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Booker Hospital District DBA: Twin Oaks Manor

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

112 Pioneer Dr, Booker, TX 7900561 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
5.0/5

based on 2 Google reviews

Booker Hospital District DBA:  Twin Oaks Manor Nursing Home in Booker, TX — Street View
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What this means for your family

Booker Hospital District DBA: Twin Oaks Manor falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.99hrs
OK
Registered nurses for medical care
Total Nursing
5.66hrs
OK
All nurses + aides combined
Staff Turnover
72%
Lower is better (< 30% = good)
RN Turnover
86%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
1/ 5
Better Than Avg

4

measures

Worse Than Avg

10

measures

Mixed Results

1

measures

Long-Stay Residents
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility38.0%
Worse than Avg
Here
38.0%
US
19.4%
TX
14.2%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility35.9%
Worse than Avg
Here
35.9%
US
15.3%
TX
14.9%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility78.7%
Worse than Avg
Here
78.7%
US
93.4%
TX
96.9%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility32.4%
Worse than Avg
Here
32.4%
US
14.4%
TX
16.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility7.3%
Better than Avg
Here
7.3%
US
19.5%
TX
18.4%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.4%
TX
9.4%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility45.5%
Worse than Avg
Here
45.5%
US
81.8%
TX
89.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (9.1)
1 complaint-triggered

Twin Oaks Manor shows recurring issues across nutrition and dietary services, medication management, and infection control, with one complaint-triggered deficiency regarding infection prevention. The facility has had 14 deficiencies over three surveys, with problems persisting in food safety and infection control appearing in multiple inspections. All violations have been corrected according to federal records, though the pattern suggests ongoing challenges in these key care areas.

Apr 30, 2025Routine
5
0004ModerateCorrected

Emergency Preparedness Deficiencies

Develop and maintain an Emergency Preparedness Program (EP).

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0801MinorCorrected

Nutrition and Dietary Deficiencies

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 14, 2024Routine
8
0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0700ModerateCorrected

Quality of Life and Care Deficiencies

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

0641MinorCorrected

Resident Assessment and Care Planning Deficiencies

Ensure each resident receives an accurate assessment.

0656MinorCorrected

Resident Assessment and Care Planning Deficiencies

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0758MinorCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0363MinorCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Dec 11, 2023Complaint
1
0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Booker Hospital District

Organization Type

for profit

Administrator

SHAWN HOOVER

Ownership & Management

Owners

Undisclosed

Ownership Data Not Available · Organization

Source: Medicare provider data

Contact

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References & Resources

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