TWIN OAKS HEALTH AND REHABILITATION CENTER

1123 N BOLTON ST, JACKSONVILLE, TX 75766 · CCN 675183 · 116 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality3 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.

State inspectors recorded 2 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.

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Serious inspection findings

2024-01-18 — IMMEDIATE JEOPARDY (tag F0580, severity J)

Resident Rights Deficiencies · correction not recorded in CMS data

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

2024-01-18 — IMMEDIATE JEOPARDY (tag F0697, severity J)

Quality of Life and Care Deficiencies · correction not recorded in CMS data

Provide safe, appropriate pain management for a resident who requires such services.

Staffing, from payroll records

Nursing hours / resident / day

2.34

state median 2.67

Weekend staffing gap

−19%

fewer nursing hours on weekends · state median −7%

RN hours / resident / day

0.30

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

98%

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

1 enforcement action(s), totaling $174,431 in fines.

Date	Type	Amount
2024-01-18	Fine	$174,431

Ownership

Ownership type: For profit - Corporation. Part of the CREATIVE SOLUTIONS IN HEALTHCARE chain.

Other facilities under the same ownership, with their CMS overall ratings:

Buena Vida Nursing and Rehab-San Antonio (SAN ANTONIO, TX) — CMS overall1 of 5
MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) — CMS overall1 of 5
Mountain View Health & Rehabilitation (El Paso, TX) — CMS overall1 of 5
Vista Hills Health Care Center (El Paso, TX) — CMS overall1 of 5
Pleasant Springs Healthcare Center (Mount Pleasant, TX) — CMS overall1 of 5
AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) — CMS overall3 of 5
HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) — CMS overall2 of 5
MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) — CMS overall4 of 5

Full citation history

By severity: No harm, potential for minimal harm: 1 · Potential for more than minimal harm: 31 · Immediate jeopardy: 2

Survey date	Tag	Category	Severity	Corrected
2025-12-31	F0641	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-31	F0645	Resident Assessment and Care Planning Deficiencies	D	not recorded
2025-12-31	F0732	Nursing and Physician Services Deficiencies	C	not recorded
2025-12-31	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2025-12-31	F0812	Nutrition and Dietary Deficiencies	E	not recorded
2025-04-15	F0622	Resident Rights Deficiencies	D	not recorded
2024-09-25	F0550	Resident Rights Deficiencies	D	not recorded
2024-09-25	F0558	Resident Rights Deficiencies	E	not recorded
2024-09-25	F0689	Quality of Life and Care Deficiencies	E	not recorded
2024-09-25	F0760	Pharmacy Service Deficiencies	D	not recorded
2024-09-25	F0761	Pharmacy Service Deficiencies	D	not recorded
2024-09-25	F0812	Nutrition and Dietary Deficiencies	F	not recorded
2024-09-25	F0880	Infection Control Deficiencies	E	not recorded
2024-09-25	F0883	Infection Control Deficiencies	E	not recorded
2024-09-25	F0887	Infection Control Deficiencies	E	not recorded
2024-09-25	F0919	Environmental Deficiencies	D	not recorded
2024-09-25	F0924	Environmental Deficiencies	D	not recorded
2024-09-25	F0925	Environmental Deficiencies	D	not recorded
2024-09-25	F0926	Environmental Deficiencies	F	not recorded
2024-01-18	F0580	Resident Rights Deficiencies	J	not recorded
2024-01-18	F0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	D	not recorded
2024-01-18	F0697	Quality of Life and Care Deficiencies	J	not recorded
2023-10-29	F0600	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-10-29	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-07-26	F0585	Resident Rights Deficiencies	D	not recorded
2023-07-26	F0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	E	not recorded
2023-07-26	F0656	Resident Assessment and Care Planning Deficiencies	E	not recorded
2023-07-26	F0677	Quality of Life and Care Deficiencies	D	not recorded
2023-07-26	F0689	Quality of Life and Care Deficiencies	E	not recorded
2023-07-26	F0755	Pharmacy Service Deficiencies	D	not recorded
2023-07-26	F0761	Pharmacy Service Deficiencies	E	not recorded
2023-07-26	F0804	Nutrition and Dietary Deficiencies	E	not recorded
2023-07-26	F0880	Infection Control Deficiencies	E	not recorded
2023-07-26	F0925	Environmental 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 “TWIN OAKS HEALTH AND REHABILITATION CENTER, JACKSONVILLE” at medicare.gov/care-compare.