Twin Oaks Health And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 41/100. The facility ranks in the 45th percentile among Texas nursing homes, suggesting significant room for improvement.
With 3.06 total nurse hours per resident per day, Twin Oaks Health And Rehabilitation Center falls below the national average of 3.8 hours. Families may want to ask about staffing levels during any facility visit.
Recent CMS inspections identified 34 deficiencies at Twin Oaks Health And Rehabilitation Center, including 2 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure food and drink is palatable, attractive, and at a safe and appetizing temperature..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.06 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.41 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.80 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.85 | 2.4 | Below Average |
| Weekend Total Nursing | 2.62 | 3.8 | Below Average |
| Weekend RN Hours | 0.36 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0804 Severity EEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.Dec 30, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 30, 2025 · Nutrition and Dietary Deficiencies
- Tag 0641 Severity DEnsure each resident receives an accurate assessment.Dec 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0645 Severity DPASARR screening for Mental disorders or Intellectual DisabilitiesDec 30, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0622 Severity DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is trApr 14, 2025 · Resident Rights 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 | 7.1% | 4.5% | Worse |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 25.6% | 14.5% | Worse |
| Urinary tract infections | 0.0% | 2.5% | Better |
| ADL decline (daily activities) | 13.1% | 14.0% | Average |
| Excessive weight loss | 0.0% | 7.5% | Better |
| New/worsened incontinence | 17.6% | 45.0% | Better |
⚠️ Penalties & Fines
1 penalty recorded by CMS
Total fines: $174,431
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 3★ → 24 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 2★ → 8 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
- Penalty deductions: -5 pts
- Fine deductions: -10 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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