Government - Hospital district ·
40 certified beds ·
Medicaid
2
Overall CMS Rating
★★☆☆☆
Booker Hospital District Dba: Twin Oaks Manor is a Medicare-certified nursing home in Booker, Texas. CMS rates it 2 out of 5 stars overall (1/5 for staffing, 4/5 for health inspections). Nurse staffing is 1.59 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Apr 30, 2025 cited 4 deficiencies.
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CMS Quality Ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars = highest quality.
Overall Rating
★★☆☆☆ 2/5
Health Inspections
★★★★☆ 4/5
Staffing
★☆☆☆☆ 1/5
Quality Measures
★☆☆☆☆ 1/5
Long-Stay QM
★☆☆☆☆ 1/5
Short-Stay QM
No data
How Booker Hospital District Dba: Twin Oaks Manor compares
This facility vs. the Texas and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
Metric
This facility
Texas avg
National avg
Total nurse staffing (hrs/resident/day)
1.59
3.40
3.89
below avg
RN staffing (hrs/resident/day)
0.14
0.44
0.68
below avg
Aide staffing (hrs/resident/day)
1.28
2.01
2.34
below avg
Nursing staff turnover
74.1%
51.5%
46.4%
above avg
Deficiencies cited, last inspection
4.0
9.1
9.5
below avg
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
1.59
Total Nurse Hrs/Resident/Day
0.14
RN Hrs/Resident/Day
0.17
LPN Hrs/Resident/Day
1.28
Aide Hrs/Resident/Day
1.90
Weekend Nurse Hrs/Resident/Day
Staff Turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is ~60%.
Total Nursing Staff
74.1%
Registered Nurses
85.7%
Administrator Changes—
Recent Health Inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Apr 30, 2025
Most Recent Inspection Date
4
Total Deficiencies Found
20
Health Inspection Score
0
Number of Fines
What inspectors found at Booker Hospital District Dba: Twin Oaks Manor
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Apr 30, 2025
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Apr 30, 2025
Potential for harm
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.Nutrition and Dietary Deficiencies · Apr 30, 2025
Potential for harm
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.Pharmacy Service Deficiencies · Apr 30, 2025
Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Nutrition and Dietary Deficiencies · Mar 14, 2024
Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.Quality of Life and Care Deficiencies · Mar 14, 2024
Potential for harm
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.Pharmacy Service Deficiencies · Mar 14, 2024
Potential for harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.Pharmacy Service Deficiencies · Mar 14, 2024
Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Quality of Life and Care Deficiencies · Mar 14, 2024
Potential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.Resident Assessment and Care Planning Deficiencies · Mar 14, 2024
Potential for harm
Ensure each resident receives an accurate assessment.Resident Assessment and Care Planning Deficiencies · Mar 14, 2024
Potential for harm
Provide and implement an infection prevention and control program.Infection Control Deficiencies · Dec 11, 2023
About This Facility
Address
112 Pioneer Dr Booker, TX 79005
CMS Certification #
45F197
Ownership
Government - Hospital district
Certified Beds
40
Avg Residents/Day
39.4
Provider Type
Medicaid
First Certified
1988-04-15
Setting
Rural
Location & Nearby
Explore the area around Booker Hospital District Dba: Twin Oaks Manor using Google Maps.
CMS gives Booker Hospital District Dba: Twin Oaks Manor an overall rating of 2 out of 5 stars, including 1/5 for staffing and 4/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Booker Hospital District Dba: Twin Oaks Manor reports 1.59 total nurse hours per resident per day, compared with the Texas average of 3.40.
Its most recent CMS inspection cited 4 deficiencies.
Booker Hospital District Dba: Twin Oaks Manor is certified for 40 beds.
Admissions at Booker Hospital District Dba: Twin Oaks Manor
For admissions, availability and rehab questions, call (806) 658-9786. If a parent is leaving the hospital, the hospital discharge planner can also check which nursing homes have a bed.
