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Nursing home report

Twin Pines Nursing and Rehabilitation

Victoria, TX · Medicare-certified · 200 beds

Needs attention
For-profitChain member
Data as of July 1, 2026
1 of 5 overall

Twin Pines Nursing and Rehabilitation has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It reports 3.01 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $37,199 in fines in the last 24 months along with a recent federal penalty.

Facility ratings

Health inspections

Staffing

3.0116 hrs/resident/day

Quality measures

Last inspection: February 20, 2026Penalties, last 24 months: $37,199recent federal penalty

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0116.

Staffing detail

Registered nurses
0.20
Licensed practical nurses
0.89
Nurse aides
1.93
Weekend nursing
2.78

Hours per resident per day.

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

7.1%3.3%Improving

Residents with a fall causing major injury

4%5.9%Worsening

Residents with pressure ulcers (bedsores)

4.4%4.3%No change

Residents with a urinary tract infection

2.1%0%Improving

Residents who lost too much weight

6.2%4.1%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

20.3%11.3%Improving

Residents whose ability to walk got worse

6.1%10.6%Worsening

Long-stay residents on antianxiety or sleep medication

12.8%9.3%Improving

Short-stay residents newly given an antipsychotic

8.3%0%Improving

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

15.7%10.6%Improving

Residents with depressive symptoms

1.1%0%Improving

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the seasonal flu vaccine

100%

Short-stay residents given the pneumonia vaccine

100%98.7%Worsening

What the inspectors found

The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: J

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2025 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: J

The home failed to make sure residents got food that met their allergies, intolerances, and preferences. Cited November 2024 — isolated incident, immediate jeopardy to residents.

View the original federal record

F-Tag 806 — 42 CFR §483.60 — S/S: J

The home failed to safeguard residents’ private information and keep each resident’s medical records properly maintained. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 842 — 42 CFR §483.70 — S/S: E

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited February 2026 — limited pattern, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — 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 11 health deficiencies.

    See what inspectors found
  3. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  4. INSPECTION

    Health inspection found 2 health deficiencies.

    See what inspectors found
  5. PENALTY

    A federal fine of $14,433 was recorded.

  6. PENALTY

    A federal fine of $22,205 was recorded.

  7. PENALTY

    A federal fine of $14,433 was recorded.

  8. PENALTY

    A federal fine of $8,333 was recorded.

Penalties & enforcement

On record with Medicare: 3 fines · $37,199 in total fines.

  • Federal fine

    Jul 13, 2025

    $14,433
  • Federal fine

    Nov 15, 2024

    $14,433
  • Federal fine

    Nov 15, 2024

    $8,333

Operator & ownership

Recent ownership change · Sep 1, 2022

Now operated by West Wharton County Hospital District, previously Citizens Medical Center County of Victoria.

Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.2 stars avg
Occupancy
90.9 residents on an average day (45% of 200 beds)
Resident voice
Resident council
Medicare history
Certified for 29 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.