Twin Pines Nursing and Rehabilitation
State inspectors recorded 4 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-07-13 — IMMEDIATE JEOPARDY (tag F0656, severity J)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
2025-07-13 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-15 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-11-15 — IMMEDIATE JEOPARDY (tag F0806, severity J)
Nutrition and Dietary Deficiencies · correction not recorded in CMS data
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Staffing, from payroll records
Nursing hours / resident / day
2.38
state median 2.67
Weekend staffing gap
−4%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.03
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
62
with residents present
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $37,199 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-07-13 | Fine | $14,433 |
| 2024-11-15 | Fine | $8,333 |
| 2024-11-15 | Fine | $14,433 |
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) —
- MESA VISTA INN HEALTH CENTER (SAN ANTONIO, TX) —
- Mountain View Health & Rehabilitation (El Paso, TX) —
- Vista Hills Health Care Center (El Paso, TX) —
- Pleasant Springs Healthcare Center (Mount Pleasant, TX) —
- AMISTAD NURSING AND REHABILITATION CENTER (UVALDE, TX) —
- HERITAGE AT LONGVIEW HEALTHCARE CENTER (LONGVIEW, TX) —
- MINERAL WELLS NURSING & REHABILITATION (MINERAL WELLS, TX) —
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-20 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-20 | F0583 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-20 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-20 | F0645 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-20 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-20 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2026-02-20 | F0755 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-20 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2026-02-20 | F0770 | Administration Deficiencies | D | not recorded |
| 2026-02-20 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2026-02-20 | F0880 | Infection Control Deficiencies | E | not recorded |
| 2026-02-06 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2026-02-06 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-11-26 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-11-26 | F0919 | Environmental Deficiencies | D | not recorded |
| 2025-07-13 | F0656 | Resident Assessment and Care Planning Deficiencies | J | not recorded |
| 2025-07-13 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-04-17 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-02-13 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-06 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-06 | F0583 | Resident Rights Deficiencies | E | not recorded |
| 2024-12-06 | F0584 | Resident Rights Deficiencies | D | not recorded |
| 2024-12-06 | F0655 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-06 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-12-06 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-06 | F0695 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-12-06 | F0761 | Pharmacy Service Deficiencies | D | not recorded |
| 2024-12-06 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-12-06 | F0921 | Environmental Deficiencies | E | not recorded |
| 2024-11-15 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2024-11-15 | F0806 | Nutrition and Dietary Deficiencies | J | not recorded |
| 2024-04-27 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-27 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2024-04-27 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-27 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-04-27 | F0697 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-04-27 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-04-27 | F0732 | Nursing and Physician Services Deficiencies | C | not recorded |
| 2024-04-27 | F0759 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-04-27 | F0761 | Pharmacy Service Deficiencies | E | not recorded |
| 2024-04-27 | F0800 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-04-27 | F0805 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-04-27 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2024-04-27 | F0842 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2024-04-27 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-10-13 | F0641 | Resident Assessment and Care Planning Deficiencies | E | not recorded |
| 2023-10-13 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-10-13 | F0693 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-10-13 | F0808 | Nutrition and Dietary Deficiencies | D | not recorded |
| 2023-10-13 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-09-29 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-29 | F0558 | Resident Rights Deficiencies | D | not recorded |
| 2023-09-29 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2023-09-29 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-29 | F0803 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2023-09-15 | F0641 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-09-15 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-09-15 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-08-23 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-08-23 | F0684 | Quality of Life and Care Deficiencies | E | not recorded |
| 2023-08-23 | F0842 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-07-07 | F0806 | Nutrition and Dietary Deficiencies | D | not recorded |