Twin Pines North Nursing and Rehabilitation Center
Nursing home in Victoria, TX
Medicare & Medicaid certified2★ overall (CMS)
Public-record details
- Address
- 1301 Mallette Drive, Victoria, TX 77904
- Phone
- (361) 576-9454
- Listed under
- For-profit, No fines in 3 years
- Medicare CCN
- 676372
- Overall star rating
- 2 of 5 ★★☆☆☆
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measures rating
- 2 of 5
- Certified beds
- 90
- Average residents per day
- 83
- Ownership
- For-profit, limited Liability company
- Legal business name
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Nov 11, 2014
- 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
Inspection record
Most recent standard health inspection: Jun 5, 2026. CMS lists 30 health citations for this facility across its last three standard inspection cycles and complaint inspections (Nov 13, 2023 to Jun 5, 2026): 24 from complaint inspections, 0 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| Jun 5, 2026 | Post nurse staffing information every day. | C |
| Jun 5, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| Jun 5, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D |
| Jun 5, 2026 | 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… | D |
| Jun 5, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Jun 5, 2026 | Provide and implement an infection prevention and control program. | E |
| Dec 18, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E |
| Dec 18, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| Dec 4, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Sep 19, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
| Apr 9, 2025 | Reasonably accommodate the needs and preferences of each resident. | D |
| Apr 9, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
Fines and payment denials
CMS records no fines or payment denials for this facility in the last three years.
Staffing
- Total nurse staffing per resident per day
- 3.20 hours
- Registered nurse (RN) time per resident per day
- 0.35 hours
- Nurse aide time per resident per day
- 1.85 hours
- Total nurse staffing on weekends
- 2.83 hours
- Nursing staff turnover (yearly)
- 96%
- RN turnover (yearly)
- 75%
- Administrators who left in the past year
- 1
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.