Twin Pines Nursing and Rehabilitation
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 26 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 (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High RN turnover (80%)
Bottom 25% in Texas · Critically understaffed (RN) · Worst in CREATIVE SOLUTIONS IN HEALTHCARE chain · $44,971 in fines
What this means for your family
This facility offers a beautiful, clean environment with an exceptional activity program and a generally very kind staff. However, recent reviews suggest potential risks regarding staffing shortages and equipment maintenance, so you should specifically ask about current caregiver-to-resident ratios and how they handle facility repairs.
Google Reviews
Google Reviews
26 reviews analyzed“Families considering Twin Pines can expect a clean, visually appealing facility with a highly praised, friendly, and compassionate staff. While many reviewers highlight exceptional activity programs and a welcoming environment, there are serious concerns regarding staffing shortages and inconsistent medication management that should be investigated.”
Quality Themes
Tap a score for detailsStrengths
- Friendly and compassionate staff
- Engaging and interactive activity programs
- Clean and beautiful facility environment
- Effective rehabilitation services
Concerns
- Staffing shortages and negligence (mentioned by 2 reviewers)
- Inconsistent medication administration
- Facility maintenance issues (AC/Heat/Bed controls)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1We've heard great things about how beautiful and clean the facility is; could you show us some of the common areas where residents relax?
- 2What kind of interactive activities or social programs do you have planned to keep residents engaged throughout the week?
- 3Could you walk us through your specific protocols for ensuring medications are administered accurately and on schedule every day?
- 4How does the nursing team manage resident care and monitoring during overnight hours or during staffing transitions?
- 5With the rehabilitation services being a strength here, how do you coordinate therapy sessions with the daily nursing care?
- 6How does the facility handle maintenance requests, such as repairs to air conditioning or bed controls, to ensure resident comfort is maintained?
Personalized based on this facility's data
Key Review Excerpts
“The team here is made up of long-tenured staff who bring years of experience and dedication to their care. It’s clear they love what they do and treat every resident like family.”
“This building is "magazine pretty". Seriously, very beautiful, CLEAN, great good and great team. The staff here are serious about rehab to home services.”
“The owner is negligent in not having enough help for these old people. Not blaming the workers but the supply of care takers and the demand of clients is terribly skewed at best.”
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
8
measures
5
measures
4
measures
Residents whose walking got worse
Residents needing more daily help over time
Residents with depression symptoms
Residents on antipsychotic medication
Residents on anti-anxiety or sleep 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
This facility shows a concerning pattern with 44 of 67 deficiencies triggered by family complaints, indicating ongoing resident and family concerns. The most recurring problems involve care planning and assessments, nutrition and dietary services, and resident rights issues. While the facility corrects deficiencies when cited, the same issues persist across multiple surveys, suggesting systemic problems with accident prevention, medication management, and maintaining dignity. Families should be aware that numerous complaints have been filed about care quality.
Feb 20, 2026Routine16
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Smoke Deficiencies
Properly install and monitor supervisory attachments on automatic sprinkler systems.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Administration Deficiencies
Provide timely, quality laboratory services/tests to meet the needs of residents.
Feb 6, 2026Complaint2
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.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Nov 26, 2025Complaint2
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 that a working call system is available in each resident's bathroom and bathing area.
Jul 13, 2025Complaint2
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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Apr 17, 2025Complaint2
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Feb 13, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Federal Penalties
Fine
Jul 13, 2025
$22,205
Fine
Nov 15, 2024
$8,333
Fine
Nov 15, 2024
$14,433
Ownership & Operations
Who Operates This Facility
West Wharton County Hospital District
for profit
VICTORIA I ENTERPRISES, LLC
VEADELIA SUSAN FOX
Chain Affiliation
Creative Solutions in Healthcare
149 facilities nationwide
Chain avg rating: 2.7/5 · Rank 140 of 148 (Worst)
Ownership & Management
Owners
West Wharton County Hospital District
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
26 reviews from families & visitors
Official Website
Visit twinpinesnr.com
Medicare data downloads
Original nursing home datasets
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