GoodStanding

Nursing home report

TWIN OAKS HEALTH AND REHABILITATION CENTER

JACKSONVILLE, TX · Medicare-certified · 116 beds

In good standing
For-profitChain member
2 of 5 overall

2 out of 5 stars overall. Staffing is a major concern at 1 out of 5 stars, with reported nurse staffing of 2.98 hours per resident per day below the federal benchmark of 4.1; health inspection and quality measures are both 3 out of 5 stars, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.9835 hrs/resident/day

Quality measures

Last inspection: December 31, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.9835.

Staffing detail

Registered nurses
0.36
Licensed practical nurses
0.78
Nurse aides
1.84
Weekend nursing
2.49

Hours per resident per day.

Resident outcomes

How often residents experience these outcomes, with the direction over the past year.

Long-stay residents on antipsychotic medication

27.3%Improving

Residents with a fall causing major injury

2%Worsening

Residents with pressure ulcers (bedsores)

6.9%Worsening

Residents with a urinary tract infection

0%Steady

Residents who lost too much weight

0%Steady

Residents who were physically restrained

0%Steady

Residents needing more help with daily activities

19.4%Worsening

Residents whose ability to walk got worse

8.2%Worsening
Show all measures

Long-stay residents on antianxiety or sleep medication

20.1%Improving

Short-stay residents newly given an antipsychotic

0%Steady

Residents with a long-term catheter

0%Steady

Residents with new or worsening incontinence

18.1%Improving

Residents with depressive symptoms

3.6%Worsening

Long-stay residents given the seasonal flu vaccine

97.3%Steady

Long-stay residents given the pneumonia vaccine

100%Steady

Short-stay residents given the seasonal flu vaccine

88.2%Steady

Short-stay residents given the pneumonia vaccine

99.2%Improving

What the inspectors found

The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J

The home failed to provide safe, appropriate pain management for a resident who needed it. Cited January 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 697 — 42 CFR §483.25(k) — S/S: J

The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 812 — 42 CFR §483.60(i) — S/S: F

The nursing home failed to have policies to keep smoking safe and properly managed. Cited September 2024 — widespread issue, potential for harm.

View the original federal record

F-Tag 926 — 42 CFR §483.90 — S/S: F

The home failed to make food and drinks appealing and served them at a safe, appetizing temperature. Cited December 2025 — limited pattern, potential for harm.

View the original federal record

F-Tag 804 — 42 CFR §483.60 — S/S: E

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 5 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 13 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $174,431 in total fines.

  • Federal fine

    Jan 18, 2024

    $174,431

Operator & ownership

Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
62.9 residents on an average day (54% of 116 beds)
Resident voice
Resident council
Medicare history
Certified for 27 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.