Twin Pines Nursing and RehabilitationCMS ratings, inspections and fines
- Address
- 3301 East Mockingbird Lane, Victoria, TX 77904
- CCN
- 675638
- Ownership type
- For-profit, corporation
- Certified beds
- 200
- Residents per day
- 91
- CMS flags
- None in the CMS record
Open the watch listCare Compare record (Medicare.gov)
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 Pines Nursing and Rehabilitation an overall rating of 1 of 5 stars. The last standard survey was on 20 Feb 2026. The latest survey cycle has 16 health citations. The median for nursing homes in Texas is 8. CMS lists 3 fines with a total of $37,487 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 | Victoria County median | Texas median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 3.0 | 3.0 | 3.0 |
| Health inspection rating | 2 | 4.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 1.0 | 2.0 | 2.9 |
| Quality measure rating | 2 | 3.0 | 4.0 | 3.6 |
A median is the middle value of the homes in the group: 4 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) | 20 Feb 2026 | 16 | 8 |
| Cycle 2 | 6 Dec 2024 | 16 | 8 |
| Cycle 3 | No date | 31 | 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 | F0 | ||
| No actual harm, potential for minimal harm | A0 | B0 |
Survey cycle 1 (latest): 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Jun 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint investigation | 5 Jun 2026 |
| 20 Feb 2026 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | 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 | 21 Feb 2026 |
| 20 Feb 2026 | F0770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 21 Feb 2026 |
| 20 Feb 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 21 Feb 2026 |
| 6 Feb 2026 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 7 Feb 2026 |
| 6 Feb 2026 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 7 Feb 2026 |
| 26 Nov 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 27 Nov 2025 |
| 26 Nov 2025 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Complaint investigation | 27 Nov 2025 |
Survey cycle 2: 16 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 13 Jul 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Complaint investigation | 14 Jul 2025 |
| 13 Jul 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 14 Jul 2025 |
| 17 Apr 2025 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 17 May 2025 |
| 13 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 18 Feb 2025 |
| 6 Dec 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0584 | 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. | D | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 5 Jan 2025 |
| 6 Dec 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 | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Complaint investigation | 5 Jan 2025 |
| 6 Dec 2024 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Complaint investigation | 5 Jan 2025 |
| 15 Nov 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 22 Jun 2024 |
| 15 Nov 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | J | Complaint investigation | 5 Sep 2024 |
Survey cycle 3: 31 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 |
|---|---|---|---|---|---|
| 27 Apr 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0732 | Post nurse staffing information every day. | C | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Complaint investigation | 13 May 2024 |
| 27 Apr 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. | E | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | E | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint investigation | 13 May 2024 |
| 27 Apr 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 13 May 2024 |
| 13 Oct 2023 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 14 Oct 2023 |
| 13 Oct 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 14 Oct 2023 |
| 13 Oct 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 14 Oct 2023 |
| 13 Oct 2023 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 14 Oct 2023 |
| 13 Oct 2023 | F0808 | 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. | D | Standard survey | 7 Nov 2023 |
| 13 Oct 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 7 Nov 2023 |
| 29 Sep 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 30 Sep 2023 |
| 29 Sep 2023 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 30 Sep 2023 |
| 29 Sep 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 30 Sep 2023 |
| 29 Sep 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint investigation | 15 Oct 2023 |
| 29 Sep 2023 | F0803 | 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. | E | Complaint investigation | 30 Sep 2023 |
| 15 Sep 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Complaint investigation | 16 Sep 2023 |
| 15 Sep 2023 | F0690 | 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 | Complaint investigation | 16 Sep 2023 |
| 15 Sep 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Complaint investigation | 16 Sep 2023 |
| 23 Aug 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 24 Aug 2023 |
| 23 Aug 2023 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 24 Aug 2023 |
| 23 Aug 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 24 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 |
|---|---|---|---|
| 13 Jul 2025 | Fine | $14,721 | |
| 15 Nov 2024 | Fine | $14,433 | |
| 15 Nov 2024 | Fine | $8,333 |
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 | 3.01 | 3.30 | 3.39 |
| Registered nurses (RN) | 0.20 | 0.40 | 0.43 |
| Licensed practical nurses (LPN) | 0.89 | 0.95 | |
| Nurse aides | 1.93 | 2.00 | |
| All nurse staff, weekends | 2.78 | 2.90 | 2.98 |
- Nurse staff turnover in a year
- No data
- Nurse staff turnover, Texas median
- 52.1%
- RN turnover in a year
- No data
- Administrators who left in a year
- 1
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 | 19.9% | 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 | 1.1% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.7% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.8% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.6% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.7% | 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
- West Wharton County Hospital District
- Chain
- Creative Solutions in Healthcare (149 homes in the CMS chain file)
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| West Wharton County Hospital District | 5% or greater direct ownership interest | 100% | 1 Sep 2022 |
| Victoria I Enterprises, LLC | Operational/managerial control | 1 Sep 2022 |
The site shows organisations only. It does not show the names of persons.
Other homes in Victoria County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| The Courtyard Rehabilitation and Healthcare Center | Victoria | 3 of 5 | 4 | $17,992 | 19 Sep 2025 | |
| Riverside Oaks | Victoria | 5 of 5 | 3 | $0 | 13 Aug 2025 | |
| Twin Pines North Nursing and Rehabilitation Center | Victoria | 2 of 5 | 10 | $0 | 5 Jun 2026 |
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 Pines Nursing and Rehabilitation (CCN 675638). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/twin-pines-nursing-and-rehabilitation-victoria-tx-675638/
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 Pines Nursing and Rehabilitation last inspected?
- The latest inspection with a citation in the CMS record was on 4 Jun 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 6 Dec 2024.
- Who operates Twin Pines Nursing and Rehabilitation?
- 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 Victoria I Enterprises, LLC for operational or managerial control. This site does not show the names of persons.
- Is Twin Pines Nursing and Rehabilitation 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.