Twin Oaks Health & Rehabilitation CenterCMS ratings, inspections and fines
- Address
- 1123 North Bolton Street, Jacksonville, TX 75766
- CCN
- 675183
- Ownership type
- For-profit, corporation
- Certified beds
- 116
- Residents per day
- 61
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Twin Oaks Health & Rehabilitation Center an overall rating of 2 of 5 stars. The last standard survey was on 31 Dec 2025. The latest survey cycle has 5 health citations. The median for nursing homes in Texas is 8. CMS lists 1 fine of $174,431 for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Cherokee County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 2 | 2.0 | 3.0 | 3.0 |
| Health inspection rating | 3 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 2.0 | 2.0 | 2.9 |
| Quality measure rating | 3 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 6 homes in the county, 1,177 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Texas median |
|---|---|---|---|
| Cycle 1 (latest) | 31 Dec 2025 | 5 | 8 |
| Cycle 2 | 25 Sep 2024 | 14 | 8 |
| Cycle 3 | No date | 15 | 8 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | K0 | L0 | |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 5 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 31 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 5 Jan 2026 |
| 31 Dec 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 5 Jan 2026 |
| 31 Dec 2025 | F0732 | Post nurse staffing information every day. | C | Standard survey | 5 Jan 2026 |
| 31 Dec 2025 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 5 Jan 2026 |
| 31 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 5 Jan 2026 |
Survey cycle 2: 14 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 15 Apr 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. | D | Complaint investigation | 4 May 2025 |
| 25 Sep 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0760 | Ensure that residents are free from significant medication errors. | D | Standard survey | 26 Sep 2024 |
| 25 Sep 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. | D | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 26 Sep 2024 |
| 25 Sep 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. | E | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0924 | Put firmly secured handrails on each side of hallways. | D | Standard survey | 26 Sep 2024 |
| 25 Sep 2024 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint investigation | 26 Sep 2024 |
| 25 Sep 2024 | F0926 | Have policies on smoking. | F | Standard survey | 26 Sep 2024 |
Survey cycle 3: 15 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 18 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 19 Jan 2024 |
| 18 Jan 2024 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 19 Jan 2024 |
| 18 Jan 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | J | Complaint investigation | 19 Jan 2024 |
| 29 Oct 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 14 Sep 2023 |
| 29 Oct 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 14 Sep 2023 |
| 26 Jul 2023 | F0585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | 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. | E | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 18 Aug 2023 |
| 26 Jul 2023 | F0925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Standard survey | 18 Aug 2023 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
| Date | Type | Fine | Days without payment |
|---|---|---|---|
| 18 Jan 2024 | Fine | $174,431 |
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Texas median | Texas average (CMS) |
|---|---|---|---|
| All nurse staff | 2.97 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.39 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.75 | 0.95 | |
| Nurse aides | 1.83 | 2.00 | |
| All nurse staff, weekends | 2.43 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- 98.0%
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- 100.0%
- Administrators who left in a year
- 3
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 16.8% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 7.0% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 25.6% | 8.3% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, corporation
- Legal business name
- Liberty County Hospital District No 1
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Liberty County Hospital District No 1 | 5% or greater direct ownership interest | 100% | 1 Apr 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Cherokee County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Avir at Jacksonville | Jacksonville | 5 of 5 | 3 | $0 | 23 Apr 2025 | |
| Legacy at Jacksonville | Jacksonville | 3 of 5 | 7 | $27,345 | 29 Apr 2026 | |
| Cherokee Trails Nursing Home | Rusk | 2 of 5 | 8 | $30,933 | 20 May 2026 | |
| The Arbors Healthcare and Rehabilitation Center | Rusk | 2 of 5 | 14 | $0 | 14 Jan 2026 | |
| Wells LTC Nursing & RehabilitationSpecial Focus candidate | Wells | 1 of 5 | 18 | $93,678 | 3 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Texas Health and Human Services: complaint and incident intakeThe complaint page of the State Survey Agency for Texas, from the CMS list of agencies.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Twin Oaks Health & Rehabilitation Center (CCN 675183). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/twin-oaks-health-rehabilitation-center-jacksonville-tx-675183/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Twin Oaks Health & Rehabilitation Center last inspected?
- The latest inspection with a citation in the CMS record was on 31 Dec 2025. It was a standard survey. It gave 5 citations. The standard survey before the last one was on 25 Sep 2024.
- Who operates Twin Oaks Health & Rehabilitation Center?
- The CMS record gives the ownership type as for-profit, corporation. CMS lists the home in the chain Creative Solutions in Healthcare. The CMS ownership file names no organisation for operational or managerial control. This site does not show the names of persons.
- Is Twin Oaks Health & Rehabilitation Center a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 6 homes in Texas as Special Focus Facilities and 30 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.