F

Twin Pines Nursing and Rehabilitation

3301 E Mockingbird Ln, Victoria, TX 77904
Score: 8 / 100

Twin Pines Nursing And Rehabilitation has received an F grade based on CMS data, with a score of 8/100 — placing it among the lowest-rated nursing facilities in Texas. Families considering this Victoria facility should carefully review its inspection history and quality metrics.

With 3.00 total nurse hours per resident per day, Twin Pines Nursing And Rehabilitation 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 54 deficiencies at Twin Pines Nursing And Rehabilitation, including 4 classified as serious — among the most concerning citation levels. The most notable finding involved: honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights..

Score Breakdown

Overall CMS Rating 8 / 40 pts
1 ★ CMS rating
Health Inspections 5 / 25 pts
1 ★ inspection rating
Staffing 8 / 20 pts
2 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.00 3.8 Below Average
Registered Nurses (RN) 0.19 0.7 Below Average
Licensed Practical Nurses (LPN) 0.87 0.7 Above Average
Certified Nursing Assistants (CNA) 1.94 2.4 Below Average
Weekend Total Nursing 2.69 3.8 Below Average
Weekend RN Hours 0.12 0.7 Below Average

🔍 Inspection & Deficiency History

54
Total Deficiencies
Nov 25, 2025
Most Recent Inspection
⚪ 1 Minor 🟠 49 Moderate 🔴 4 Serious
View recent deficiencies (5 shown)
  • Tag 0550 Severity D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    Nov 25, 2025 · Resident Rights Deficiencies
  • Tag 0919 Severity D
    Make sure that a working call system is available in each resident's bathroom and bathing area.
    Nov 25, 2025 · Environmental Deficiencies
  • Tag 0656 Severity J
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    Jul 12, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0689 Severity J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Jul 12, 2025 · Quality of Life and Care Deficiencies
  • Tag 0641 Severity D
    Ensure each resident receives an accurate assessment.
    Apr 16, 2025 · Resident Assessment and Care Planning 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 5.4% 4.5% Worse
Falls with major injury 3.4% 3.0% Worse
On antipsychotic medication 9.1% 14.5% Better
Urinary tract infections 1.1% 2.5% Better
ADL decline (daily activities) 28.3% 14.0% Worse
Excessive weight loss 5.8% 7.5% Better
New/worsened incontinence 19.4% 45.0% Better

⚠️ Penalties & Fines

3 penalties recorded by CMS

Total fines: $44,971

How This Grade Was Calculated

This facility's grade of F is based on a score of 8 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 1★ → 8 pts (max 40)
  • Health Inspection Rating: 1★ → 5 pts (max 25)
  • Staffing Rating: 2★ → 8 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -15 pts
  • Fine deductions: -4 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
200
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 5, 2024
Deficiencies (Cycle 1)
15