D

Twin Pines North Nursing and Rehabilitation Center

1301 Mallette Drive, Victoria, TX 77904
Score: 44 / 100

Twin Pines North Nursing And Rehabilitation Center faces challenges in its CMS ratings, earning a D grade with a score of 44/100. The facility ranks in the 48th percentile among Texas nursing homes, suggesting significant room for improvement.

With 3.19 total nurse hours per resident per day, Twin Pines North Nursing 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 inspections identified 26 deficiencies at Twin Pines North Nursing And Rehabilitation Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 9 / 15 pts
3 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 3.19 3.8 Below Average
Registered Nurses (RN) 0.29 0.7 Below Average
Licensed Practical Nurses (LPN) 1.09 0.7 Above Average
Certified Nursing Assistants (CNA) 1.81 2.4 Below Average
Weekend Total Nursing 2.68 3.8 Below Average
Weekend RN Hours 0.21 0.7 Below Average

🔍 Inspection & Deficiency History

26
Total Deficiencies
Dec 17, 2025
Most Recent Inspection
🟠 26 Moderate
View recent deficiencies (5 shown)
  • Tag 0677 Severity E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    Dec 17, 2025 · Quality of Life and Care Deficiencies
  • Tag 0842 Severity E
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Dec 17, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Dec 3, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0842 Severity D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standar
    Sep 18, 2025 · Resident Assessment and Care Planning Deficiencies
  • Tag 0558 Severity D
    Reasonably accommodate the needs and preferences of each resident.
    Apr 8, 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 5.0% 4.5% Worse
Falls with major injury 7.3% 3.0% Worse
On antipsychotic medication 3.2% 14.5% Better
Urinary tract infections 2.6% 2.5% Average
ADL decline (daily activities) 15.2% 14.0% Average
Excessive weight loss 4.5% 7.5% Better
New/worsened incontinence 20.5% 45.0% Better

How This Grade Was Calculated

This facility's grade of D is based on a score of 44 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 2★ → 16 pts (max 40)
  • Health Inspection Rating: 3★ → 15 pts (max 25)
  • Staffing Rating: 1★ → 4 pts (max 20)
  • Quality Measures Rating: 3★ → 9 pts (max 15)

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

Facility Details

Ownership
For profit - Corporation
Certified Beds
90
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Apr 8, 2025
Deficiencies (Cycle 1)
10