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HomeTexasTwin Oaks Health and Rehabilitation Center

Twin Oaks Health and Rehabilitation Center

1123 N Bolton St, Jacksonville, TX 757669035869031WebsiteGoogle Maps
4.6on Google(37 reviews)
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System

CMS data snapshot: July 2026

Health
3/5
Staffing
1/5
Quality
3/5
Beds
116
certified
1 fine(s) totaling $174,431

How Twin Oaks Health and Rehabilitation Center Compares in Texas

Facility results compared with averages for CMS-certified nursing homes in Texas. Ratings, staffing and turnover measure different parts of care and should be reviewed together.

CMS overall rating
2/5
TX average
2.7/5
Below state average
Health inspection rating
3/5
TX average
2.8/5
Close to state average
Staffing rating
1/5
TX average
1.9/5
Below state average
Nursing hours per resident
2.97 hrs/day
TX average
3.39 hrs/day
Below state average
RN hours per resident
0.39 hrs/day
TX average
0.43 hrs/day
Close to state average
Staff turnover
98.0%
TX average
55.3%
Higher than state average

Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.

What the Data Highlights

Its 2/5 overall CMS rating is below the Texas average of 2.7/5.
Reported nursing time is 2.97 hours per resident per day, below the state average of 3.39.
Staff turnover is 98.0%, higher than the Texas average of 55.3%.

Health Inspection Trend

A side-by-side view of the two CMS inspection cycles included in the current dataset.

Previous cycle
21
deficiency citations
Inspected Sep 25, 2024
Most recent cycle
5
deficiency citations
Inspected Dec 31, 2025
The most recent cycle recorded 16 fewer deficiency citations than the previous cycle.

Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.

Cost & Demographics

Semi-Private Room
$5,996/mo
Texas median
Private Room
$7,300/mo
Texas median
Cherokee County 65+
8,997
17.7% of county
County Population
50,824
Cherokee County

Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).

Swipe tabs for staffing, quality and ownership.

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. Its overall CMS rating is 2 out of 5.

Beds
116
Avg Residents/Day
61
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 7, 1999
Sprinklers
Yes
Council
Resident
County
Cherokee
Last Inspection
Dec 31, 2025
Deficiencies (Cycle 1)
5
Weighted Score
82.3
Infection Citations
0

Deficiency Citations (34)

F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0645Potential for Harm

PASARR screening for Mental disorders or Intellectual Disabilities

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0732Minimal Harm

Post nurse staffing information every day.

Survey: Dec 31, 2025Corrected: NoCycle: 1
F0622Potential for Harm

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.

Survey: Apr 15, 2025Corrected: NoCycle: 2
F0812Potential for Harm

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0926Potential for Harm

Have policies on smoking.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0883Potential for Harm

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0887Potential for Harm

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.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0550Potential for Harm

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0919Potential for Harm

Make sure that a working call system is available in each resident's bathroom and bathing area.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0925Potential for Harm

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Survey: Sep 25, 2024Corrected: NoCycle: 2
F0580Immediate Jeopardy

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Survey: Jan 18, 2024Corrected: NoCycle: 3
F0697Immediate Jeopardy

Provide safe, appropriate pain management for a resident who requires such services.

Survey: Jan 18, 2024Corrected: NoCycle: 3
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Jan 18, 2024Corrected: NoCycle: 3
F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Oct 29, 2023Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Oct 29, 2023Corrected: NoCycle: 3
F0607Potential for Harm

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Survey: Jul 26, 2023Corrected: NoCycle: 3
F0656Potential for Harm

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Survey: Jul 26, 2023Corrected: NoCycle: 3
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Jul 26, 2023Corrected: NoCycle: 3
F0761Potential for Harm

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.

Survey: Jul 26, 2023Corrected: NoCycle: 3
F0804Potential for Harm

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Survey: Jul 26, 2023Corrected: NoCycle: 3
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 26, 2023Corrected: NoCycle: 3

+ 4 more deficiencies

Total Fines
$174,431
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineJan 18, 2024
$174,431

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide1.83 hrs
National avg: 2.32 hrs
LPN0.75 hrs
National avg: 0.86 hrs
RN0.39 hrs
National avg: 0.69 hrs
Total Nursing2.97 hrs
National avg: 3.86 hrs
Weekend Total2.43 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
98.0%
RN Turnover
100.0%
Administrators Left
3

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
For profit - Corporation
Recent Change
No

Owners & Managers (16)

