Twin Oaks Health And Rehabilitation Center
1123 N Bolton St, Jacksonville, TX 75766 · Cherokee County
For-profit · 116 certified beds · 53% occupancy · (903) 586-9031
The U.S. government (CMS) rates Twin Oaks Health And Rehabilitation Center 2 out of 5 stars overall, below average. Its nurse staffing is 9% below the Texas median. Inspectors cited it for 2 immediate-jeopardy findings in recent inspection cycles.
CMS quality ratings
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. Stars are CMS's own five-star ratings.
Nurse staffing
Staffing is the single strongest predictor of nursing home quality, and the number pay-to-play referral sites rarely show you.
2.97 nurse hours per resident per day. 9% below the Texas median of 3.27.
Nursing staff turnover: 98% · RN turnover: 100%
Safety & compliance flags
No CMS warning flags on record.
Recent inspection findings
The specific problems state inspectors cited, the detail behind the star ratings, and what referral sites never show. Findings CMS records as corrected are marked.
- Potential for harmTag F0804 · Dec 31, 2025Corrected Jan 5, 2026
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0812 · Dec 31, 2025Corrected Jan 5, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0641 · Dec 31, 2025Corrected Jan 5, 2026
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
- Potential for harmTag F0645 · Dec 31, 2025Corrected Jan 5, 2026
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies
- Minimal harmTag F0732 · Dec 31, 2025Corrected Jan 5, 2026
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies
- Potential for harmTag F0812 · Sep 25, 2024ComplaintCorrected Sep 26, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
- Potential for harmTag F0926 · Sep 25, 2024Corrected Sep 26, 2024
Have policies on smoking.
Environmental Deficiencies
- Potential for harmTag F0558 · Sep 25, 2024Corrected Sep 26, 2024
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
- Potential for harmTag F0689 · Sep 25, 2024Corrected Sep 26, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
- Potential for harmTag F0880 · Sep 25, 2024Corrected Sep 26, 2024
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Showing the 10 most recent and serious of 34 findings. See the full inspection history on Medicare.gov.
Antipsychotic drug use
The share of long-stay residents given antipsychotic medication. These drugs are sometimes used to sedate residents with dementia, a practice CMS and resident advocates watch closely. Lower is better.
This is far above both the Texas and national norm. It is worth asking the staff directly why, and whether every prescription has a documented medical reason and a plan to reduce it.
Source: CMS MDS Quality Measures, long-stay antipsychotic measure, retrieved 2026-08-09. See the Texas study
Federal fines and penalties
Money CMS has fined this home, plus other federal penalties, over roughly the last three years. Fines follow serious or repeated violations.
Source: CMS Care Compare (Nursing Homes), dataset 4pq5-n9py, retrieved 2026-08-09. See the most-fined homes in Texas
Ownership
This home is for-profit (for profit - corporation). It is part of the Creative Solutions In Healthcare chain, which operates 149 facilities, with a chain-average CMS rating of 2.2 stars.