Nursing home report
Victoria, TX · Medicare-certified · 200 beds
Twin Pines Nursing and Rehabilitation in Victoria, TX has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. Reported nurse staffing is 3.02 hours per resident per day, below the 4.1-hour federal benchmark, and the facility had $44,971 in fines in the last 24 months plus a recent federal penalty.
Health inspections
Staffing
3.0202 hrs/resident/day
Quality measures
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0202.
Hours per resident per day.
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
Residents with a fall causing major injury
Residents with pressure ulcers (bedsores)
Residents with a urinary tract infection
Residents who lost too much weight
Residents who were physically restrained
Residents needing more help with daily activities
Residents whose ability to walk got worse
Long-stay residents on antianxiety or sleep medication
Short-stay residents newly given an antipsychotic
Residents with a long-term catheter
Residents with new or worsening incontinence
Residents with depressive symptoms
Long-stay residents given the seasonal flu vaccine
Long-stay residents given the pneumonia vaccine
Short-stay residents given the seasonal flu vaccine
Short-stay residents given the pneumonia vaccine
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.
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.
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.
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.
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.
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
Health inspection found 11 health deficiencies.
Health inspection found 2 health deficiencies.
Health inspection found 2 health deficiencies.
A federal fine of $22,205 was recorded.
A federal fine of $14,433 was recorded.
A federal fine of $8,333 was recorded.
On record with Medicare: 3 fines · $44,971 in total fines.
Federal fine
Jul 13, 2025
Federal fine
Nov 15, 2024
Federal fine
Nov 15, 2024
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.
