UT Health East Texas Jacksonville Hospital | Not available | Acute Care Hospitals | Yes |