Starfile

Starfile / Texas

TWIN OAKS HEALTH AND REHABILITATION CENTER

1123 N BOLTON ST, JACKSONVILLE, TX 75766 · CCN 675183

Ratings

Overall
★★★☆☆ 3
Health inspection
★★★☆☆ 3
Quality measures
★★★☆☆ 3
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Corporation
Certified beds
116
Avg residents/day
64.6
Phone
9035869031

Inspection history vs Texas & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityTexas avgNational avgvs state
12025-12-3169.19.5-3.1 better
22024-09-25139.49.8+3.6 worse
32023-07-26158.19.3+6.9 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Resident assessment and care planning2
Nursing and physician services1
Resident rights1
Nutrition and dietary2

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.0665.4%
RN staffing (reported)0.4166.7%
Total nurse staffing (adjusted)3.71

Fines & penalties

Total fines
$174,431
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
CREATIVE SOLUTIONS IN HEALTHCARE
Facilities in chain
149
Chain avg overall
2.70 / 5

Inspection citations (34)2 immediate jeopardy

  1. DF0641Ensure each resident receives an accurate assessment.2025-12-31 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  2. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-12-31 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  3. CF0732Post nurse staffing information every day.2025-12-31 · Health · corrected 2026-01-05

    Potential for minimal harm

  4. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2025-12-31 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  5. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-31 · Health · corrected 2026-01-05

    Potential for more than minimal harm

  6. DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2025-04-15 · Health · corrected 2025-05-04

    Potential for more than minimal harm

  7. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  8. EF0558Reasonably accommodate the needs and preferences of each resident.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  9. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  10. DF0760Ensure that residents are free from significant medication errors.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  11. DF0761Ensure 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.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  12. FF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  13. EF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  14. EF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  15. EF0887Educate 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.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  16. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  17. DF0924Put firmly secured handrails on each side of hallways.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  18. DF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  19. FF0926Have policies on smoking.2024-09-25 · Health · corrected 2024-09-26

    Potential for more than minimal harm

  20. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2024-01-18 · Health · corrected 2024-01-19

    Immediate jeopardy

  21. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-01-18 · Health · corrected 2024-01-19

    Potential for more than minimal harm

  22. JF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-18 · Health · corrected 2024-01-19

    Immediate jeopardy

  23. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-10-29 · Health · corrected 2023-09-14

    Potential for more than minimal harm

  24. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-10-29 · Health · corrected 2023-09-14

    Potential for more than minimal harm

  25. DF0585Honor 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.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  26. EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  27. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  28. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  29. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  30. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  31. EF0761Ensure 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.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  32. EF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  33. EF0880Provide and implement an infection prevention and control program.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

  34. EF0925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.2023-07-26 · Health · corrected 2023-08-18

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1Organization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2022-04-01
JACKSONVILLE III ENTERPRISES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2022-04-01
BLAKE, GARYIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-01
BLAKE, MALISAIndividualOPERATIONAL/MANAGERIAL CONTROL2022-04-01
HUGGINS, LINDAIndividualCORPORATE DIRECTOR2022-04-01
WILLIG, ZACHARYIndividualCORPORATE DIRECTOR2025-01-01
STRATTON, CHARLESIndividualCORPORATE OFFICER2005-05-01

Other facilities in JACKSONVILLE

NameOverallBeds
AVIR AT JACKSONVILLE★★★★★53
LEGACY AT JACKSONVILLE★★★★☆101

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.