Twin Oaks Health & Rehabilitation Center
1123 North Bolton Street, Jacksonville, TX 75766 · (903) 586-9031
For profit - Corporation · 116 certified beds
Twin Oaks Health & Rehabilitation Center has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 5 citations (the Texas average is 9.4). It was fined 1 time in the last three years, $174,431 in all.
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. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 3 out of 5 stars · 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. | ★★★★★ 3 out of 5 stars · Average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 1 out of 5 stars · Much below average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 31, 2025 found 5 citations. What an inspection citation means
- Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.December 31, 2025 · F0804 · 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.December 31, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure each resident receives an accurate assessment.December 31, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- PASARR screening for Mental disorders or Intellectual DisabilitiesDecember 31, 2025 · F0645 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Post nurse staffing information every day.December 31, 2025 · F0732 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 9 citations.
- 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.April 15, 2025 · F0622 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.September 25, 2024 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.September 25, 2024 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.September 25, 2024 · F0925 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.January 18, 2024 · F0580 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.January 18, 2024 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide safe, appropriate pain management for a resident who requires such services.January 18, 2024 · F0697 · Level of harm: Immediate jeopardy to resident health or safety · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.October 29, 2023 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Develop and implement policies and procedures to prevent abuse, neglect, and theft.October 29, 2023 · F0607 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $174,431January 18, 2024
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 | 2.97 | 3.39 | 3.86 |
| Registered nurses (RN) | 0.39 | 0.43 | 0.69 |
| Licensed practical nurses (LPN) | 0.75 | 0.95 | 0.86 |
| Nurse aides | 1.83 | 2.01 | 2.32 |
| Total nursing staff turnover | 98% | 55.3% | 45.8% |
About this home
| Ownership | For profit - Corporation |
| Certified beds | 116 |
| Average residents per day | 61 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Avir at Jacksonville Jacksonville · ★★★★★ 5 out of 5 stars
- Legacy at Jacksonville Jacksonville · ★★★★★ 3 out of 5 stars
- The Arbors Healthcare and Rehabilitation Center Rusk · ★★★★★ 2 out of 5 stars
- Cherokee Trails Nursing Home Rusk · ★★★★★ 2 out of 5 stars
- Wells LTC Nursing & Rehabilitation Wells · ★★★★★ 1 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Twin Oaks Health & Rehabilitation Center on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.