CMS data snapshot: July 2026
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.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
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.
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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.
Make sure that a working call system is available in each resident's bathroom and bathing area.
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Provide safe, appropriate pain management for a resident who requires such services.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
+ 4 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 |
| FREGIA, MILTON | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 7, 2022 |
| GARDNER, SHANNON | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Aug 22, 2022 |
| GARDZINA, MARGARET | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | Feb 26, 2024 |
| HENRY, PAUL | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 9, 2009 |
| STRATTON, CHARLES | MANAGING CONTROL - GOVERNING BODY | Individual | N/A | May 1, 2005 |
| 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 |
| 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 |
| JACKSONVILLE III ENTERPRISES LLC | ADP OF THE SNF | Organization | N/A | Apr 11, 2025 |
| BLAKE, GARY | ADP OF THE SNF | Individual | N/A | Apr 1, 2022 |
| HEKIMIAN, KHOREN | ADP OF THE SNF | Individual | N/A | Apr 11, 2025 |
| WILLIAMSON, ROSE | ADP OF THE SNF | Individual | N/A | Apr 11, 2025 |
Compare CMS ratings and recorded fines for Twin Oaks Health and Rehabilitation Center and nearby alternatives.
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.
This chain operates 149 facilities. View all →