Twin Oaks Health & Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 37 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low staffing rating (2/5 stars)
- High staff turnover (65%)
- High RN turnover (67%)
Above average in Texas · Below recommended RN staffing · $174,431 in fines
What this means for your family
This facility is highly regarded for its compassionate staff and its ability to help families navigate the complexities of Medicaid and hospital admissions. However, families should closely monitor clinical care and staffing levels, as there have been specific reports of medical neglect and understaffing during certain periods.
Google Reviews
Google Reviews
37 reviews analyzed“Families often praise the facility for its compassionate, family-like atmosphere and the exceptional efforts of the admissions and marketing staff in navigating insurance and Medicaid hurdles. While many residents enjoy the social activities and friendly nursing staff, there are significant concerns regarding chronic understaffing and inconsistent medical care quality reported by some family members.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and caring nursing staff
- Exceptional admissions and marketing support
- Engaging resident activities and social events
- Welcoming, family-oriented atmosphere
Concerns
- Chronic understaffing and medical care quality
- Inconsistent food quality (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses templated, scripted responses that rely heavily on directing dissatisfied reviewers to a corporate customer care line. While they acknowledge the sentiment of the reviews, they rarely address specific complaints like staffing or food quality directly in the text.
Questions for Your Tour
- 1It is wonderful to see how much the team values feedback from the community; how does the administration use family input to improve the facility?
- 2We are looking for a very hands-on environment, so could you tell us more about how the nursing team manages their daily rounds and resident care?
- 3What specific steps are being taken to ensure there is always enough staff available to assist residents with their immediate needs?
- 4We love the idea of a family-oriented atmosphere; what kind of social events or group activities do the residents participate in together?
- 5How does the kitchen team ensure that meal quality and nutritional variety remain consistent for every resident?
- 6In the event of a medical emergency during the night, what is the protocol for ensuring a doctor or supervisor is notified immediately?
Personalized based on this facility's data
Key Review Excerpts
“Twin Oaks was the only establishment that took my mom in because of Medicaid issues. Erica was so helpful, kind and understanding as my sister and I were stressed out thinking my mom had no place to go.”
“The Marketing Director, Erica was awesome! Everything she told me about is here and then some!”
“They are chronically very short staffed. The food is terrible. Medical care is very sub par. I am shocked at how to many times he has been sick since he's been here.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
10
measures
3
measures
4
measures
Residents on antipsychotic medication
Residents with depression symptoms
Residents whose walking got worse
Residents vaccinated for pneumonia
Residents who lost too much weight
Residents needing more daily help over time
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families have filed 11 complaint reports triggering federal inspections, revealing concerning patterns in care quality, medication management, and facility safety. The facility has recurring issues with food service and dietary care, infection control, and fire safety systems that persist across multiple surveys. While most deficiencies show correction dates, the pattern of repeated violations in critical areas like resident protection and medication errors suggests ongoing operational challenges that families should carefully consider.
Dec 31, 2025Routine12
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Apr 15, 2025Complaint2
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Resident Rights Deficiencies
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Sep 25, 2024Routine16
Environmental Deficiencies
Have policies on smoking.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
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.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Put firmly secured handrails on each side of hallways.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Sep 25, 2024Complaint3
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Jan 18, 2024Complaint3
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Oct 29, 2023Complaint2
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Federal Penalties
Fine
Jan 18, 2024
$174,431
Ownership & Operations
Who Operates This Facility
Kirbyville I Enterprises, LLC
for profit
JACKSONVILLE III ENTERPRISES, LLC
LINNEA W ROBISON
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 53 of 148
Ownership & Management
Owners
Liberty County Hospital District no. 1
Owner · Organization
Key personnel
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
37 reviews from families & visitors
Official Website
Visit twinoakscare.com
Medicare data downloads
Original nursing home datasets
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