Nursing home
Twin Oaks Health and Rehabilitation Center
1123 N Bolton St, Jacksonville, TX 75766 · Map
For profit - Corporation · Part of Creative Solutions In Healthcare (149 facilities) · 116 certified beds
Twin Oaks Health and Rehabilitation Center is a Medicare-certified nursing home in Jacksonville, Texas. CMS rates it 3 out of 5 stars overall (2/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.06 hours per resident per day, below the Texas average of 3.40. Its most recent inspection on Dec 31, 2025 cited 6 deficiencies.
- 1 fine totaling $174,431In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Twin Oaks Health and Rehabilitation Center 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 | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.06 | 3.40 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.41 | 0.44 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.85 | 2.01 | 2.34 | below avg |
| Nursing staff turnover | 65.4% | 51.5% | 46.4% | above avg |
| Deficiencies cited, last inspection | 6.0 | 9.1 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the December 31, 2025 inspection was corrected by January 5, 2026
Penalties in CMS records: 1 fine totaling $174,431, 1 total penalty.
What inspectors found at Twin Oaks Health and Rehabilitation Center
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 · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 31, 2025 · Full report (PDF) - Minimal
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Dec 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Apr 15, 2025 · Full report (PDF) - 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 · Sep 25, 2024 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Sep 25, 2024 · Full report (PDF) - Potential for harm
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.
Infection Control Deficiencies · Sep 25, 2024 · Full report (PDF) - Potential for harm
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies · Sep 25, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Sep 25, 2024 · Full report (PDF) - 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 · Sep 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 1123 N Bolton St
Jacksonville, TX 75766 - CMS certification #
- 675183
- Ownership
- For profit - Corporation
- Certified beds
- 116
- Avg residents/day
- 64.6
- Provider type
- Medicare and Medicaid
- First certified
- 1999-01-07
- Chain
- Creative Solutions In Healthcare (149 facilities)
- Setting
- Rural
Part of Creative Solutions In Healthcare
Creative Solutions In Healthcare operates 149 nursing facilities across the United States. View all Creative Solutions In Healthcare facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Twin Oaks Health and Rehabilitation Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Ut Health East Texas Jacksonville Hospital, Jacksonville. 1.2 miles away, straight line.
- Nearest Medicare nursing home
- Avir at Jacksonville, Jacksonville. 2.1 miles away, straight line.
- Nearest home health agency office
- Health Concepts Home Health, Inc, Jacksonville. 1.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Brookshire Brothers Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 75766 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Jacksonville Dialysis Center, Jacksonville, 2.6 miles away, straight line (CMS rating 2 of 5 stars)
- Hospice
- 19 Medicare hospices tell CMS they serve ZIP code 75766.
Heart To Heart Hospice Of Tyler Ltd, office in Tyler, 19.7 miles away, straight line (CMS family survey rating 4 of 5 stars)
Choice Hospice, office in Tyler, 20.7 miles away, straight line (CMS family survey rating 3 of 5 stars)
Harbor Hospice Of Texarkana Lp, office in Tyler, 21.8 miles away, straight line - Nearest geriatric medicine practice
- South Limestone Hospital District, Groesbeck. 80.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: hurricane relatively low, inland flooding relatively moderate, wildfire relatively low, tornado relatively high, heat wave relatively high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| Hurricane evacuation zone maps | Not in a mapped zone | |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Twin Oaks Health and Rehabilitation Center a good nursing home?
CMS gives Twin Oaks Health and Rehabilitation Center an overall rating of 3 out of 5 stars, including 2/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Twin Oaks Health and Rehabilitation Center staffed?
Twin Oaks Health and Rehabilitation Center reports 3.06 total nurse hours per resident per day, compared with the Texas average of 3.40.
Has Twin Oaks Health and Rehabilitation Center had inspection problems?
Its most recent CMS inspection cited 6 deficiencies.
How many beds does Twin Oaks Health and Rehabilitation Center have?
Twin Oaks Health and Rehabilitation Center is certified for 116 beds.