Nursing HomeInspections

Twin Oaks Health & Rehabilitation Center

Nursing home in Jacksonville, TX

Medicare & Medicaid certified2★ overall (CMS)

Call (903) 586-9031Send a messageMap ↗

Public-record details

Address
1123 North Bolton Street, Jacksonville, TX 75766
Phone
(903) 586-9031
Listed under
For-profit
Medicare CCN
675183
Overall star rating
2 of 5 ★★☆☆☆
Health inspection rating
3 of 5
Staffing rating
1 of 5
Quality measures rating
3 of 5
Certified beds
116
Average residents per day
61
Ownership
For-profit, corporation
Legal business name
Liberty County Hospital District No 1
Chain
Creative Solutions in Healthcare (149 facilities)
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Jan 7, 1999
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 675183. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Dec 31, 2025. CMS lists 34 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jul 26, 2023 to Dec 31, 2025): 9 from complaint inspections, 2 at the “actual harm” level or higher, including 2 at “immediate jeopardy”.

InspectionCitationSeverity
Dec 31, 2025Post nurse staffing information every day.
Nursing and Physician Services		C
Potential for minimal harm, widespread
Dec 31, 2025Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 31, 2025PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning		D
Potential for more than minimal harm, isolated
Dec 31, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Dec 31, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		E
Potential for more than minimal harm, pattern
Apr 15, 2025Not 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 · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 25, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights · complaint inspection		D
Potential for more than minimal harm, isolated
Sep 25, 2024Ensure that residents are free from significant medication errors.
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 25, 2024Ensure 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…
Pharmacy Service		D
Potential for more than minimal harm, isolated
Sep 25, 2024Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental		D
Potential for more than minimal harm, isolated
Sep 25, 2024Put firmly secured handrails on each side of hallways.
Environmental		D
Potential for more than minimal harm, isolated
Sep 25, 2024Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Environmental · complaint inspection		D
Potential for more than minimal harm, isolated

Showing the 12 most recent of 34. Full inspection reports are on Medicare Care Compare.

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $174,431 in the last three years.

Jan 18, 2024Fine: $174,431

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.97 hours
Registered nurse (RN) time per resident per day
0.39 hours
Nurse aide time per resident per day
1.83 hours
Total nurse staffing on weekends
2.43 hours
Nursing staff turnover (yearly)
98%
RN turnover (yearly)
100%
Administrators who left in the past year
3

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

Other nursing homes in Jacksonville

Avir at Jacksonville305 Bonita St · Jacksonville, TX 75766 · (903) 586-3616 · For-profit11 health citations in 3 inspection cycles · last standard inspection Apr 23, 2025 · no CMS fines in 3 yrsMedicare & Medicaid certified5★ overall (CMS)Legacy at Jacksonville810 Bellaire St. · Jacksonville, TX 75766 · (903) 586-9871 · For-profit12 health citations in 3 inspection cycles · last standard inspection Apr 29, 2026 · $27,345 in CMS fines (3 yrs)Medicare & Medicaid certified3★ overall (CMS)

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