Booker Hospital District Dba: Twin Oaks Manor faces challenges in its CMS ratings, earning a D grade with a score of 43/100. The facility ranks in the 47th percentile among Texas nursing homes, suggesting significant room for improvement.
With 1.59 total nurse hours per resident per day, Booker Hospital District Dba: Twin Oaks Manor falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent inspections identified 12 deficiencies at Booker Hospital District Dba: Twin Oaks Manor. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 1.59 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.14 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.17 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 1.28 | 2.4 | Below Average |
| Weekend Total Nursing | 1.90 | 3.8 | Below Average |
| Weekend RN Hours | 0.06 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Apr 29, 2025 · Nutrition and Dietary Deficiencies
- Tag 0761 Severity DEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiApr 29, 2025 · Pharmacy Service Deficiencies
- Tag 0801 Severity DEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a quApr 29, 2025 · Nutrition and Dietary Deficiencies
- Tag 0880 Severity DProvide and implement an infection prevention and control program.Apr 29, 2025 · Infection Control Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Mar 13, 2024 · Nutrition and Dietary Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 0.8% | 4.5% | Better |
| Falls with major injury | 5.6% | 3.0% | Worse |
| On antipsychotic medication | 17.5% | 14.5% | Worse |
| Urinary tract infections | 2.9% | 2.5% | Worse |
| ADL decline (daily activities) | 35.4% | 14.0% | Worse |
| Excessive weight loss | 5.8% | 7.5% | Better |
| New/worsened incontinence | 38.3% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 43 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 1★ → 3 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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