Twin Pines Nursing and Rehabilitation

CCN 675638 · WEST WHARTON COUNTY HOSPITAL DISTRICT · For profit - Corporation · CREATIVE SOLUTIONS IN HEALTHCARE chain · 200 certified beds · Victoria · TX


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 dateTagDeficiencySeverity
2026-06-04F0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D
2026-02-20F0842, F0880Safeguard 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
2026-02-20F0550, F0583, F0644, F0645, F0656, F0689, F0755, F0761, F0770Honor 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
2026-02-06F0656, F0657Develop 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
2025-11-26F0550, F0919Honor 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
2025-07-13F0656, F0689Develop 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
2025-04-17F0641Ensure each resident receives an accurate assessment.D
2025-02-13F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D
2024-12-06F0583, F0812, F0921Keep 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
2024-12-06F0558, F0584, F0655, F0657, F0689, F0695, F0761Reasonably 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
2024-11-15F0689, F0806Ensure 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
2024-04-27F0725, F0759, F0761, F0800, F0842Provide 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
2024-04-27F0550, F0558, F0656, F0657, F0697, F0805, F0806, F0880Honor 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
2024-04-27F0732Post nurse staffing information every day.C
2023-10-13F0641, F0812Ensure 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
2023-10-13F0656, F0657, F0693, F0808Develop 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
2023-09-29F0803Ensure 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
2023-09-29F0550, F0558, F0609, F0656Honor 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
2023-09-15F0641, F0690, F0880Ensure 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
2023-08-23F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.E
2023-08-23F0657, F0842Develop 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?

DateTypeAmount
2025-07-13Fine$14,721
2024-11-15Fine$14,433
2024-11-15Fine$8,333

How is Twin Pines Nursing and Rehabilitation staffed relative to the TX average?

MeasureThis facilityTX average
Total nurse staffing hours per resident per day3.011643.38539
Average number of residents per day90.975.8

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.

RoleOwnerAssociation date
5% OR GREATER DIRECT OWNERSHIP INTERESTWEST WHARTON COUNTY HOSPITAL DISTRICTsince 09/01/2022
CORPORATE DIRECTORHUGGINS, LINDAsince 09/01/2022
CORPORATE OFFICERMAK, DAVIDsince 05/17/2021
OPERATIONAL/MANAGERIAL CONTROLVICTORIA I ENTERPRISES, LLC, BLAKE, GARY, BLAKE, MALISAsince 09/01/2022

Were you or a family member harmed at Twin Pines Nursing and Rehabilitation?