For profit - Corporation · 116 certified beds · CMS number 675183
Twin Oaks Health & Rehabilitation Center, Jacksonville, TX
CMS records 34 health deficiencies at Twin Oaks Health & Rehabilitation Center in Jacksonville, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Dec 31, 2025. The highest severity cited is J (immediate jeopardy to resident health or safety). 2 citations were at the immediate jeopardy level. CMS lists 1 fine totaling $174,431 in the last three years.
- 34deficiencies, 3 cycles (TX median 25)
- 5in the latest cycle (TX median 8)
- Jhighest severity · Immediate jeopardy
- $174,431fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Twin Oaks Health & Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Twin Oaks Health & Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (5 deficiencies)
Standard inspection Dec 31, 2025. CMS counts 5 health deficiencies and 7 fire safety deficiencies in this cycle.
Dec 31, 2025 · Standard inspection
5 deficiencies, highest E
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2026
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 5, 2026
F732 · Daily posting of nurse staffing
Requirement cited (CMS): Post nurse staffing information every day.
- Severity
- C No actual harm, potential for minimal harm, widespread
- Status
- Correction date Jan 5, 2026
F645 · Pre-admission screening for mental disorder or intellectual disability
Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2026
F641 · Accurate resident assessments
Requirement cited (CMS): Ensure each resident receives an accurate assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 5, 2026
Previous cycle: 14 deficiencies (standard inspection Sep 25, 2024)
Standard inspection Sep 25, 2024. CMS counts 14 health deficiencies and 6 fire safety deficiencies in this cycle.
Apr 15, 2025 · Complaint inspection
1 deficiency, highest D
F622 · Permitted reasons for transfer or discharge
Requirement cited (CMS): 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.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 4, 2025
Sep 25, 2024 · Standard + complaint inspection
13 deficiencies, highest F
F926 · Smoking policies
Requirement cited (CMS): Have policies on smoking.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 26, 2024
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F924 · Handrails in corridors
Requirement cited (CMS): Put firmly secured handrails on each side of hallways.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F919 · Working call system
Requirement cited (CMS): Make sure that a working call system is available in each resident's bathroom and bathing area.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F887 · COVID-19 vaccine education and offering
Requirement cited (CMS): Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2024
F883 · Flu and pneumonia vaccines
Requirement cited (CMS): Develop and implement policies and procedures for flu and pneumonia vaccinations.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2024
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2024
F812 · Food safety and sanitation
Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- Severity
- F No actual harm, potential for more than minimal harm, widespread
- Status
- Correction date Sep 26, 2024
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F760 · No significant medication errors
Requirement cited (CMS): Ensure that residents are free from significant medication errors.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2024
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Sep 26, 2024
F550 · Dignity and the right to exercise rights
Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 26, 2024
Earlier cycle: 15 deficiencies (standard inspection Jul 26, 2023)
Standard inspection Jul 26, 2023. CMS counts 15 health deficiencies and 2 fire safety deficiencies in this cycle.
Jan 18, 2024 · Complaint inspection
3 deficiencies, highest J
F697 · Pain management
Requirement cited (CMS): Provide safe, appropriate pain management for a resident who requires such services.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 19, 2024
F609 · Reporting suspected abuse and crimes
Requirement cited (CMS): Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 19, 2024
F580 · Telling residents and families about changes
Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- Severity
- J Immediate jeopardy to resident health or safety, isolated
- Status
- Correction date Jan 19, 2024
Oct 29, 2023 · Complaint inspection
2 deficiencies, highest E
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Sep 14, 2023
F600 · Freedom from abuse and neglect
Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Past non-compliance (fixed before the inspection), Sep 14, 2023
Jul 26, 2023 · Standard inspection
10 deficiencies, highest E
F925 · Pest control
Requirement cited (CMS): Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F804 · Palatable, attractive food at safe temperatures
Requirement cited (CMS): Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F761 · Drug labeling and secure storage
Requirement cited (CMS): Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F755 · Pharmacy services and a consultant pharmacist
Requirement cited (CMS): Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 18, 2023
F689 · Accident prevention and supervision
Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F677 · Help with daily care
Requirement cited (CMS): Provide care and assistance to perform activities of daily living for any resident who is unable.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 18, 2023
F656 · Comprehensive person-centered care plan
Requirement cited (CMS): Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F607 · Abuse prevention policies
Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Aug 18, 2023
F585 · Grievances and how they are handled
Requirement cited (CMS): Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 18, 2023
Tags cited in more than one inspection
7 tags cited on more than one inspection date at Twin Oaks Health & Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F607 Abuse prevention policies | 2 | Oct 29, 2023 (PNC); Jul 26, 2023 |
| F689 Accident prevention and supervision | 2 | Sep 25, 2024; Jul 26, 2023 |
| F761 Drug labeling and secure storage | 2 | Sep 25, 2024; Jul 26, 2023 |
| F804 Palatable, attractive food at safe temperatures | 2 | Dec 31, 2025; Jul 26, 2023 |
| F812 Food safety and sanitation | 2 | Dec 31, 2025; Sep 25, 2024 |
| F880 Infection prevention and control program | 2 | Sep 25, 2024; Jul 26, 2023 |
| F925 Pest control | 2 | Sep 25, 2024; Jul 26, 2023 |
Fines and payment denials
| Date | Type | Amount / length |
|---|---|---|
| Jan 18, 2024 | Fine | $174,431 |
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 2.97 h (below the Texas median of 3.27 h)
- RN hours per resident per day
- 0.39 h (about the same as the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.43 h
- Nursing staff turnover
- 98.0% (Texas median 52.1%)
- Administrators who left
- 3
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 3 of 5
CMS figures for Twin Oaks Health & Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1123 North Bolton Street, Jacksonville, TX 75766
- Phone
- (903) 586-9031
- County
- Cherokee
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 116
- Average residents per day
- 61
- In Medicare/Medicaid since
- Jan 7, 1999
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident and family council
- Resident
- Sprinklers in all required areas
- Yes
Questions to ask on a visit
Based on the tags cited most often here.
- Can families get a summary of the home's abuse prevention and reporting policy? (F607, cited 2 times)
- How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)
- How are medications stored and secured on each unit? (F761, cited 2 times)
- How does the home keep meals at the right temperature when they are delivered to residents' rooms? (F804, cited 2 times)
Other nursing homes in Jacksonville and the same chain
- Legacy at Jacksonville
Jacksonville · 12 deficiencies - Avir at Jacksonville
Jacksonville · 8 deficiencies - Franklin Heights Nursing & Rehabilitation
El Paso · 76 deficiencies - St. Teresa Nursing & Rehab Center
El Paso · 75 deficiencies - Mountain View Health & Rehabilitation
El Paso · 72 deficiencies - Pleasant Springs Healthcare Center
Mount Pleasant · 66 deficiencies
Source
CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.