Booker Hospital District Dba: Twin Oaks Manor
112 Pioneer Dr · Booker, TX · 79005 · 8066589786
40 certified beds Government - Hospital district
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
72% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 5.66 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.99 | 0.55–0.75 |
| Weekend hours / resident-day | 5.25 | ≈ weekday level |
| Nursing turnover / year | 72% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (12 in the current record)
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Potential for harm · D April 30, 2025
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.
Corrected June 14, 2025 · Pharmacy Service
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Potential for harm · D April 30, 2025
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected June 14, 2025 · Nutrition and Dietary
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Potential for harm · E April 30, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 14, 2025 · Nutrition and Dietary
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Potential for harm · D April 30, 2025
Provide and implement an infection prevention and control program.
Corrected June 14, 2025 · Infection Control
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Potential for harm · D March 14, 2024
Ensure each resident receives an accurate assessment.
Corrected April 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected April 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D March 14, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected April 27, 2024 · Quality of Life and Care
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Potential for harm · E March 14, 2024
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected April 27, 2024 · Quality of Life and Care
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Potential for harm · D March 14, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected April 27, 2024 · Pharmacy Service
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Potential for harm · D March 14, 2024
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.
Corrected April 27, 2024 · Pharmacy Service
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Potential for harm · F March 14, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 27, 2024 · Nutrition and Dietary
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Potential for harm · E December 11, 2023 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 16, 2023 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 45F197 · certified since April 15, 1988. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.