Twin Pines North Nursing and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 91 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 overall rating (2/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (10 vs median 8.0)
- High staff turnover (59%)
- High RN turnover (75%)
Below average in Texas · Critically understaffed (RN) · Below chain average · No penalties on record
What this means for your family
This facility is an excellent choice for families prioritizing a clean, beautiful environment and high-quality rehabilitation therapy. However, you must be vigilant regarding medication management and should personally verify that all physician orders are being accurately followed and documented.
Google Reviews
Google Reviews
91 reviews analyzed“Families considering Twin Pines North will find a facility widely praised for its beautiful, clean environment and a highly compassionate nursing and rehab team. However, there are serious, documented concerns regarding medication administration errors and inconsistent responsiveness to call buttons during certain shifts.”
Quality Themes
Tap a score for detailsStrengths
- Compassionate and attentive nursing staff
- Clean and aesthetically pleasing facility
- Effective and professional rehabilitation services
- Engaging resident activities and social programs
Concerns
- Medication administration errors and delays (mentioned by 3 reviewers)
- Slow response times to nurse call buttons (mentioned by 2 reviewers)
- Inconsistent nursing communication with families (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
The owner uses a highly standardized, template-based approach for all responses. While they acknowledge the reviewer by name and express regret, they fail to address any of the specific clinical or operational complaints mentioned in the reviews.
Questions for Your Tour
- 1I've heard wonderful things about how clean and beautiful the facility is; could you tell me more about the common areas where residents spend their time?
- 2What kind of social programs or engaging activities do you have planned to help residents stay connected with each other?
- 3How does the nursing team ensure that medications are administered accurately and on a strict schedule every day?
- 4What is the protocol for responding to nurse call buttons, and how do you ensure staff can reach a resident quickly during the night?
- 5How does the nursing staff keep family members updated on any changes in a resident's health or daily well-being?
- 6Can you describe the process for managing medical emergencies or sudden changes in health after regular business hours?
Personalized based on this facility's data
Key Review Excerpts
“The staff are kind, attentive, and always willing to go above and beyond. One thing I especially appreciate is how accommodating they are when I’m unable to visit in person—they always help arrange FaceTime calls”
“My husband had a hip replacement and went here for inpatient therapy. I took his insulin pens and medications. He went 2 days without his insulin. I took him to the E.R. where he was diagnosed with Ketoacidosis.”
“Beautiful, clean place that doesn’t smell like a “nursing home” when you walk in. There’s Pat at the reception area that is always so friendly and ready to answer any questions we may have.”
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
4
measures
3
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents on anti-anxiety or sleep medication
Residents with depression symptoms
Residents vaccinated for pneumonia
Residents whose bladder or bowel control got worse
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
Families have frequently filed complaints against this facility, generating 24 out of 31 total deficiencies across recent inspections. The most recurring problems involve resident assessment and medical record keeping, infection control, and nutrition services. Issues with maintaining proper medical records have persisted across multiple surveys from 2024 through 2025, suggesting ongoing systemic problems despite reported corrections.
Dec 18, 2025Complaint2
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Dec 4, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 19, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Apr 9, 2025Routine2
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Apr 9, 2025Complaint6
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
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.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Aug 20, 2024Complaint1
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
VICTORIA II ENTERPRISES, LLC
AUJALICA WILLIAMS
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 105 of 148
Ownership & Management
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
91 reviews from families & visitors
Official Website
Visit twinpinesnorth.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
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