For profit - Limited Liability company · 90 certified beds · CMS number 676372
Twin Pines North Nursing and Rehabilitation Center, Victoria, TX
CMS records 30 health deficiencies at Twin Pines North Nursing and Rehabilitation Center in Victoria, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Jun 5, 2026. The highest severity cited is E (no actual harm, potential for more than minimal harm). CMS lists no fines or payment denials in the last three years.
- 30deficiencies, 3 cycles (TX median 25)
- 10in the latest cycle (TX median 8)
- Ehighest severity · Potential for harm
- $0fines, last 3 years
- 2CMS overall rating (of 5)
Inspections and deficiencies
CMS findings for Twin Pines North Nursing and Rehabilitation Center as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Twin Pines North Nursing and Rehabilitation Center may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare
Most recent cycle (10 deficiencies)
Standard inspection Jun 5, 2026. CMS counts 10 health deficiencies and 1 fire safety deficiency in this cycle.
Jun 5, 2026 · Standard inspection
6 deficiencies, highest E
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 Jun 6, 2026
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 Jun 6, 2026
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 Jun 6, 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 Jun 6, 2026
F690 · Bladder, bowel, and catheter care
Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 6, 2026
F657 · Care plan timing and team review
Requirement cited (CMS): Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jun 6, 2026
Dec 18, 2025 · Complaint inspection
2 deficiencies, highest E
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 9, 2026
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
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Jan 9, 2026
Dec 4, 2025 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Dec 5, 2025
Sep 19, 2025 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Sep 20, 2025
Previous cycle: 6 deficiencies (standard inspection Apr 9, 2025)
Standard inspection Apr 9, 2025. CMS counts 6 health deficiencies and 2 fire safety deficiencies in this cycle.
Apr 9, 2025 · Standard + complaint inspection
6 deficiencies, highest D
F880 · Infection prevention and control program
Requirement cited (CMS): Provide and implement an infection prevention and control program.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
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 Apr 10, 2025
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 Apr 10, 2025
F695 · Respiratory and oxygen care
Requirement cited (CMS): Provide safe and appropriate respiratory care for a resident when needed.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
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
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
F558 · Accommodating individual needs and preferences
Requirement cited (CMS): Reasonably accommodate the needs and preferences of each resident.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Apr 10, 2025
Earlier cycle: 14 deficiencies (standard inspection Feb 23, 2024)
Standard inspection Feb 23, 2024. CMS counts 14 health deficiencies and 3 fire safety deficiencies in this cycle.
Aug 20, 2024 · Complaint inspection
1 deficiency, highest D
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Aug 21, 2024
May 14, 2024 · Complaint inspection
3 deficiencies, highest E
F882 · Qualified infection preventionist
Requirement cited (CMS): Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date May 15, 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 May 15, 2024
F842 · Complete, confidential medical records
Requirement cited (CMS): Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date May 15, 2024
Feb 23, 2024 · Standard + complaint 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 Feb 24, 2024
F805 · Food prepared for individual needs
Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Feb 24, 2024
F801 · Qualified dietitian and food staff
Requirement cited (CMS): 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.
- Severity
- E No actual harm, potential for more than minimal harm, pattern
- Status
- Correction date Feb 24, 2024
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 Feb 24, 2024
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 Feb 24, 2024
Jan 19, 2024 · Complaint inspection
4 deficiencies, highest D
F949 · Behavioral health training
Requirement cited (CMS): Provide behavior health training consistent with the requirements and as determined by a facility assessment.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 20, 2024
F946 · Compliance and ethics training
Requirement cited (CMS): Provide training in compliance and ethics.
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 20, 2024
F655 · Baseline care plan within 48 hours
Requirement cited (CMS): Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- Severity
- D No actual harm, potential for more than minimal harm, isolated
- Status
- Correction date Jan 20, 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 20, 2024
Nov 13, 2023 · Complaint inspection
1 deficiency, highest D
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 Nov 14, 2023
Tags cited in more than one inspection
6 tags cited on more than one inspection date at Twin Pines North Nursing and Rehabilitation Center; each date counts once and does not mean the same incident. PNC = past non-compliance.
| Tag | Inspections | Dates |
|---|---|---|
| F842 Complete, confidential medical records | 5 | Dec 18, 2025; Dec 4, 2025; Sep 19, 2025; Aug 20, 2024; May 14, 2024 |
| F880 Infection prevention and control program | 3 | Jun 5, 2026; Apr 9, 2025; May 14, 2024 |
| F609 Reporting suspected abuse and crimes | 2 | Jan 19, 2024; Nov 13, 2023 |
| F677 Help with daily care | 2 | Dec 18, 2025; Feb 23, 2024 |
| F761 Drug labeling and secure storage | 2 | Jun 5, 2026; Apr 9, 2025 |
| F812 Food safety and sanitation | 2 | Jun 5, 2026; Feb 23, 2024 |
Fines and payment denials
CMS lists no fines or payment denials for this nursing home in the last three years.
Staffing and CMS ratings
- Total nurse staff hours per resident per day
- 3.20 h (about the same as the Texas median of 3.27 h)
- RN hours per resident per day
- 0.35 h (below the Texas median of 0.38 h)
- Weekend nurse staff hours per resident per day
- 2.83 h
- Nursing staff turnover
- 96.3% (Texas median 52.1%)
- Administrators who left
- 1
- CMS overall rating
- 2 of 5
- Health inspection rating
- 3 of 5
- Staffing rating
- 1 of 5
- Quality measure rating
- 2 of 5
CMS figures for Twin Pines North Nursing and Rehabilitation Center, copied as published; Texas medians are ours.
Facility details
- Address
- 1301 Mallette Drive, Victoria, TX 77904
- Phone
- (361) 576-9454
- County
- Victoria
- Accepts
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Chain (CMS)
- Creative Solutions in Healthcare
- Certified beds
- 90
- Average residents per day
- 83.1
- In Medicare/Medicaid since
- Nov 11, 2014
- 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.
- Does the home use electronic health records, and can families get access through a portal? (F842, cited 5 times)
- How do staff track and report infections among residents? (F880, cited 3 times)
- Who at the home is responsible for reporting incidents to the state? (F609, cited 2 times)
- How often do residents who need help get assistance with bathing, grooming, and mouth care? (F677, cited 2 times)
Other nursing homes in Victoria and the same chain
- Twin Pines Nursing and Rehabilitation
Victoria · 60 deficiencies - The Courtyard Rehabilitation and Healthcare Center
Victoria · 18 deficiencies - Riverside Oaks
Victoria · 10 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.