NameRoleTypeOwnership %Since
LIBERTY COUNTY HOSPITAL DISTRICT NO.15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2022
FREGIA, MILTONMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 7, 2022
GARDNER, SHANNONMANAGING CONTROL - GOVERNING BODYIndividualN/AAug 22, 2022
GARDZINA, MARGARETMANAGING CONTROL - GOVERNING BODYIndividualN/AFeb 26, 2024
HENRY, PAULMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 9, 2009
STRATTON, CHARLESMANAGING CONTROL - GOVERNING BODYIndividualN/AMay 1, 2005
HUGGINS, LINDACORPORATE DIRECTORIndividualN/AApr 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
STRATTON, CHARLESCORPORATE OFFICERIndividualN/AMay 1, 2005
JACKSONVILLE III ENTERPRISES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
JACKSONVILLE III ENTERPRISES LLCADP OF THE SNFOrganizationN/AApr 11, 2025
BLAKE, GARYADP OF THE SNFIndividualN/AApr 1, 2022
HEKIMIAN, KHORENADP OF THE SNFIndividualN/AApr 11, 2025
WILLIAMSON, ROSEADP OF THE SNFIndividualN/AApr 11, 2025

Compare Nearby Nursing Homes

Compare CMS ratings and recorded fines for Twin Oaks Health and Rehabilitation Center and nearby alternatives.

All Texas facilities
Twin Oaks Health and Rehabilitation Center
Jacksonville, TXCurrent facility
CMS
2/5
Health
3/5
Staffing
1/5
Recorded fines: $174,431
Avir at Jacksonville
Jacksonville, TX2.1 mi
CMS
5/5
Health
5/5
Staffing
4/5
Recorded fines: None
Legacy at Jacksonville
Jacksonville, TX3.1 mi
CMS
4/5
Health
5/5
Staffing
1/5
Recorded fines: $27,345
Bluebonnet Point Wellness
Bullard, TX13.2 mi
CMS
1/5
Health
2/5
Staffing
1/5
Recorded fines: $181,947
Cherokee Trails Nursing Home
Rusk, TX14.2 mi
CMS
1/5
Health
1/5
Staffing
2/5
Recorded fines: $85,329
The Arbors Healthcare and Rehabilitation Center
Rusk, TX15.1 mi
CMS
3/5
Health
4/5
Staffing
1/5
Recorded fines: None
Oak Brook Health Care Center
Whitehouse, TX16.7 mi
CMS
4/5
Health
5/5
Staffing
1/5
Recorded fines: None
FacilityDistanceCMSHealthStaffingRecorded fines
Twin Oaks Health and Rehabilitation Center
Jacksonville, TX · Current facility
—2/53/51/5$174,431
Avir at Jacksonville
Jacksonville, TX
2.1 mi5/55/54/5None recorded
Legacy at Jacksonville
Jacksonville, TX
3.1 mi4/55/51/5$27,345
Bluebonnet Point Wellness
Bullard, TX
13.2 mi1/52/51/5$181,947
Cherokee Trails Nursing Home
Rusk, TX
14.2 mi1/51/52/5$85,329
The Arbors Healthcare and Rehabilitation Center
Rusk, TX
15.1 mi3/54/51/5None recorded
Oak Brook Health Care Center
Whitehouse, TX
16.7 mi4/55/51/5None recorded

Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.

Frequently Asked Questions

What is the CMS rating for Twin Oaks Health and Rehabilitation Center?▾
Twin Oaks Health and Rehabilitation Center has an overall CMS rating of 2 out of 5 stars, with a health inspection rating of 3/5, staffing rating of 1/5, and quality measures rating of 3/5. This facility is rated below average.
How much does Twin Oaks Health and Rehabilitation Center cost per month?▾
While individual facility pricing is not publicly available, the median nursing home cost in Texas is $5,996/month for a semi-private room and $7,300/month for a private room (Genworth/CareScout 2024). Twin Oaks Health and Rehabilitation Center participates in Medicare and Medicaid, which may cover some or all costs depending on eligibility.
Has Twin Oaks Health and Rehabilitation Center had any health inspection violations?▾
Twin Oaks Health and Rehabilitation Center had 5 deficiency citations in its most recent health inspection (Dec 31, 2025). The current CMS dataset records 1 fine(s) totaling $174,431.
What are the staffing levels at Twin Oaks Health and Rehabilitation Center?▾
Twin Oaks Health and Rehabilitation Center provides 2.97 total nursing staff hours per resident per day, including 0.39 RN hours, 0.75 LPN hours, and 1.83 nurse aide hours. The total staff turnover rate is 98.0%.
How many beds does Twin Oaks Health and Rehabilitation Center have?▾
Twin Oaks Health and Rehabilitation Center has 116 certified beds with an average of 61 residents per day, resulting in approximately 53% occupancy. The facility is For profit - Corporation owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Twin Oaks Health and Rehabilitation Center?▾
Yes. This page lists 6 nearby nursing homes in Texas, including 2 in Jacksonville. Compare their CMS ratings, staffing, inspections and fines before choosing a facility.
What do patients and families say about Twin Oaks Health and Rehabilitation Center?▾
On Google Maps, Twin Oaks Health and Rehabilitation Center has a rating of 4.6 out of 5 based on 37 reviews. This is an independent rating from visitors and families, separate from the official CMS government rating of 2/5.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →