About Twin Oaks Health and Rehabilitation Center
Twin Oaks Health And Rehabilitation Center, located in JACKSONVILLE, TX, is a for-profit organization that accepts Medicare and Medicaid.
Why Families Choose Twin Oaks Health and Rehabilitation Center
Key Performance Indicators
- CMS Overall Rating 2 Stars
- Nursing Hours 2.98 hrs
- Safety Record Clean
Chain Affiliations & Network
This facility is part of the CREATIVE SOLUTIONS IN HEALTHCARE network. This chain operates 149 facilities.
Chain Performance Overview
For AI Users, Agents, and Developers
Do you use a Generative AI assistant like ChatGPT or Claude or others? If so, you can point your assistant to our MCP server at https://mcp.nursinghomedatabase.com/mcp and have it do the searching for you. Ask your question and use our data to help you find the answers.
- Prefer scripts? Use a public REST API for JSON over HTTPS. Or set up MCP using our setup guide.
- Fair use applies; high-volume or commercial use may need a custom data arrangement.
Nursing Staff Analysis
Staffing levels are a critical indicator of quality care. We analyze the daily hours of care provided by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).
Below Average Staffing
Twin Oaks Health and Rehabilitation Center provides less care hours than the state average and less than the national average.
Registered Nurses (RN)
Licensed Practical Nurses
Certified Assistants
CMS Quality Ratings
| Category | Rating | Stars |
|---|---|---|
| Overall Rating | 2 |
|
| Health Inspection | 3 |
|
| Quality Measures | 3 |
|
| Staffing | 1 |
|
Health Inspection History
| Inspection Cycle | Score | Date |
|---|---|---|
| Cycle 1 (Most Recent) | 24 | Dec 31, 2025 |
| Weighted Average | 82 | Combined Score |
Detailed Quality Measures
Rates are from CMS quality measures (claims-based and MDS-based) for the reporting period ending May 01, 2026. Some measures may be omitted when CMS does not report a numeric rate for this facility.
Medicare claims-based measures
Typically includes short-stay outcomes, hospitalizations, and ED use from Medicare claims.
| Measure | Rate |
|---|---|
| Percentage of short-stay residents who were rehospitalized after a nursi... (QM521) | 35.7% |
| Percentage of short-stay residents who had an outpatient emergency depar... (QM522) | 18.3% |
| Number of hospitalizations per 1000 long-stay resident days (QM551) | 1.7% |
| Number of outpatient emergency department visits per 1000 long-stay resi... (QM552) | 4.8% |
MDS-based measures
Resident assessment data; often used for long-stay care quality.
| Measure | Rate |
|---|---|
| Percentage of long-stay residents whose need for help with daily activit... (QM401) | 19.4% |
| Percentage of long-stay residents who lose too much weight (QM404) | 0.0% |
| Percentage of long-stay residents with a catheter inserted and left in t... (QM406) | 0.0% |
| Percentage of long-stay residents with a urinary tract infection (QM407) | 0.0% |
| Percentage of long-stay residents who have depressive symptoms (QM408) | 3.6% |
| Percentage of long-stay residents who were physically restrained (QM409) | 0.0% |
| Percentage of long-stay residents experiencing one or more falls with ma... (QM410) | 2.0% |
| Percentage of long-stay residents assessed and appropriately given the p... (QM415) | 100.0% |
| Percentage of short-stay residents assessed and appropriately given the... (QM430) | 99.2% |
| Percentage of short-stay residents who newly received an antipsychotic m... (QM434) | 0.0% |
| Percentage of long-stay residents whose ability to walk independently wo... (QM451) | 8.2% |
| Percentage of long-stay residents who received an antianxiety or hypnoti... (QM452) | 20.1% |
| Percentage of long-stay residents assessed and appropriately given the s... (QM454) | 97.3% |
| Percentage of short-stay residents who were assessed and appropriately g... (QM472) | 88.2% |
| Percentage of long-stay residents with pressure ulcers (QM479) | 6.9% |
| Percentage of long-stay residents with new or worsened bowel or bladder... (QM480) | 18.1% |
| Percentage of long-stay residents who received an antipsychotic medicati... (QM481) | 27.3% |
Complaints & Deficiencies
Complaint History by Year
This chart shows the number of complaints filed each year.
