Twin Pines Nursing and Rehabilitation
Twin Pines Nursing and Rehabilitation is a 200-bed nursing home in Victoria, Texas. CMS has certified it for Medicare and Medicaid since 1996-10-24. It averages 90.9 residents a day.
What harm was found in the violations cited at Twin Pines Nursing and Rehabilitation?
CMS lists 63 health-inspection deficiencies for Twin Pines Nursing and Rehabilitation, all 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 2026-06-04.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-06-04 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| 2026-02-20 | F0842, F0880 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. / Provide and implement an infection prevention and control program. | E |
| 2026-02-20 | F0550, F0583, F0644, F0645, F0656, F0689, F0755, F0761, F0770 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Keep residents' personal and medical records private and confidential. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / PASARR screening for Mental disorders or Intellectual Disabilities / 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. / 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. / Provide timely, quality laboratory services/tests to meet the needs of residents. | D |
| 2026-02-06 | F0656, F0657 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D |
| 2025-11-26 | F0550, F0919 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Make sure that a working call system is available in each resident's bathroom and bathing area. | D |
| 2025-07-13 | F0656, F0689 | 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. | J |
| 2025-04-17 | F0641 | Ensure each resident receives an accurate assessment. | D |
| 2025-02-13 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D |
| 2024-12-06 | F0583, F0812, F0921 | Keep residents' personal and medical records private and confidential. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. / Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E |
| 2024-12-06 | F0558, F0584, F0655, F0657, F0689, F0695, F0761 | Reasonably accommodate the needs and preferences of each resident. / Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. / Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide safe and appropriate respiratory care for a resident when needed. / 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. | D |
| 2024-11-15 | F0689, F0806 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | J |
| 2024-04-27 | F0725, F0759, F0761, F0800, F0842 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Ensure medication error rates are not 5 percent or greater. / 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 each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E |
| 2024-04-27 | F0550, F0558, F0656, F0657, F0697, F0805, F0806, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Provide safe, appropriate pain management for a resident who requires such services. / Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. / Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. / Provide and implement an infection prevention and control program. | D |
| 2024-04-27 | F0732 | Post nurse staffing information every day. | C |
| 2023-10-13 | F0641, F0812 | Ensure each resident receives an accurate assessment. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2023-10-13 | F0656, F0657, F0693, F0808 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. / Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D |
| 2023-09-29 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E |
| 2023-09-29 | F0550, F0558, F0609, F0656 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Reasonably accommodate the needs and preferences of each resident. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2023-09-15 | F0641, F0690, F0880 | Ensure each resident receives an accurate assessment. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide and implement an infection prevention and control program. | D |
| 2023-08-23 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E |
| 2023-08-23 | F0657, F0842 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D |
Why was Twin Pines Nursing and Rehabilitation fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-07-13 | Fine | $14,721 |
| 2024-11-15 | Fine | $14,433 |
| 2024-11-15 | Fine | $8,333 |
How is Twin Pines Nursing and Rehabilitation staffed relative to the TX average?
| Measure | This facility | TX average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.01164 | 3.38539 |
| Average number of residents per day | 90.9 | 75.8 |
Who owns Twin Pines Nursing and Rehabilitation, and what chain is it in?
Twin Pines Nursing and Rehabilitation is registered with CMS as For profit - Corporation, operates under the legal business name WEST WHARTON COUNTY HOSPITAL DISTRICT and belongs to the CREATIVE SOLUTIONS IN HEALTHCARE chain.
| Role | Owner | Association date |
|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | WEST WHARTON COUNTY HOSPITAL DISTRICT | since 09/01/2022 |
| CORPORATE DIRECTOR | HUGGINS, LINDA | since 09/01/2022 |
| CORPORATE OFFICER | MAK, DAVID | since 05/17/2021 |
| OPERATIONAL/MANAGERIAL CONTROL | VICTORIA I ENTERPRISES, LLC, BLAKE, GARY, BLAKE, MALISA | since 09/01/2022 |
Were you or a family member harmed at Twin Pines Nursing and Rehabilitation?