Twin Oaks Manor
112 Pioneer Dr, Booker, TX 79005 · (806) 658-9786
Government - Hospital district · 40 certified beds
Twin Oaks Manor has a 3-star overall rating from Medicare, out of 5. Its last standard inspection, in June 2026, found 6 citations (the Texas average is 9.4). It hasn't been fined in the last three years.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 3 out of 5 stars · Average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 4 out of 5 stars · Above average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 1 out of 5 stars · Much below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on June 11, 2026 found 6 citations. What an inspection citation means
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.June 11, 2026 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.June 11, 2026 · F0605 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- 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.June 11, 2026 · F0801 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.June 11, 2026 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.June 11, 2026 · F0656 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe and appropriate respiratory care for a resident when needed.June 11, 2026 · F0695 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 1 citation.
- Provide and implement an infection prevention and control program.December 11, 2023 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
No fines or payment denials in the last three years.
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | Texas average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.80 | 3.39 | 3.86 |
| Registered nurses (RN) | 1.09 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.47 | 0.95 | 0.86 |
| Nurse aides | 4.23 | 2.01 | 2.32 |
| Total nursing staff turnover | 74.1% | 55.3% | 45.8% |
About this home
| Ownership | Government - Hospital district |
| Certified beds | 40 |
| Average residents per day | 40.4 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Caprock Nursing & Rehabilitation Borger · ★★★★★ 2 out of 5 stars
- Avir at Borger Borger · ★★★★★ 2 out of 5 stars
- Mesa View Senior Living Canadian · ★★★★★ 3 out of 5 stars
- Palo Duro Nursing Home Claude · ★★★★★ 3 out of 5 stars
- Coon Memorial Home Dalhart · Not available
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Data from Medicare (CMS), updated October 2026, from Twin Oaks Manor on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.