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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeTexasTwin Oaks Health and Rehabilitation Center

Twin Oaks Health and Rehabilitation Center

1123 N Bolton St, Jacksonville, TX 757669035869031
2/5Below Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
2/5
Quality
3/5
Beds
116
certified
1 fine(s) totaling $174,431

Key Findings

• 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.

Beds
116
Avg Residents/Day
64.6
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Jan 7, 1999
Sprinklers
Yes
Council
Both
County
Cherokee
Last Inspection
Sep 25, 2024
Deficiencies (Cycle 1)
14
Weighted Score
128.3
Infection Citations
0

Deficiency Citations (32)

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: 1
F0558Potential for Harm

Reasonably accommodate the needs and preferences of each resident.

Survey: Sep 25, 2024Corrected: NoCycle: 1
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: 1
F0760Potential for Harm

Ensure that residents are free from significant medication errors.

Survey: Sep 25, 2024Corrected: NoCycle: 1
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: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0883Potential for Harm

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

Survey: Sep 25, 2024Corrected: NoCycle: 1
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: 1
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: 1
F0924Potential for Harm

Put firmly secured handrails on each side of hallways.

Survey: Sep 25, 2024Corrected: NoCycle: 1
F0926Potential for Harm

Have policies on smoking.

Survey: Sep 25, 2024Corrected: NoCycle: 1
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: 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: Sep 25, 2024Corrected: NoCycle: 1
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: 1
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: 2
F0677Potential for Harm

Provide care and assistance to perform activities of daily living for any resident who is unable.

Survey: Jul 26, 2023Corrected: NoCycle: 2
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: 2
F0755Potential for Harm

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Survey: Jul 26, 2023Corrected: 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: Jul 26, 2023Corrected: NoCycle: 2
F0804Potential for Harm

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

Survey: Jul 26, 2023Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Jul 26, 2023Corrected: NoCycle: 2
F0925Potential for Harm

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

Survey: Jul 26, 2023Corrected: NoCycle: 2
F0585Potential for Harm

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.

Survey: Jul 26, 2023Corrected: NoCycle: 2
F0607Potential for Harm

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

Survey: Jul 26, 2023Corrected: 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
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
F0697Immediate Jeopardy

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

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
F0641Potential for Harm

Ensure each resident receives an accurate assessment.

Survey: Jun 15, 2022Corrected: NoCycle: 3

+ 2 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 Aide1.85 hrs
National avg: 2.35 hrs
LPN0.80 hrs
National avg: 0.86 hrs
RN0.41 hrs
National avg: 0.68 hrs
Total Nursing3.06 hrs
National avg: 3.89 hrs
Weekend Total2.62 hrs
National avg: 0.00 hrs
Physical Therapist0.01 hrs
National avg: 0.07 hrs
Total Turnover
65.4%
RN Turnover
66.7%
Administrators Left
2

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

Ownership Type
For profit - Limited Liability company
Recent Change
No

Owners & Managers (7)

NameRoleTypeOwnership %Since
LIBERTY COUNTY HOSPITAL DISTRICT NO. 15% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Apr 1, 2022
JACKSONVILLE III ENTERPRISES LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationN/AApr 1, 2022
BLAKE, GARYOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
BLAKE, MALISAOPERATIONAL/MANAGERIAL CONTROLIndividualN/AApr 1, 2022
HUGGINS, LINDACORPORATE DIRECTORIndividualN/AApr 1, 2022
WILLIG, ZACHARYCORPORATE DIRECTORIndividualN/AJan 1, 2025
STRATTON, CHARLESCORPORATE OFFICERIndividualN/AMay 1, 2005

Nearby Nursing Homes

All Texas facilities

Avir at Jacksonville

Jacksonville, TX · 53 beds

For profit
Health
Staffing
Quality
2.1 mi

Legacy at Jacksonville

Jacksonville, TX · 101 beds

For profit$21,645 in fines
Health
Staffing
Quality
3.1 mi

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 2/5, staffing rating of 2/5, and quality measures rating of 3/5. This facility is rated below average.
Has Twin Oaks Health and Rehabilitation Center had any health inspection violations?▾
Twin Oaks Health and Rehabilitation Center had 14 deficiency citations in its most recent health inspection (Sep 25, 2024). The facility has been fined a total of $174,431 across 1 fine(s).
What are the staffing levels at Twin Oaks Health and Rehabilitation Center?▾
Twin Oaks Health and Rehabilitation Center provides 3.06 total nursing staff hours per resident per day, including 0.41 RN hours, 0.80 LPN hours, and 1.85 nurse aide hours. The total staff turnover rate is 65.4%.
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 64.6 residents per day, resulting in approximately 56% occupancy. The facility is For profit - Limited Liability company owned and is part of the Creative Solutions in Healthcare chain.
Are there other nursing homes near Twin Oaks Health and Rehabilitation Center?▾
Yes, there are 2 other nursing homes in Jacksonville, Texas with an average rating of 3.7/5. You can compare all facilities on the Jacksonville nursing homes page.

Part of Creative Solutions in Healthcare

This chain operates 149 facilities. View all →