Starfile / Texas

Twin Pines Nursing and Rehabilitation

3301 E Mockingbird Ln, Victoria, TX 77904 · CCN 675638

Inspection history vs Texas & national averages

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

Cycle 1 deficiencies by category

Staffing (hours per resident per day)

Fines & penalties

Total fines

$44,971

Number of fines

3

Number of penalties

3

Payment denials

0

Chain

Chain

CREATIVE SOLUTIONS IN HEALTHCARE

Facilities in chain

149

Chain avg overall

2.70 / 5

Inspection citations (54)4 immediate jeopardy

1. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-11-26 · Health · corrected 2025-11-27

   Potential for more than minimal harm

2. DF0919Make sure that a working call system is available in each resident's bathroom and bathing area.2025-11-26 · Health · corrected 2025-11-27

   Potential for more than minimal harm

3. JF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-07-13 · Health · corrected 2025-07-14

   Immediate jeopardy

4. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-13 · Health · corrected 2025-07-14

   Immediate jeopardy

5. DF0641Ensure each resident receives an accurate assessment.2025-04-17 · Health · corrected 2025-05-17

   Potential for more than minimal harm

6. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-13 · Health · corrected 2025-02-18

   Potential for more than minimal harm

7. DF0558Reasonably accommodate the needs and preferences of each resident.2024-12-06 · Health · corrected 2025-01-05

   Potential for more than minimal harm

8. EF0583Keep residents' personal and medical records private and confidential.2024-12-06 · Health · corrected 2025-01-05

   Potential for more than minimal harm

9. DF0584Honor 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.2024-12-06 · Health · corrected 2025-01-05

   Potential for more than minimal harm

10. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

11. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

12. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

13. DF0695Provide safe and appropriate respiratory care for a resident when needed.2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

14. 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.2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

15. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

16. EF0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.2024-12-06 · Health · corrected 2025-01-05

    Potential for more than minimal harm

17. JF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-15 · Health · corrected 2024-06-22

    Immediate jeopardy

18. JF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-11-15 · Health · corrected 2024-09-05

    Immediate jeopardy

19. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

20. DF0558Reasonably accommodate the needs and preferences of each resident.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

21. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

22. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

23. DF0697Provide safe, appropriate pain management for a resident who requires such services.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

24. EF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

25. CF0732Post nurse staffing information every day.2024-04-27 · Health · corrected 2024-05-13

    Potential for minimal harm

26. EF0759Ensure medication error rates are not 5 percent or greater.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

27. 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.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

28. EF0800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

29. DF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

30. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

31. EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

32. DF0880Provide and implement an infection prevention and control program.2024-04-27 · Health · corrected 2024-05-13

    Potential for more than minimal harm

33. EF0641Ensure each resident receives an accurate assessment.2023-10-13 · Health · corrected 2023-10-14

    Potential for more than minimal harm

34. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-10-13 · Health · corrected 2023-10-14

    Potential for more than minimal harm

35. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-10-13 · Health · corrected 2023-10-14

    Potential for more than minimal harm

36. DF0693Ensure 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.2023-10-13 · Health · corrected 2023-10-14

    Potential for more than minimal harm

37. DF0808Ensure 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.2023-10-13 · Health · corrected 2023-11-07

    Potential for more than minimal harm

38. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2023-10-13 · Health · corrected 2023-11-07

    Potential for more than minimal harm

39. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2023-09-29 · Health · corrected 2023-09-30

    Potential for more than minimal harm

40. DF0558Reasonably accommodate the needs and preferences of each resident.2023-09-29 · Health · corrected 2023-09-30

    Potential for more than minimal harm

41. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2023-09-29 · Health · corrected 2023-09-30

    Potential for more than minimal harm

42. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2023-09-29 · Health · corrected 2023-10-15

    Potential for more than minimal harm

43. EF0803Ensure 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.2023-09-29 · Health · corrected 2023-09-30

    Potential for more than minimal harm

44. DF0641Ensure each resident receives an accurate assessment.2023-09-15 · Health · corrected 2023-09-16

    Potential for more than minimal harm

45. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2023-09-15 · Health · corrected 2023-09-16

    Potential for more than minimal harm

46. DF0880Provide and implement an infection prevention and control program.2023-09-15 · Health · corrected 2023-09-16

    Potential for more than minimal harm

47. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-08-23 · Health · corrected 2023-08-24

    Potential for more than minimal harm

48. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-08-23 · Health · corrected 2023-08-24

    Potential for more than minimal harm

49. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2023-08-23 · Health · corrected 2023-08-24

    Potential for more than minimal harm

50. DF0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.2023-07-07 · Health · corrected 2023-07-21

    Potential for more than minimal harm

51. EF0584Honor 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.2022-08-26 · Health · corrected 2022-08-27

    Potential for more than minimal harm

52. DF0637Assess the resident when there is a significant change in condition2022-08-26 · Health · corrected 2022-08-27

    Potential for more than minimal harm

53. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-08-26 · Health · corrected 2022-08-27

    Potential for more than minimal harm

54. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-08-26 · Health · corrected 2022-08-27

    Potential for more than minimal harm

Ownership

Other facilities in Victoria

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