• CMS rates this facility 2/5 stars (below average)
• Has 116 certified beds with an average of 64.6 residents per day (56% occupancy)
• Last health inspection found 14 deficiencies (inspected Sep 25, 2024)
• Has been fined a total of $174,431 across 1 fine(s)
• Total nursing staff: 3.06 hours per resident per day
• Staff turnover rate: 65.4% (high)
• Part of the Creative Solutions in Healthcare chain (149 facilities)
Twin Oaks Health and Rehabilitation Center is a 2-star Medicare and Medicaid certified nursing home in Jacksonville, Texas with 116 certified beds. It has been operating since 1999. The facility scored below average compared to Texas facilities.
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.
Reasonably accommodate the needs and preferences of each resident.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Ensure that residents are free from significant medication errors.
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.
Provide and implement an infection prevention and control program.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
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.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Put firmly secured handrails on each side of hallways.
Have policies on smoking.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Provide and implement an infection prevention and control program.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Provide safe, appropriate pain management for a resident who requires such services.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Ensure each resident receives an accurate assessment.
+ 2 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Apr 1, 2022 |
| JACKSONVILLE III ENTERPRISES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Apr 1, 2022 |
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | N/A | Apr 1, 2022 |
| HUGGINS, LINDA | CORPORATE DIRECTOR | Individual | N/A | Apr 1, 2022 |
| WILLIG, ZACHARY | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2025 |
| STRATTON, CHARLES | CORPORATE OFFICER | Individual | N/A | May 1, 2005 |
This chain operates 149 facilities. View all →