BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR

112 PIONEER DR, BOOKER, TX 79005 · CCN 45F197 · 40 certified beds · Data as of 2026-07-01

CMS overall3 of 5CMS inspections4 of 5CMS staffing4 of 5CMS quality1 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

No immediate-jeopardy or actual-harm citations, and no CMS enforcement fines, appear in this facility's current record.

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Serious inspection findings

No citations at CMS's actual-harm or immediate-jeopardy levels appear in this facility's current record.

Staffing, from payroll records

Nursing hours / resident / day

4.65

state median 2.67

Weekend staffing gap

−13%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.92

registered nurses only

Contract (agency) staff

share of all nursing hours

Nursing staff turnover

74%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

CMS records no penalties for this facility.

Ownership

Ownership type: Government - Hospital district.

Full citation history

By severity: Potential for more than minimal harm: 12

Survey date	Tag	Category	Severity	Corrected
2025-04-30	F0761	Pharmacy Service Deficiencies	D	not recorded
2025-04-30	F0801	Nutrition and Dietary Deficiencies	D	not recorded
2025-04-30	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-04-30	F0880	Infection Control Deficiencies	D	not recorded
2024-03-14	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-14	F0656	Resident Assessment and Care Planning Deficiencies	D	not recorded
2024-03-14	F0689	Quality of Life and Care Deficiencies	D	not recorded
2024-03-14	F0700	Quality of Life and Care Deficiencies	E	not recorded
2024-03-14	F0758	Pharmacy Service Deficiencies	D	not recorded
2024-03-14	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-03-14	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2023-12-11	F0880	Infection Control Deficiencies	E	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “BOOKER HOSPITAL DISTRICT DBA: TWIN OAKS MANOR, BOOKER” at medicare.gov/care-compare.