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.
| Cycle | Inspection date | This facility | Texas avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-31 | 6 | 9.1 | 9.5 | -3.1 better |
| 2 | 2024-09-25 | 13 | 9.4 | 9.8 | +3.6 worse |
| 3 | 2023-07-26 | 15 | 8.1 | 9.3 | +6.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 2 |
| Nursing and physician services | 1 |
| Resident rights | 1 |
| Nutrition and dietary | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.06 | 65.4% |
| RN staffing (reported) | 0.41 | 66.7% |
| 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
- DF0641Ensure each resident receives an accurate assessment.2025-12-31 · Health · corrected 2026-01-05
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-12-31 · Health · corrected 2026-01-05
Potential for more than minimal harm
- CF0732Post nurse staffing information every day.2025-12-31 · Health · corrected 2026-01-05
Potential for minimal harm
- 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
- 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
- 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
- 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
- EF0558Reasonably accommodate the needs and preferences of each resident.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- 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
- DF0760Ensure that residents are free from significant medication errors.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- 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
- 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
- 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
- DF0924Put firmly secured handrails on each side of hallways.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- 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
- FF0926Have policies on smoking.2024-09-25 · Health · corrected 2024-09-26
Potential for more than minimal harm
- 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
- 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
- JF0697Provide safe, appropriate pain management for a resident who requires such services.2024-01-18 · Health · corrected 2024-01-19
Immediate jeopardy
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- EF0880Provide and implement an infection prevention and control program.2023-07-26 · Health · corrected 2023-08-18
Potential for more than minimal harm
- 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
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 |
| JACKSONVILLE III ENTERPRISES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| BLAKE, GARY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| BLAKE, MALISA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-01 |
| HUGGINS, LINDA | Individual | CORPORATE DIRECTOR | — | 2022-04-01 |
| WILLIG, ZACHARY | Individual | CORPORATE DIRECTOR | — | 2025-01-01 |
| STRATTON, CHARLES | Individual | CORPORATE OFFICER | — | 2005-05-01 |
Other facilities in JACKSONVILLE
| Name | Overall | Beds |
|---|---|---|
| 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.