Twin Oaks Health & Rehabilitation Center
Twin Oaks Health & Rehabilitation Center is a 116-bed nursing home in JACKSONVILLE, Texas. CMS has certified it for Medicare and Medicaid since 1999-01-07. It averages 61.0 residents a day.
What harm was found in the violations cited at Twin Oaks Health & Rehabilitation Center?
CMS lists 34 health-inspection deficiencies for Twin Oaks Health & Rehabilitation Center since 2023-07-26, 24 of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2025-12-31.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2025-12-31 | F0804, F0812 | 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. | E |
| 2025-12-31 | F0641, F0645 | Ensure each resident receives an accurate assessment. / PASARR screening for Mental disorders or Intellectual Disabilities | D |
| 2025-12-31 | F0732 | Post nurse staffing information every day. | C |
| 2025-04-15 | F0622 | 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. | D |
| 2024-09-25 | F0812, F0926 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Have policies on smoking. | F |
| 2024-09-25 | F0558, F0689, F0880, F0883, F0887 | 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. / 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. | E |
| 2024-09-25 | F0550, F0760, F0761, F0919, F0924, F0925 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / 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. / Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D |
| 2024-01-18 | F0580, F0697 | 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. | J |
| 2024-01-18 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D |
| 2023-10-29 | F0600, F0607 | 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. | E |
| 2023-07-26 | F0607, F0656, F0689, F0761, F0804, F0880, F0925 | 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. / 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. | E |
| 2023-07-26 | F0585, F0677, F0755 | 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. / Provide care and assistance to perform activities of daily living for any resident who is unable. / Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D |
Why was Twin Oaks Health & Rehabilitation Center fined?
| Date | Type | Amount |
|---|---|---|
| 2024-01-18 | Fine | $174,431 |
How is Twin Oaks Health & Rehabilitation Center staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 2.96912 | 3.38539 |
| Total nursing staff turnover (%) | 98.0 | 55.3 |
| Average number of residents per day | 61.0 | 75.8 |
Who owns Twin Oaks Health & Rehabilitation Center, and what chain is it in?
Twin Oaks Health & Rehabilitation Center is registered with CMS as For profit - Corporation, operates under the legal business name LIBERTY COUNTY HOSPITAL DISTRICT NO 1 and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | LIBERTY COUNTY HOSPITAL DISTRICT NO 1 | since 04/01/2022 |
| MANAGING CONTROL - GOVERNING BODY | FREGIA, MILTON, GARDNER, SHANNON, GARDZINA, MARGARET, HENRY, PAUL, STRATTON, CHARLES | since 02/26/2024 |
| CORPORATE DIRECTOR | HUGGINS, LINDA, WILLIG, ZACHARY | since 01/01/2025 |
| CORPORATE OFFICER | STRATTON, CHARLES | since 05/01/2005 |
| OPERATIONAL/MANAGERIAL CONTROL | JACKSONVILLE III ENTERPRISES LLC, BLAKE, GARY, BLAKE, MALISA | since 04/01/2022 |
| ADP OF THE SNF | JACKSONVILLE III ENTERPRISES LLC, BLAKE, GARY, HEKIMIAN, KHOREN, WILLIAMSON, ROSE | since 04/01/2022 |
Were you or a family member harmed at Twin Oaks Health & Rehabilitation Center?