Twin Oaks Rehabilitation and Healthcare Center
Strong Medicare quality ratings; families often praise professional leadership team. Still worth an in-person visit.
based on 16 Google reviews
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What this means for your family
This facility has significant, recurring reports of medical neglect and hygiene issues that should be thoroughly investigated by any prospective family. While some reviewers praise the leadership and therapy teams, the severity of the negative claims regarding wound care and communication makes it essential to perform an unannounced visit and speak directly with current residents' families.
Google Reviews
Google Reviews
16 reviews on Google“Twin Oaks Rehabilitation and Healthcare Center receives highly polarized feedback, with significant concerns regarding patient neglect and facility hygiene. While some reviewers praise the facility's cleanliness and leadership, others report severe medical neglect, including untreated wounds leading to amputation and dehydration, as well as persistent odors.”
Quality Themes
Tap a score for detailsStrengths
- Professional leadership team
- Clean and organized facility environment
- Effective physical therapy department
Concerns
- Severe medical neglect and poor wound care (mentioned by 2 reviewers)
- Unsanitary conditions and persistent odors (mentioned by 3 reviewers)
- Poor communication regarding patient condition (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 16 analyzed
How They Respond to Reviews
Questions for Your Tour
- 1Given the facility's focus on rehabilitation, what specific protocols are in place to ensure consistent monitoring and documentation of wound care for residents?
- 2Could you walk me through your current communication process for updating families on changes in a resident's medical condition or medication adjustments?
- 3With a 3-star staffing rating, how does your leadership team ensure that residents receive timely attention and assistance with daily hygiene and room cleanliness?
- 4What steps are being taken to address feedback regarding facility odors and to maintain a consistently fresh and sanitary environment for all residents?
- 5Since the physical therapy department is a noted strength here, how do you integrate those therapy goals into the resident's daily routine and social activities?
- 6How does your team handle medical emergencies or urgent health concerns during evening and weekend shifts when staffing levels may be different?
Personalized based on this facility's data
Key Review Excerpts
“He had a bedsore on his foot that was untreated and it had him feeling so bad that he called 911 for himself. He made it to the hospital for the doctors to find that his foot has been obviously neglected.”
“The facility is very clean and organized. The staff is very pleasant, kind and caring. The Director of the facility and his leadership staff are great.”
“I think and feel like of the staff is not doing their job, and that the place should be supervise more often the smell of urine us all throw the place and some staff is not reporting to the family that are in charge to the family member as the condition of the patient”
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
12
measures
1
measures
4
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Twin Oaks shows a moderate inspection record with 11 deficiencies across three surveys, all corrected by the facility. The most recurring issues involve infection control programs (appearing in two separate years), electrical systems and fire safety equipment, and medication management. While deficiencies have been addressed when identified, the repeat infection control violations suggest families should inquire about current safety protocols during their visit.
Oct 26, 2023Routine3
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Aug 5, 2021Routine1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nov 2, 2019Routine7
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nursing and Physician Services Deficiencies
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Ownership & Operations
Who Operates This Facility
Twin Oaks Rehabilitation and Healthcare Center
for profit
Chain Affiliation
Ball Healthcare Services
10 facilities nationwide
Chain avg rating: 3.0/5 · Rank 1 of 10 (Best)
Ownership & Management
Owners
Ball, Clarence
Owner
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
16 reviews from families & visitors
Official Website
Visit ballhealth.com
Medicare data downloads
Original nursing home datasets
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