Twin Oaks Health and Rehabilitation Center
1123 N Bolton St · Jacksonville, TX · 75766 · 9035869031
116 certified beds For profit - Corporation Chain: Creative Solutions in Healthcare
- 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
2 immediate-jeopardy citations in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Total nurse staffing below 3.0 hours per resident-day
2.98 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.98 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.36 | 0.55–0.75 |
| Weekend hours / resident-day | 2.49 | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 1 · $174,431 |
Inspection citations (34 in the current record)
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Potential for harm · D December 31, 2025
Ensure each resident receives an accurate assessment.
Corrected January 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · D December 31, 2025
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected January 5, 2026 · Resident Assessment and Care Planning
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Potential for harm · E December 31, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected January 5, 2026 · Nutrition and Dietary
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Potential for harm · E December 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 5, 2026 · Nutrition and Dietary
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No harm found · C December 31, 2025
Post nurse staffing information every day.
Corrected January 5, 2026 · Nursing and Physician Services
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Potential for harm · D April 15, 2025 · found via complaint
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.
Corrected May 4, 2025 · Resident Rights
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Potential for harm · E September 25, 2024
Reasonably accommodate the needs and preferences of each resident.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · E September 25, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 26, 2024 · Quality of Life and Care
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Potential for harm · D September 25, 2024
Ensure that residents are free from significant medication errors.
Corrected September 26, 2024 · Pharmacy Service
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Potential for harm · D September 25, 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 September 26, 2024 · Pharmacy Service
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Potential for harm · E September 25, 2024
Provide and implement an infection prevention and control program.
Corrected September 26, 2024 · Infection Control
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Potential for harm · E September 25, 2024
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 26, 2024 · Infection Control
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Potential for harm · E September 25, 2024
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.
Corrected September 26, 2024 · Infection Control
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Potential for harm · D September 25, 2024
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected September 26, 2024 · Environmental
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Potential for harm · D September 25, 2024
Put firmly secured handrails on each side of hallways.
Corrected September 26, 2024 · Environmental
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Potential for harm · F September 25, 2024
Have policies on smoking.
Corrected September 26, 2024 · Environmental
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Potential for harm · D September 25, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 26, 2024 · Resident Rights
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Potential for harm · F September 25, 2024 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 26, 2024 · Nutrition and Dietary
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Potential for harm · D September 25, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 26, 2024 · Environmental
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Immediate jeopardy · J January 18, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 19, 2024 · Resident Rights
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Immediate jeopardy · J January 18, 2024 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected January 19, 2024 · Quality of Life and Care
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Potential for harm · D January 18, 2024 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 19, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 29, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected September 14, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E October 29, 2023 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected September 14, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E July 26, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 18, 2023 · Resident Assessment and Care Planning
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| January 18, 2024 | Fine | $174,431 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 675183 · certified since January 7, 1999. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.