Summary:
- 2023: 4 complaints
- 2024: 6 complaints
- 2025: 1 complaint
- Total: 11 complaints on record
Recent Complaints (Since Jan 2023)
| Date | Description |
|---|---|
| May 04, 2025 | 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 26, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| Sep 26, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| Sep 26, 2024 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. |
| Jan 19, 2024 | Provide safe, appropriate pain management for a resident who requires such services. |
| Jan 19, 2024 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| Jan 19, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| Sep 14, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. |
| Sep 14, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
| Aug 18, 2023 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. |
| Aug 18, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. |
Nearby Hospitals
PALESTINE REGIONAL MEDICAL CENTER
PALESTINE, TX
CHRISTUS MOTHER FRANCES HOSPITAL
TYLER, TX
UT HEALTH EAST TEXAS JACKSONVILLE HOSPITAL
JACKSONVILLE, TX
CHRISTUS MOTHER FRANCES HOSPITAL- JACKSONVILLE
JACKSONVILLE, TX
RUSK STATE HOSP
RUSK, TX
Owner & Operator Information
Business Entity
LIBERTY COUNTY HOSPITAL DISTRICT NO. 1
Ownership Structure
- LIBERTY COUNTY HOSPITAL DISTRICT NO. 1 Direct: 100%
Management & Direction
- GARY BLAKE OPERATIONAL/MANAGERIAL CONTROL
- GARY BLAKE ADP OF THE SNF
- MALISA BLAKE OPERATIONAL/MANAGERIAL CONTROL
- MILTON FREGIA MANAGING CONTROL - GOVERNING BODY
- SHANNON GARDNER MANAGING CONTROL - GOVERNING BODY
- MARGARET GARDZINA MANAGING CONTROL - GOVERNING BODY
- KHOREN HEKIMIAN ADP OF THE SNF
- PAUL HENRY MANAGING CONTROL - GOVERNING BODY
- LINDA HUGGINS CORPORATE DIRECTOR
- JACKSONVILLE III ENTERPRISES LLC OPERATIONAL/MANAGERIAL CONTROL
- JACKSONVILLE III ENTERPRISES LLC ADP OF THE SNF
- CHARLES STRATTON MANAGING CONTROL - GOVERNING BODY
- CHARLES STRATTON CORPORATE OFFICER
- ROSE WILLIAMSON ADP OF THE SNF
- ZACHARY WILLIG CORPORATE DIRECTOR
Associated Doctors
Local Comparison
| Facility | Distance | Rating |
|---|---|---|
| Meadow Lake Health Center | N/A | 5 |
| The Center at Grande | N/A | 5 |
| Oak Brook Health Care Center | N/A | 4 |
| Trucare Living Centers | N/A | 5 |
| Avir at Jacksonville | N/A | 5 |
| Reunion Plaza Healthcare and Rehabilitation | N/A | 5 |
| Legacy at Jacksonville | N/A | 4 |
| Greenbrier Nursing and Rehabilitation Center of Pale | N/A | 4 |
| The Waterton Healthcare and Rehabilitation | N/A | 4 |
| The Arbors Healthcare and Rehabilitation Center | N/A | 3 |
Related Analysis
Best Nursing Homes in JACKSONVILLE, TX
Compare Twin Oaks Health and Rehabilitation Center to the top-rated facilities in the area.
Ownership Details
Complete list of registered owners, including direct and indirect ownership.
Noted Deficiencies
Detailed history of deficiencies with descriptions and correction dates.
Nursing Hours Analysis
Detailed breakdown of staffing hours per resident by role.
Frequently Asked Questions
- Skilled Nursing Care: 24/7 medical supervision and complex medical treatments
- Long-term Residential Care: Assistance with daily living activities for extended stays
- Short-term Rehabilitation: Recovery services after hospital stays or surgeries
- Memory Care: Specialized programs for residents with dementia and Alzheimer's disease
- Level of care needed (skilled nursing vs. long-term care)
- Room type (private vs. semi-private)
- Insurance coverage (Medicare, Medicaid, private insurance)
- Length of stay and specific services required
For current rates and to discuss payment options, contact Twin Oaks Health and Rehabilitation Center directly at 9035869031. Their admissions team can help determine coverage and out-of-pocket expenses.
Environment & Cleanliness
- Overall cleanliness and odors
- Resident room conditions
- Common area maintenance
- Safety features and accessibility
Staff & Care Quality
- Staff-to-resident ratios
- How staff interact with residents
- Response time to resident needs
- Staff knowledge and professionalism
Ask to speak with current residents and their families, tour at different times of day, and review the facility's most recent inspection reports.